The issue of fraud, waste and abuse in healthcare spending is a major challenge for both payers and providers with some estimates that it accounts for as much as 10 percent of overall healthcare…
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A New Industry Standard: How the VBPR IG Is Advancing Value-Based CareBy Michael Pattwell
Michael Pattwell is principal business advisor for value-based contracting at Edifecs.
The introduction and adoption of the HIPAA transaction standard X12…
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What You Should Know:
– Thoughtful AI, a provider of AI-powered revenue cycle automation (RCM), has announced a series of exciting developments, including the launch of the world’s first fully human-capable AI Agents for healthcare…
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Focus Areas for Payviders to Guide Their Transformations
Based on my experience supporting payers, providers and other healthcare organizations in their digital transformation journeys, I see four areas where payvider organizations should focus their technology…
What You Should Know:
– Inovalon, an innovator in cloud-based healthcare data solutions, announced a strategic partnership with the MEDITECH Alliance.
– The strategic collaboration empowers thousands of healthcare providers using MEDITECH’s electronic health record (EHR)…
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Revenue Cycle Management (RCM) is hot topic right now due to the cybersecurity incident at Change Healthcare. Hear honest answers to tough questions related to that incident and how AI will impact RCM.
To explore…
UnitedHealth Group (UHG) swiftly responded to the Change Healthcare ransomware attack, paying out $2 billion in financial advances to support struggling healthcare providers. Amid federal investigations and calls for mandatory cybersecurity regulations, UHG is…
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The knock-on effects of the seismic Change Healthcare cyberattack continue with affected providers hamstrung in their ability to file claims with payers. Prescriptions and drug treatments are postponed for the patients who need them….
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Fallout from last month’s Change Healthcare cyberattack and its impact on healthcare delivery nationwide continued this week, with providers waiting with bated breath to find out when the Centers for Medicare and Medicaid Services would…
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At this year’s HIMSS Global Health Conference & Exhibition in Orlando there will be – it probably won’t surprise you to know – a strong focus on all things artificial intelligence. Machine learning models and…
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