By Aaron Fulner – The COVID-19 pandemic has driven an incredible shift in the number of American lives covered by employer-sponsored health plans as unemployment creeps up to rates not seen since the Great Depression.
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By Abhinav Aggarwal – Payers and health organizations struggle to manage the sheer volume of encounter data submissions due to limited visibility into the encounter lifecycle. When an organization lacks visibility into the encounter management process, inaccuracies stemming from a sub-optimal claims process can manifest.
Your personal health information is moving and being viewed to improve the quality of your healthcare and lower the costs. The job will not be complete until all health records are digital and interoperable. Here’s what’s happening to make that reality.
The ONC released their long awaited final rule on patient access, information blocking, and certification updates on March 9th. We have rounded up the usual suspects as they make their initial statements about the rule.
By Abhinav Aggarwal – Fall isn’t just about football. There is another game heating up this season, and the costs of losing could be devastating. Just like football, the Medicare Advantage market is highly competitive, with each player fighting to score big.
Business news from West’s Health Advocate Solutions, Linguamatics, CynergisTek, Edifecs Inc., Zynx Health, ApolloMed, and LifeMD.
Your personal health information is moving and being viewed to improve the quality of your healthcare and lower the costs. The job will not be complete until all health records are digital and interoperable. Here’s what’s happening to make that reality.
By Aaron Fulner – Once a health plan has identified a functional area that is losing them revenue, what typically comes next is an independent operational review to assess the root cause of the issue(s).
By John Kelly & Jay Sultan – Between the payer consolidations, the long-awaited transition to ICD-10 and the shift toward value-based care, healthcare saw major changes begin to take hold in 2015. Coming off the momentum of the previous year, we can expect even more – especially as providers begin to take on more and more risk.