Healthcare Analytics, Population Health Management, Healthcare Big Data

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How to Maximize Revenue with Improved Claims Denials Management

RevCycleIntelligence Claims denials may be a part of life for healthcare revenue cycle managers, but a prevention-focused denials management strategy may be able to significantly reduce the number of times billing staff are faced with unpaid claims. Recent healthcare reforms, such as reporting-heavy value-based reimbursement models, an updated ICD-10 coding system, and lower payment rates, have made it even more...


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Telehealth Reimbursement and Its Interstate Licensure Problem

mHealthIntelligence Telehealth’s great promise lies in allowing a doctor to treat a patient no matter where each are located. One of the biggest challenges to that platform is licensing. A clinician must apply for a license in each state in which he or she...

How Data Encryption Benefits Data Security

HealthITSecurity As healthcare organizations continue to make the switch from physical to electronic records, implement EHRs, and connect to HIEs, healthcare data encryption options have also increased in popularity. This is when covered entities or business...

CMS Timelines for Stage 3 Meaningful Use, MACRA Implementation

RevCycleIntelligence For Medicare providers, CMS has set the pace for quality improvements and healthcare payment reform through Stage 3 Meaningful Use and the Quality Payment Program (under MACRA implementation). The programs are designed to put providers on track...

How mHealth Technology Supports Patient Engagement Strategies

PatientEngagementHIT mHealth is an important tool for improving patient engagement because so much of the technology is already consumer-facing. From fitness trackers and patient portals to smartphone apps and home monitoring equipment, mHealth permeates patients’...

How Medicare, Medicaid, and CHIP Guide the Health Payer Industry

HealthPayerIntelligence Medicare, Medicaid, and CHIP, the three major public insurance programs overseen by CMS, often set the tone for the large private health payer industry.  CMS is using all three programs to actively encourage the movement towards value-based...

How Evolving Healthcare Cybersecurity Threats Affect Providers

HealthITSecurity As healthcare providers work to implement the latest pieces of technology to improve patient care, the healthcare cybersecurity threats will also continue to evolve. Healthcare ransomware attacks, BYOD security, and healthcare data breaches continue...

Potential for Healthcare Kiosks in Improving Care Delivery

mHealthIntelligence Kiosks are all the rage in retail and service industries, but can healthcare kiosks make a difference for providers and patients? The simple answer is yes, if done right. They give healthcare providers a chance to collect data and automate tasks...

HIPAA Data Breaches: What Covered Entities Must Know

HealthITSecurity As more healthcare organizations implement new technologies, connect to health information exchanges, and adopt electronic health record technology, they are potentially exposing themselves to more online threats and potential HIPAA data breaches....

How Will MACRA Impact Patient Engagement, Care Coordination?

PatientEngagementHIT In 2015, Congress passed the Medicare Access and CHIP Reauthorization Act (MACRA) with an overwhelming bipartisan majority. The complex piece of legislation has a number of  provisions, each of which affects different areas of the healthcare...

Understanding the Value-Based Reimbursement Model Landscape

RevCycleIntelligence In January 2015, the Department of Health and Human Services (HHS) announced that it intends to link half of all traditional Medicare payments to a value-based reimbursement model by the end of 2018.  The announcement, followed...

Potential for Healthcare APIs to Revolutionize the Industry

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How Health Insurance Mergers Could Change the Payer Industry

HealthPayerIntelligence During the summer of 2015, Aetna and Humana, as well as Anthem and Cigna, started a merger process that would reduce four of the nation’s largest insurers down to just two. If the mergers are successful, only three payers would dominate...

Potential for Healthcare APIs to Revolutionize the Industry

EHRIntelligence Application programming interfaces (APIs) provide the means for one software program to access the services of another. Analogies abound for explaining how APIs work, but one that is particularly compelling is the wall socket analogy. Rather...

How Nighttime Telehealth Services Can Improve Overnight Care

mHealthIntelligence In hospitals across the country, the image of the solitary doctor making midnight rounds is changing, thanks to telemedicine. That doctor now sits in front of a tablet, laptop or desktop computer, perhaps at home or even in another country. And...

The Role of Risk Assessments in Healthcare

HealthITSecurity A risk assessment helps covered entities ensure they are compliant with the HIPAA requirements in terms of physical, technical, and administrative safeguards. It also assists in showing potential areas where an organization might be putting PHI...

Key Ways to Boost Collection of Patient Financial Responsibility

RevCycleIntelligence Ever since the Affordable Care Act was passed in 2010, more providers are experiencing a shift in healthcare revenue sources, especially as patient financial responsibility increases. While hospitals and physician practices traditionally communicated...

How Payers Could Succeed in ACA Health Insurance Exchanges

HealthPayerIntelligence State and federal health insurance exchanges stemming from the Patient Protection and Affordable Care Act (ACA) offer medical coverage for families and individuals that would have otherwise had little opportunity to obtain a health plan and healthcare...

How Patient Engagement Supports Chronic Disease Management

PatientEngagementHIT Patient engagement and chronic disease management are both key components in support of the healthcare industry’s shift toward value-based healthcare. Through robust patient support efforts inside and out of the doctor’s office, providers...

How EHR Technology Definitions Influence EHR Use Statistics

EHRIntelligence On a near-annual basics, federal agencies provide updates on EHR adoption that serve as a bellwether of the healthcare's industry technical capabilities, most notably the Office of the National Coordinator for Health Information Technology...

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