Moving our healthcare system into the digital age, better outcomes, controlling and reducing costs, and patient access to their health data. Our monthly HIE rundown includes updates on industry interoperability news, TEFCA, HIE networks, job openings and vendor contracts.

By David Ostrowsky – Though the No Surprises Act was designed to safeguard patients against receiving unexpected medical bills, it has become apparent that certain trends within the corresponding Independent Dispute Resolution process may be contributing to increased costs for employer-sponsored plans. The Phia Group has analyzed data that sheds light on these patterns.

By Matt Saucedo – Home health agencies are losing revenue they have already earned, not from denied claims or underpayment disputes, from billing gaps that never surface on a financial statement. The problem is structural. Most home health agencies run on cash basis accounting. Revenue appears when the check arrives, not when care is delivered.

By Matt Fisher – Artificial intelligence remains a hot topic in seemingly every area of life, with healthcare a particular focus. Where does AI fit in exactly though? There are so many questions and conflicting suggestions about how AI fits in. Recently, three different reports and surveys pointed to very different assessments and potential uses.