Fierce Healthcare

DECEMBER 5, 2023

Fierce Healthcare sits down with healthcare executives at Fierce Health Payer Summit 2023. Fierce Healthcare sits down with healthcare executives at Fierce Health Payer Summit 2023. Payer leaders came together at the event to unpack the evolving landscape, providing a deep dive into the most important issues facing the industry.

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HIT Consultant

MAY 13, 2024

An increasingly complicated payer-provider landscape and rising staff shortages are magnifying the disconnects between clinical and administrative metrics, technologies, and processes. Much like the collaboration objective data can create internally, an intentional and objective approach can create better alignment with your payers.

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US Department of Health and Human Services Hospitals Nurses Compliance 59

Healthcare IT Today

APRIL 4, 2023

Doing this right, leads to many downstream benefits, including better patient outcomes, greater patient engagement, more efficient processes, happier staff, and improved payer + provider alignment. At ViVE2023 a number of guests stopped by to share their perspective on this topic. Each has an incomplete picture.

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Informed Consent Hospitals 93

Healthcare It News

OCTOBER 13, 2023

Ben Zaniello, chief medical officer at PointClickCare, has encountered SDOH data interoperability problems in all of his healthcare ecosystem experiences – on the provider, payer and technology developer sides. " Where post-acute coordination encounters behavioral health regulation 42 CFR part 2.

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Health Outcomes HIPAA Medicare Medicare 228

HealthIT Answers

JUNE 1, 2023

The topic was innovation in payer and provider data exchange. The post Innovation in Payer and Provider Data Exchange: On-Air Insights appeared first on Health IT Answers.

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Healthcare IT Today

MAY 7, 2024

Topics include changes in revenue cycle management (RCM), the role of AI, the importance of being willing to evolve with the times, and finally, a discussion of Queiro’s inspiring and practical book, Joy Notes: Balancing the Trauma with Triumph. They want AI tools at the provider and the payer to collaborate.

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Hospitals 66

Healthcare IT Today

NOVEMBER 22, 2023

Start with Standards A typical digital validation in health care must be recognized by software on the patient’s device as well as sites at multiple institutions: providers, payers, pharmacies, and more. But what do patients, providers, and payers have to do in order to complete the chain and enable check-in with a click or a swipe?

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Department of Veterans Affairs Medicare Medicare COVID-19 110

Healthcare IT Today

JANUARY 18, 2023

Digital Innovation and Artificial Intelligence are two huge topics recently in the world of Healthcare IT. We reached out to the Healthcare IT Today Community for their insights on this topic. We reached out to the Healthcare IT Today Community for their insights on this topic. The following is what they had to say.

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Healthcare IT Today

JULY 28, 2022

During the AHIP Annual conference in Las Vegas, I had a chance to sit down with David Schweppe, Chief Analytics Officer at MedeAnalytics , to learn more about what he was hearing at the conference and how MedeAnalytics can help the payer community. Plus, I asked him about how payers can make SDoH and health equity data actionable.

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Healthcare IT News - Telehealth

JUNE 1, 2020

Primary topic: HIMSS20 Digital Coverage Disable Auto Tagging: Short Headline: Payers, providers getting taste for connected and remote technologies Featured Decision Content: Region Tag: Global Edition Right Now:

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Healthcare IT Today

NOVEMBER 14, 2022

In these episodes we pull out a list of topics in the world of Health IT and decide whether we ‘buy’ that it’s going to happen or ‘sell’ it because we don’t think it will. So join us in our latest round of debate on some possible upcoming trends and topics in Health IT.

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Healthcare IT Today

NOVEMBER 30, 2022

We’re excited to share the topic and questions for this month’s #HITsm chat happening Friday, 12/2 at Noon ET (9 AM PT). This month’s chat will be hosted by Erica Olenski Johansen ( @thegr8chalupa ) on the topic “ Mirror, Mirror, On the Wall: Has Healthcare Become a Consumer Industry? Share examples!

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Healthcare IT Today

MARCH 25, 2024

To kick off this episode, we discuss Clark’s double role working for a payer and provider and how that has allowed him to do things that would otherwise be difficult if he wasn’t. Then, to wrap everything up, Clark passes along advice to anyone who’s looking to make a career in data/analytics/AI.

