Hot Topics

Seven Insider Insights Heard at AHIMA24: New Energy for Coding, Data, and Exchange

By Beth Friedman – AHIMA was founded in 1928 to improve the collection and organization of health information for medical professionals to improve public health. Fast forward nearly 100 years and the association’s new president, Dr. Kevin Klauer, modernized this vision to reiterate health information professionals’ essential roles: collect, analyze, share, and protect patient information.

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Why Accurate Provider Data Can No Longer Be Overlooked in Value-Based Care

By Eric Demers – With more than half of patients using a health plan’s provider directory to select a physician, incorrect physician information has quietly become one of the biggest barriers to treatment. Value-based care is supposed to optimize patient outcomes, but that’s tough to do when patients can’t find the appropriate healthcare services.




Whose Money, Is It?

By Mike Lanza – In the stop-loss industry, on occasion there can be tension between the Claim Payer (payer or TPA) and the Stop-Loss carrier when it comes to determining reimbursing claims that exceed the specific deductible. Most claims payers have a claims review process in place to ensure that claims payment follows the Employer’s Plan document.