Healthcare payers deal with a steady stream of claims every day, some accurate, many questionable. Fraudulent billing, inflated procedures, and…
Navigating HEDIS and NCQA Compliance with Smarter Tech Stacks
Understanding HEDIS and NCQA If you’re working with a health plan or on the payer tech side, you’ve probably heard…
A Guide to the United States Core Data for Interoperability
USCDI is the government’s way of saying: “Here’s the basic health data everyone should be able to share.”
Why Blue Button 2.0 Matters for Patients and Healthcare Providers?
The data being made available through Blue Button 2.0 initiative provides opportunities to leverage this data for meaningful purposes.
Understanding CEHRT Updates Under the 21st Century Cures Act
What is CEHRT and Why It Matters in 2025 Certified Electronic Health Record Technology (CEHRT) is the standard that defines…
The Power of Automation in Healthcare Claims Processing
Automation transforms each stage of claims processing, replacing time-consuming manual tasks…
Top Challenges of Interoperability in Healthcare
Interoperability in healthcare refers to the capability of different health information systems, applications, and devices to seamlessly exchange and interpret…
How AI is Automating Healthcare Claims Processing?
For millions of Americans, filing a medical insurance claim is just the start of a long and uncertain process. In…
Revolutionizing Healthcare Communication: The AIDET Approach
Patients remember how they are treated just as much as the treatment itself. A rushed conversation, unclear instructions, or a…
Why Prior Authorization Automation is Essential for Health Plans?
Prior authorization is intended to control costs and ensure medically necessary care, but the reality is not ideal. The manual…
Health Insurance Portability and Accountability Act of 1996: Everything You Need to Know
HIPAA rule applies to certain organizations and individuals for better handling of PHI.
3 stages of Healthcare Meaningful Use – Its Framework, Contour and Updates
The Meaningful Use program established a structured approach to EHR adoption, evolving through three stages…