In 2010, the healthcare landscape in the United States underwent a profound transformation with the enactment of the Affordable Care…
compliance
Navigating the FY 2024 ICD-10-CM Code Set Changes: A Comprehensive Overview
The ICD-10-CM code set update for fiscal year (FY) 2024 is bringing forth significant changes, including the addition of 395…
3 stages of Healthcare Meaningful Use – Its Framework, Contour and Updates
The Meaningful Use program, a cornerstone of Medicare’s initiative, is structured into three distinct stages, each designed to elevate the…
Navigating the Sarbanes-Oxley Act of 2022: A Comprehensive Guide for Healthcare
The Sarbanes-Oxley Act, often referred to as SOX, is a landmark piece of legislation enacted in response to corporate accounting…
Medicare Revolutionizing Behavioral Health Access: What Providers Need to Know
In the wake of the global COVID-19 pandemic, the intricacies of healthcare have taken on a new dimension, revealing gaps…
Information Blocking Rule: The changes for 2023
As we can see from the above infographic providers are facing the wrath of information-blocking claims. 6th October 2022, HSS…
Telehealth Reimbursement Policy Reforms for 2023
What Does CMS Have to Say: 2023 Medicare Physician Fee Schedule In 2019, a terrible pandemic swept across the world.…
Patient Protection and Affordable Care Act – Benefits and Payment Parameters for 2023
The Patient Protection and Affordable Care Act, also known as Obamacare, signed into law on March 23, 2010 has had…
Utilize Data Analytics to Reduce Member Dropout
Member management is crucial to healthcare payer organizations. Member engagement KPIs are what decide a payer’s Net Promoter Score. This…
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…
The Various Facets of FHIR
FHIR has taken the healthcare industry by storm. Health plans are rushing to incorporate FHIR into their systems to not…
The Genesis of FHIR
The need for interoperability was first highlighted back in the 1980s when payer organizations had to expand to working with data from…