Healthcare payers deal with a steady stream of claims every day, some accurate, many questionable. Fraudulent billing, inflated procedures, and…
Author: Priti Prabha
Priti is a marketing enthusiast with a keen interest in digital advancements. She finds immense joy in crafting impactful content that addresses challenges and spreads awareness in the healthcare sector. Her work consistently showcases how technology aligns with value-based care to improve patient outcomes and operational efficiencies. When not immersed in content writing, Priti enjoys geeking out on pop music or delving into the latest tech magazines.
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…
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.
Why Is Interoperability Important in Healthcare: Key Insights for 2025
As patient expectations rise and the healthcare landscape grows more connected, one question remains: Why is interoperability so important in…
Top Healthcare IT Services Companies [Insights 2025]
Technology is woven into every aspect of modern life, and healthcare is no exception. From managing patient data to protecting…