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Health IT | News, Analysis, Insights - HIT Consultant

Navigating the Murky Waters of Healthcare Billing

by Ritwik Batabyal, Chief Technology and Innovation Officer at Mastek.at Mastek 09/03/2024 Leave a Comment

Navigating the Murky Waters of Healthcare Billing

The traditional fee-for-service healthcare model, which reimburses providers based solely on the quantity of services delivered, is undergoing a much-needed transformation. The choice now is of value-based care initiatives, that are more focused on improved patient outcomes and preventive care, rather than simply paying for services rendered. At the core of this change is a fundamental realignment of the mission, processes, metrics, and cultural values for healthcare providers and clients,
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The MedTech Renaissance Is Here. How Can Organizations Meet The Moment?

by Mike White, Principal, Alexander Group 09/03/2024 Leave a Comment

The MedTech Renaissance Is Here. How can Organizations Meet The Moment?

The healthcare industry rose to the occasion at the outset of global healthcare challenges beginning in 2020. Around the world, hospitals, outpatient facilities, MedTech organizations, and research firms embraced digital tools and communication out of necessity. But once the worst was over, it became clear that this new, digital-first model of healthcare was here to stay. Both patients and providers enjoyed the convenience of virtual appointments for routine care. Digital tools unlocked
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Medscape Launches Free AI Medical Scribe for Physicians

by Syed Hamza Sohail 08/30/2024 Leave a Comment

Medscape Launches Free AI Medical Scribe for Physicians

What You Should Know: -  Medscape has launched a free AI medical scribe for US physicians, the latest entry in a developing space of artificial intelligence tools to help with clinical tasks.  - Known as Medscape Scribe, the new tool — available to all US doctors when logged in to their Medscape account — transcribes conversations during patient visits and generates a synopsis of the encounter.  Medscape Enhances Clinical Efficiency with AI-Powered Tools Medscape has introduced
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AI’s Advantages to Overcoming Revenue Cycle Management Challenges for Providers

by Jeff Carmichael SVP of Engineering and Analytics XiFin, Inc. 08/30/2024 Leave a Comment

The Future of RCM: Leveraging AI to Combat Healthcare Providers

Healthcare providers face staffing shortages, increasing regulatory requirements, and pressure to reduce costs while delivering effective care. Compounding provider problems are payor policy, behavior changes and ongoing fee schedule cuts that compress revenue, as well as mounting denials and additional documentation requests from payors. Coding, claim processing, and the collective revenue cycle management (RCM) tasks required to ensure appropriate reimbursement for billable service are all
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AI Holds Promise for Improving Patient Experience, Survey Finds

by Fred Pennic 08/29/2024 Leave a Comment

AI Holds Promise for Improving Patient Experience, Survey Finds

What You Should Know:  - A new survey conducted by Talkdesk has revealed the growing optimism among consumers about the potential of artificial intelligence (AI) to improve the healthcare experience.  - While AI is still in its early stages of adoption in healthcare, patients are hopeful that it can streamline processes, reduce administrative burdens, and improve access to care. Patients embrace artificial intelligence for administrative tasks, sensitive health queries, and
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5 Ways AI Streamlines Prior Authorization Process for Providers & Patients

by Florence Luna, Co-Founder and CEO of Fig Medical 08/29/2024 Leave a Comment

5 Ways AI Streamlines Prior Authorization Process for Providers & Patients

The prior authorization process, integral for confirming the necessity and insurance coverage of medical treatments, has historically been an obstacle in healthcare. In its current state, it has the potential to cause considerable delays and financial burdens for patients and healthcare providers - and the inefficiencies of this process are evident, as approximately 90% of providers report care delays due to this process (AMA), with a significant percentage indicating that some delays even lead
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Curative Expands Health Plan to Georgia with $0 Copay, $0 Deductible

by Fred Pennic 08/29/2024 Leave a Comment

Curative Expands Health Plan to Georgia with $0 Copay, $0 Deductible

What You Should Know:  - Curative Insurance Company, a healthcare services innovator, is pleased to announce the expansion of its revolutionary health plan to Georgia.  - This marks a significant step forward as Curative brings its $0 copay, $0 deductible solution to businesses headquartered in the Peach State. Prioritizing Affordability and Well-being Curative's health plan is designed to remove barriers to care and prioritize member well-being. It achieves this
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CommonWell Health Alliance Launches New TEFCA-Enabled Platform

by Fred Pennic 08/29/2024 Leave a Comment

CommonWell Health Alliance Launches New TEFCA-Enabled Platform

What You Should Know:  - CommonWell Health Alliance, a healthcare interoperability organization, has announced significant advancements in its platform and membership.  - The new platform, developed in collaboration with ELLKAY, a healthcare data interoperability expert, is designed to facilitate smoother and more reliable data exchange among healthcare providers. Key Highlights: New Members: Athenahealth, ModuleMD, and Solace Health have joined CommonWell's platform and
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Penalizing Hospitals Won’t Stop Ransomware: Why Collaboration, Not Fines, is Key to Healthcare Cybersecurity

by Chris Bowen, Founder and CISO, ClearDATA 08/29/2024 Leave a Comment

Sensitive Data Requires Great Responsibility: The Importance of 'Privacy and Security by Design' in Healthcare

The recent $50 million initiative announced by the Advanced Research Projects Agency for Health (ARPA-H) can’t hurt in the ongoing battle against ransomware in the healthcare sector.  This investment is aimed at strengthening the cybersecurity defenses of hospitals nationwide, protecting sensitive patient data, and enhancing the resilience of healthcare systems against cyber threats. However, I must emphasize that while $50 million is a step in the right direction, it is merely a drop in
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The CMS Final Rule’s Impact on Healthcare Communication

by Ernie Crawford, President & CEO, Crawford Technologies 08/29/2024 Leave a Comment

The CMS Final Rule’s Impact on Healthcare Communication

As healthcare continues its digital transformation, ensuring clear, accessible communication with patients remains crucial. This is especially important for a diverse population with varying language needs and accessibility requirements. The recent Centers for Medicare & Medicaid Services (CMS) Final Rule reflects this commitment to inclusivity by establishing stricter guidelines for Medicare Advantage and Part D payers regarding patient communication accessibility and language
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