The need for interoperability was first highlighted back in the 1980s when payer organizations had to expand to working with data from…
Provider Network Management Challenges and Solutions
Managing a provider network can be a time-consuming and repetitive task because government regulations are constantly changing. Furthermore, each organization…
Post COVID-19 Care Provider Enablement: The HIT fixes for the Post Pandemic World
The COVID-19 pandemic has disrupted healthcare delivery significantly. Care facilities across the United States sustained financial losses that threaten the…
Transparency in Coverage Rules and Consolidate Appropriations Act: The Latest Updates that Payers Must Know
Do you comply well with the frequent updates of the Transparency in Coverage Rules and Consolidated Appropriations Acts? Having a…
Here’s What You Need to Know About Provider Network Management
Having provider networks is a necessity. This is true for health plans and providers or hospitals, and especially, for the enrolled members. Managing provider networks can be a lot of…
Concerned About Setting up a Provider Network? Here’s What You Need to Know.
The healthcare ecosystem consists of three participants: payer, provider, and members. Payers and providers are constantly rolling out effective, value-based, good quality care for members. There are several ways to achieve this goal, and here we…
EHR and Wearables: The Data Dynamics
The word ‘wearables’ usually brings to the mind, images of fitness devices linked with the smartphone. The birth of these…
Watch Out for these Anchors Holding you Back from Compliance
The proposed rule is currently titled ‘Reducing provider and patient burden’. However, the proposed rules do not promise any reduction…
Should You Outsource HIT Product Engineering?
The healthcare industry is currently undergoing a radical change driven by patient centricity and the quest for the seamless access…
Electronic Prior Authorization For Medicare Part D – The Essentials
The new CMS mandate for Electronic Prior Authorization (ePA) requests focuses on the NCPDP SCRIPT version 2017071 standard for four…
Here’s How You Can Implement Transparency in Coverage
In the previous blogs, we have defined the Transparency of Coverage rule’s compliance requirements and their corresponding solutions. Now that the expectations from the solution is set, here we are looking at the implementation. Let’s cut straight to…
The Essential Touchpoints for Care Providers in Preventive Care in 2021
The outbreak of the COVID-19 pandemic presented a unique challenge for care providers. They were handed the daunting task of…