How Do Analytics Help Reduce Payer’s Burden?
Before we step into how data analytics can transform a payer’s organization for the better, one must address the chains holding them back from the miracles of analytics. The lack of…
read moreBefore we step into how data analytics can transform a payer’s organization for the better, one must address the chains holding them back from the miracles of analytics. The lack of…
read moreThe new CMS mandate for Electronic Prior Authorization (ePA) requests focuses on the NCPDP SCRIPT version 2017071 standard for four electronic Prior Authorization (ePA) transactions. The PA initiation request/response, PA…
read moreAs the dates set for public disclosure requirements, Jan of 2022, draws close with every passing day, it is best for everyone involved if health plans got themselves aligned with…
read moreSuccessful reimbursements supplement successful care outcomes. In simple words, when clinicians get paid for their services regularly, the frequency of the medical services amplifies. On the downside, there is no sure-fire way to ensure the quality…
read moreThe US healthcare industry is undergoing a tectonic shift towards Value-Based Care (VBC). Changing reimbursement models and HHS regulations are the two primary forces energizing the circumstances. Care providers are…
read moreWith the onset of consumerism in healthcare, health plans must be prepared to make adjustments or modifications to IT systems and business processes to include the oncoming set of rules…
read moreSince the Meaningful Use initiatives of 2009, Healthcare Information Technology (HIT) development has been driven by continually evolving healthcare regulations. The Interoperability and Patient Access Final Rule & the 21st Century…
read moreThe Centre for Medicare and Medicaid Services (CMS) has introduced a final rule to update the Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS). The IRF PPS was introduced to…
read moreTitle IV of the 21st Century Cures Act is dedicated to the enablement of easy access to patient health records for care providers, patients, and payers. Interoperability, transparency in reporting,…
read moreThe Centers for Medicare and Medicaid Services (CMS) has unveiled the Data Element Library (DEL), which is a centralized resource for CMS, allowing the public to view specific types of…
read moreThe new rule laid down by Medicare has included Health and Safety Standards for Home Infusion Therapy and new rules and regulations to administer Infusion Therapy. A considerable amount of change has also been made in the payment system of Infusion Therapy to overcome the issues previously faced by it.
read moreMedicare has recently adopted a major technological change; Remote Patient Monitoring device, which is a method of healthcare delivery that uses the latest advances in information technology to gather patient data outside traditional healthcare settings.
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