Remove directory strategic-planning
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No More Surprises: Automation Ensures Compliance, Mitigating Penalties

HIT Consultant

While the implications of the NSA are a relief for patients, health plans and providers can’t say the same. Now, health plans must comply with the regulations of the NSA, making the daunting volume of provider updates even more unmanageable. So, if you’ve got 40,000 members, the math becomes pretty compelling to get your data in order.

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The No Surprises Act: How Payers Can Stay Compliant

HIT Consultant

This can result in balance billing, the practice of billing a patient the difference between what their health plan covers and what the provider charges. A recent JAMA study of one large health plan found that 20% of patients receiving elective surgery from in-network surgeons received an out-of-network bill. What Payers Can Do.

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Ensuring Provider Directory Compliance With H.R. 133

Verisys

If you have a provider directory, you probably know about the Consolidated Appropriations Act of 2021 (aka H.R. Passed last December, the Act requires group health plans and health insurance issuers to improve the verification and refresh process of their provider directory systems. By Donald Potts and Donovan Schwartz.

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Bonus Features – March 24, 2024 – Data infrastructure investments have 124% ROI, 85% of healthcare workers believe AI can improve the patient experience, plus 28 more stories

Healthcare IT Today

Availity announced a strategic alliance with Zelis aimed at streamlining payment processing workflows. Ribbon Health launched Ribbon Provider Data Platform , adding data management capabilities to its provider directory. TrustCommerce integrated its Cloud Payments platform with Practice Fusion.

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President Biden Signs End-of-Year Legislation Including Telehealth, Medicare & Medicaid, Mental Health, Pandemic Preparedness, and Other Health Care Provisions

C&M Health Law

The Act also did not provide the Department of Labor enforcement authority (which was requested in its 2022 Report to Congress) to issue civil monetary penalties against health plans that it finds are noncompliant with the Mental Health Parity and Addiction Equity Act (MHPAEA).

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Fabric Acquires Conversational AI Startup to Streamline the Patient-to-Clinician Journey

Healthcare IT Today

Drives Throughput: Shorten the total length of stay in emergency rooms by digitizing the discharge process, enabling patients to attest and access their care plan with a single click, eliminating wait times for staff and printed paperwork. To learn more about Fabric and request a demo, visit fabrichealth.com.

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The Medical Library: A Hospital’s Most Underappreciated Asset

HIT Consultant

Currently, the network of the National Library of Medicine shows 1,701 members in its online directory , a number that includes some college and university hospitals. Docline, the National Library of Medicine’s interlibrary loan request routing system, showed a decrease from 3,166 medical libraries in 2007 to 2,140 in 2017.

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