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Hospitals 102

Healthcare IT Today

FEBRUARY 23, 2024

This then results in certain topics being neglected – regardless of their quality and how much you would personally like to see them trend. To help shed a light on these topics, we reached out to our brilliant Healthcare IT Today Community to see what health IT trends they believe deserve more attention.

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Compliance HIPAA Nurses Hospitals 105

Healthcare IT Today

JULY 12, 2022

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 7/15 at Noon ET (9 AM PT). This week’s chat will be hosted by Dr. Melissa Urrea from @naviHealthPAC on the topic “ Addressing Social Determinants of Health in the Senior Population. ”. But we still have a long way to go. SDoH #HITsm.

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Medicare Medicare 111

Healthcare IT Today

JUNE 15, 2023

No doubt these are topics that we’ll be discussing at the MRO booth (#213) at the upcoming HFMA conference. Furthermore, the 21 st Century Act opens the door for greater availability to clinical data among patients, providers, and other requesters such as payers. Here is one example of how payer exchange is being automated today.

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Health Insurance Public Health Hospitals 80

Healthcare It News

MAY 14, 2024

This is one of the most important topics healthcare CIOs and other C-suite and health IT leaders can be talking about today. On the payer side, AI and ML algorithms analyze vast amounts of claims data to identify patterns and predict high-risk claims likely to be denied.

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Health Insurance Hospitals Doctors Nurses 201

Medisys Compliance

MARCH 10, 2024

Trending Topics in Wound Care Billing Integration of Telehealth in Wound Care Services The COVID-19 pandemic accelerated the adoption of telehealth in various medical specialties, including wound care. However, billing for telehealth services involves navigating complex regulations and payer policies.

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Medical Billing Outsourcing Medical Billing COVID-19 Nurses 59

Medisys Compliance

JANUARY 21, 2024

Payer Audits and Scrutiny: Payers may initially scrutinize claims for new services more closely. Beyond Billing: Other Relevant Topics The omnibus bill goes beyond coding and reimbursement. Navigate payer audits and denials to protect your revenue. Handle the complexities of new documentation requirements.

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Medical Billing Outsourcing Medical Billing Medicare Medicare 59

HIT Consultant

JULY 11, 2023

Sarah Reilly, SVP, Product and Strategy, Lucet The growing demand for behavioral healthcare in America is putting a serious strain on both payers and providers with no signs of slowing down anytime soon. Vendors and data scientists can work with payers to create algorithms that further optimize care. adults has a mental illness.

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Health Outcomes Compliance 75

Healthcare IT Today

NOVEMBER 22, 2022

But as organizations balance productivity goals with payer policies, sometimes their version of “enough” patient volume is actually too much. The number of Medicare TPEs and commercial payer take-back audits alone is skyrocketing. Finally, payers of all stripes may send documentation requests. Tricare and Medicare).

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AIHC

MAY 7, 2024

Written by Corliss Collins, BSHIM, RHIT, CRCR, CSM, CCA, CBCS, CPDC Artificial Intelligence (AI) and Revenue Cycle Management (RCM) are hot topics in the healthcare industry. Payers are already implementing AI as a solution to deny inappropriately coded claims and detect potential fraud and abuse.

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Compliance Compliance Officers Fraud Doctors 52

HIT Consultant

APRIL 26, 2023

The topics that dominated the conference included teasing out the nuanced approach to safely deploying Chat GPT/AI into the industry (and when not to), health equity, and the patient journey. Artificial intelligence/machine learning and the power of what it can do was another key topic of discussion at HIMSS.

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Health Outcomes Hospitals 98

HIT Consultant

OCTOBER 19, 2023

” Rhonda Gibler, Chief Sales Officer, Carenet Health “The conference included discussions on many important, relevant topics in the industry today. The home is becoming the new clinic, ED, or hospital, and roles throughout the healthcare system are evolving to accommodate this shift.” AI has long been a buzzword in the industry.

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Hospitals 104

Healthcare IT Today

AUGUST 29, 2023

Clinicians and payers would also be interested in the study’s finding that this loneliness makes it harder for these people to use the health care system. When conversation turns to depressing or difficult topics, the platform could prompt members to deal with the feelings more constructively.

