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…
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Posts Tagged :
CMS
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 electronic Prior Authorization (ePA) transactions. The PA initiation request/response, PA…
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Complying with Public Disclosure Requirements
As 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…
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The Future of HIT Development: The Top Touchpoints for HIT Developers in Financial Administration
Successful 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…
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The Digital Healthcare Framework for Care Providers: HIT Essentials for 2021 and Beyond
The 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…
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Increased Transparency to Encourage Cost-effective Care Decisions
With 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…
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The CXO Toolkit: Areas of Focus in Healthcare Technology Development in 2021
Since 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…
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Inpatient Rehabilitation Services Receive a Major Boost from the CMS
The 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…
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The 21st Century Cures Act Final Rule Is Here!
Title 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,…
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CMS launches Data Element Library to support Interoperability
The 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…
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Infusion Therapy- Revolutionize
The 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.
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Medicare welcomes RPM
Medicare 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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