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Healthcare Data

Eligibility and verification

When the patient arrives the day of the appointment, the first thing your staff should be verifying is the patient’s insurance. Sometimes you find that insurance has changed in just the short period between scheduling and appointment day. Another reason for insurance verification is to prevent or detect insurance fraud/identity theft. According to The Institute […]

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6 New rules of practicing medicine

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EHR can boost collection results

The use of EHR systems for the healthcare industry is pivotal and one of the biggest investments for a practice to have. The article below discusses how EHR systems can boost collection results by easing the process of the revenue cycle. More modern EHR systems have the ability to handle most aspects of the front […]

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Health of the healthcare system video

A new animated video on the Peterson-Kaiser Health System Tracker provides an engaging “check-up” of the nation’s health system, addressing questions of whether it’s getting better or worse and how it compares to other countries.

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As providers wrap their arms around data exchange, patient engagement tools are the next hurdle

Healthcare providers are getting better at collecting, exchanging and managing data, but the adoption of patient engagement tools is still lagging, according to a new survey by the College of Healthcare Information Management Executives (CHIME).

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CMS proposes interoperability rules to increase EHR access

CMS released proposed rules that require many types of insurers to provide electronic health data in a standard format by 2020.

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CMS will cancel major bundled payment initiatives

CMS has proposed canceling the cardiac and expanded joint replacement bundled payment models.

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Healthcare price transparency tools seldom used, study finds; more reminders, marketing needed

Price transparency tools have been gaining in popularity among providers, the idea being that they can reduce medical spending by allowing consumers access to pricing data — which in turn lets them shop around for less expensive services. A new study published in Sage Journals, however, found that few consumers actually use these tools.

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Leverage analytics for better business decisions

Data analytics has become vital in today’s health insurance environment. It not only offers insurers the opportunity to harness lots of data to effectively deter fraud, waste and abuse, it also helps them identify areas to improve quality and reduce cost.

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