How do you solve a persistent and growing problem like claims denials?
It’s been a hot topic for revenue cycle management professionals for years that’s only getting hotter with the increasing pressures of staffing shortages, challenges with staff turnover and training and ever-changing policies and protocols at the government and payer levels.
On the macro-economic level, denials contribute mightily to the growing problem of uncompensated care in America, currently estimated at $43
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Health IT | News, Analysis, Insights - HIT Consultant
Sana, Little Otter Partner to Give Adolescent Members and Their Families Access to Mental Healthcare
What You Should Know:
- Sana, a healthcare company that provides Fortune 500-level health benefits to small businesses at affordable prices, today announced a partnership with Little Otter, a digital mental health solution for children and their families.
- Both Little Otter and Sana are aligned in their goal to provide comprehensive, high-quality mental healthcare to their members and their families. By investing more in primary care and enabling access to more low-cost,
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Desert Oasis Healthcare Partners with Rimidi, Teva to Improve Asthma Management
What You Should Know:
- Rimidi, a clinical management platform today announced that Desert Oasis Healthcare (DOHC), a regional medical group has implemented Rimidi’s new Respiratory Module.
- Designed to give providers a more complete view of the patient in order to guide treatment decisions for those with respiratory diseases such as chronic obstructive pulmonary disease (COPD) or asthma, the Respiratory Module is enhanced by a collaboration with Teva Pharmaceuticals.
- Data from
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Interoperability: Particle Health Launches Suite of Solutions to Wrangle Data
What You Should Know:
- Particle Health, an interoperability platform that aggregates and delivers actionable patient data and insights to healthcare companies, announced today it has launched its Particle FOCUS (Filtered Outputs Curated for Usability + Simplicity) solution suite.
- FOCUS data products are designed to streamline data by delivering comprehensive, simplified, and organized patient health information across seven disease states:
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Northwell to Deploy Epic Enterprise EHR Platform Across System
What You Should Know:
- Northwell Health today announced an agreement with Epic to implement the health system’s next-generation EHR as part of its ongoing digital transformation to ensure a more seamless patient experience and team member experience.
- The announcement marks the replacement of Allscripts and will result in one patient record across every Northwell venue of care and drive enhanced care coordination across 21 hospitals and about 900 outpatient facilities.
-
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Nuance and Microsoft Launches AI-Automated Clinical Documentation App
What You Should Know:
- Nuance Communications and Microsoft launches DAX Express, a workflow-integrated, fully automated clinical documentation application and the first to combine proven conversational and ambient AI with the newest and most capable generative AI technology, GPT4.
- DAX Express creates draft clinical notes automatically and securely in seconds from exam room or telehealth patient conversations for immediate clinical review after each
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Are Hospitals Ready for Alzheimer’s Treatment Approval?
The FDA’s recent accelerated approval of Leqembi was welcome news across the Alzheimer’s community. However, few health systems, medical practices, or providers are prepared for the extraordinary public interest in a treatment for Alzheimer’s disease – especially not one targeting mild cognitive impairment (MCI) and early dementia due to Alzheimer’s disease – that is likely headed their way soon. The unprecedented scale of the public health and marketing campaigns, the high prevalence of MCI in
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Digital Health Exec Hires: Transcarent Appoints CMO, Carium, Tegria, Swift Medical, GoCheckKids, Others
Transcarent appoints Dr. Randy Hawkins as Chief Medical Officer (CMO) and will report to Transcarent Chief Executive Officer, Glen Tullman. As CMO, Dr. Hawkins will oversee the organization’s clinical quality initiatives and support the organization’s health analytics strategy.
Swift Medical has appointed Brian Litten as its new Chief Executive Officer effective immediately. Litten brings decades of healthcare leadership experience across health plans, provider organizations, regulatory
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Study Reveals EHR Data Can Identify Patients Who Are Frail
What You Should Know:
- AHRQ conducted a study to address the operational gap between CFIs and EFIs. This project focused on validating an established CFI using linked claims-EHR databases of multiple large health systems. The project provides a systematic approach that health systems can use to examine the quality of the EHR data and prepare it for the application of EFI measures.
- The findings demonstrated that structured EHR data can be used by healthcare providers to identify frail
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Intermountain Study Finds Follow-Up Care with Medication, Testing After Heart Attack Can Prevent 94% of Patients from Having Second Cardiac Event or Death
What You Should Know:
- A recent study by researchers at Intermountain Healthcare in Salt Lake City finds that following up a cardiac event, such as a heart attack, with a statin prescription and cholesterol-measuring blood test, prevents 94% of patients from having or dying from a second cardiovascular event during the next three years.
- Having one cardiac event, like a heart attack or stroke, puts a person at high risk of having a second one. One in five people who have a heart
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