Nalashaa Healthcare Blogs
Managing a provider network can be a time-consuming and repetitive task because government regulations are constantly changing. Furthermore, each organization defines the ideal network differently depending on its goals. In…
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The COVID-19 pandemic has disrupted healthcare delivery significantly. Care facilities across the United States sustained financial losses that threaten the viability of medical practices. The unexpected increase in demand for…
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Do you comply well with the frequent updates of the Transparency in Coverage Rules and Consolidated Appropriations Acts? Having a hard time managing everything on your own? Don’t fret! First,…
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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 work. Identifying the providers and hospitals according to the parameters mentioned in…
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The word ‘wearables’ usually brings to the mind, images of fitness devices linked with the smartphone. The birth of these devices accompanied the evolution of mobile devices into significantly more…
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The proposed rule is currently titled ‘Reducing provider and patient burden’. However, the proposed rules do not promise any reduction of burden for payers. Payers must make sure their systems…
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The COVID-19 pandemic is still at large, operating in waves and through transmutation. It appears that its effects are destined to linger for many years to come. While most of…
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The healthcare industry is currently undergoing a radical change driven by patient centricity and the quest for the seamless access and exchange of electronic Patient Health Information (ePHI). Healthcare Information…
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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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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 it. The implementation approach will depend on various technological factors such as cloud platforms,…
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The outbreak of the COVID-19 pandemic presented a unique challenge for care providers. They were handed the daunting task of identifying patients who needed medical attention the most. The burdensome…
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The healthcare industry is currently undergoing a tectonic shift towards a patient-centric care model to pursue Value-Based Care (VBC). To unearth the ‘value’ in care delivery, care providers must tap into incoming…
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