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Public Health 101

HIT Consultant

JUNE 12, 2022

As the healthcare system continues to evolve to adopt a more patient-centric approach, surprise billing has become a topic discussed by consumers and policymakers. With the passage of the No Surprises Act, a large book of new regulations and requirements for healthcare providers and payers was handed down in an effort to protect patients.

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Medical Billing Medicare Medicare Health Insurance 98

Healthcare IT Today

APRIL 19, 2023

I’m happy (and kind of sad) to say that are predictions of the top topics were what we predicted in our HIMSS 2023 preview. The two biggest themes at HIMSS are the two topics that are top of mind at most healthcare organizations: workforce and revenue.

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Doctors Nurses Hospitals 71

Healthcare IT News - Telehealth

JUNE 15, 2020

Alleva, who focuses on the federal regulation of healthcare providers, payer enrollment and HIPAA compliance, told Healthcare IT News that it's still too soon to tell how patients will react to loosening coronavirus restrictions. "Some states are still in particular phases," she said.

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Telemedicine Licensing HIPAA COVID-19 188

C&M Health Law

DECEMBER 23, 2022

The regulations impact CMS-regulated payers and provide incentives for providers and hospitals that participate in the Medicare Promoting Interoperability Program and the Merit-based Incentive Payment System (MIPS). iii) Payers would be required to report metrics about the use of Patient Access API.

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HIT Consultant

MARCH 17, 2024

healthcare system contributes to administrative waste and $265 billion in unnecessary costs, according to Drug Topics. As payers and providers face increasing pressure to enhance quality care outcomes while lowering costs, leveraging data both prospectively and retrospectively is critical – and AI makes that possible at scale.

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Medicare Medicare Medicaid Medicaid 64

Healthcare It News

OCTOBER 6, 2022

His advice to providers and payers on how to address topics for their patients or members: "You have to find that balance between accuracy and evidence-based information but also being engaging and understandable for that patient," he said. He also advises using visual metaphors to explain complex topics.

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Doctors Hospitals 215

Healthcare IT Today

FEBRUARY 13, 2023

Plus, she shares how being a “payvider” (provider and payer) provides a great opportunity to address problems like the Frictionless Billing effort they rolled out to improve the billing experience for patients. We also ask Mizell how technology has helped and hurt healthcare in her decades of experience in the industry.

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Health Populi

JUNE 23, 2022

An hour after the Morning Consult session, I brainstormed the topic of consumers-as-payers of medical bills and prescription drugs with GoodRx strategy leaders. In my data wonkiness, inflation certainly played a starring role in setting the stage for Mind, Body and Wallet — the title of one of the sources of my plotline. (The

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Medical Billing Medicare Medicare Hospitals 115

Healthcare IT Today

DECEMBER 9, 2023

Andy Oram explored this topic in a three-part series. At HLTH, we asked the Healthcare IT Today community to weigh in on this important topic. Bonus Features for December 3, 2023: Only 40% of orgs say EHRs help manage burnout; meanwhile, cost optimization is top strategy for 70% of payers.

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Hospitals Public Health Compliance 113

Healthcare IT News - Telehealth

DECEMBER 31, 2020

Providers & payers: Communication is key. In addition to ongoing questions around the reimbursement of telehealth and remote monitoring, one of the other challenges highlighted this past year was the still-suboptimal communication among providers and payers, especially early on. There’s no going back."

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COVID-19 Nurses Telemedicine Doctors 218

Healthcare IT Today

FEBRUARY 3, 2024

We asked the Healthcare IT Today community to weigh in on this critical topic. Read more… Funding and M&A Activity: Consulting firm Impact Advisors acquired First Quadrant Advisory , which focuses on the payer market. We hope this gives you a chance to catch up on anything you may have missed during the week.

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Regulatory Compliance Compliance Hospitals 109

Healthcare IT Today

JULY 8, 2023

With so much happening in healthcare, it’s easy for some topics to get lost in the weeds. Laws like the No Surprises Act require providers and payers to provide patients with good faith estimates of what care will cost, but calculating payment amounts is often inefficient and inconsistent given how treatments vary.

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Nurses Telemedicine Hospitals 94