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…
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…
Healthcare Data: The Treasure Trove of Success for Healthcare IT Developers
The healthcare industry is currently undergoing a tectonic shift towards a patient-centric care model to pursue Value-Based Care (VBC). To…
Proposals from the CMS to Reduce Burden
Since the past couple of years, the CMS began its journey to instill interoperability into the healthcare ecosystem and trying…
Expanding on Previous Rules to Improve Interoperability and Reduce Burden
Back in May 1, 2020, The Centers for Medicare & Medicaid Services (CMS) introduced the Interoperability and Patient Access Final…
Top Strategies for Healthcare Operations Cost Reduction.
Cost is one of the key elements that profoundly influences the efficiency of care delivery operations. Care providers don’t just…
The Top Five Areas for HIT Developers in IT Management
Provider expectation from HIT vendors has grown exponentially. These expectations encompass data security to application performance and the manageability of IT resources and…