At the LeadingAge Illinois 2022 Annual Meeting, Elizabeth McLaren, VP of Reimbursement and Community-Based Services, along with Steven Wermuth, MPA at Strategic Health Care, presented their analysis on the top billing mistakes. What did they find? Within long-term care providers, 8-10% of Medicare Advantage claims were denied. Shockingly, the 10% denial rate impacted revenue by $200 million! They also found that 80% of denied claims are due to missing or incorrect information used during intake
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FHIR - Health Data Interoperability | News, Analysis, Insights - HIT Consultant
MEDITECH Expands Collaborative Environments
What You Should Know: - MEDITECH announced today the expansion of MEDITECH Greenfield, now providing two collaborative environments that fuel innovation: Greenfield Alliance and Greenfield Workspace. - Greenfield Alliance is a new partner engagement initiative for organizations with proven, interoperable products that complement, enhance, or extend the Expanse EHR. - Greenfield Workspace - an established development ecosystem that enables our API
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Edifecs Launches Solution to Automate Prior Authorization at the Point of Care
What You Should Know: - The full automation of prior authorization at the point of care leads to improved member experiences, enhanced outcomes, ongoing compliance, and reduced administrative burden. Edifecs’ automated prior authorization solution integrates with electronic health records (EHR) and leverages artificial intelligence (AI), natural language processing (NLP), and industry standards such as FHIR to instantly deliver authorization. - This innovation comes on the heels of
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ONC and HRSA Launches USCDI+ Initiative to Support UDS Modernization
What You Should Know: - ONC and HRSA launches a new USCDI+ collaboration to support HRSA’s Uniform Data System (UDS) reporting through the UDS Modernization Initiative. - Last October ONC announced USCDI+, an initiative to support the identification and establishment of domain or program-specific datasets that will operate as extensions to the existing USCDI. In particular, ONC envisioned USCDI+ as a service that ONC would provide to federal partners who have a
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Apixio Launches Real-Time Health Data Management Solution
What You Should Know: - Apixio, today, announced the launch of Apicare ChartSpace™, a health data management solution that provides real-time data access to centralized medical charts, accelerated chart and audit file retrieval, and enables the surfacing of actionable insights across value-based care programs. - Apicare ChartSpace centralizes health data, improves security and efficiency of data sharing across departments and external partners, and powers Apixio’s AI-Driven
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Lyniate Acquires CareCom to Expand Semantic Interop Capabilities
What You Should Know: - Lyniate, a global leader in healthcare data interoperability acquires CareCom, a provider of semantic interoperability. This acquisition builds on Lyniate’s recent merger with NextGate, a longtime leader in patient identity management. - The combined organization will better support healthcare organizations in converting unstructured content into standardized data to help them assemble and manage more complete and accurate patient
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The Infrastructure Needed to Meet Health Interoperability Needs
For most patients, it has always been extremely difficult to their personal health and medical data electronically. However, with the CMS Interoperability and Patient Access Final Rule, consumers, specifically Medicaid members, there is a greater push to give access to, and ownership of, this data. With this move towards interoperability comes new requirements healthcare organizations must meet and adhere to under the rule. To meet many of these federal interoperability requirements,
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Canvas Medical Raises $24M for EMR & Payments Platform
What You Should Know: - Canvas Medical, the EMR that enables clinicians and developers to power the future of care delivery, has raised $24M in Series B funding led by M13 with participation from Haystack and previous investors Inspired Capital, IA Ventures, Upfront Ventures, and Irongrey. - In addition to this funding, Canvas has achieved federal certification through the Office of the National Coordinator for Health Information Technology (ONC). A Full-Stack Ambulatory EMR and
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Particle Health Raises $25M to Scale Health Data Exchange API Platform
What You Should Know: - Particle Health, a New York-based API platform for advanced healthcare data exchange, , today announced its Series B financing of $25 million led by Canvas Ventures with participation from Menlo Ventures, Story Ventures, and Pruven Capital. The financing brings the organization’s total capital raised to $39.3M. - From a healthcare infrastructure perspective, the company is leading the industry in applying the next-generation FHIR data format to make interoperability
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Innovaccer Joins the CARIN Alliance to Advance Interoperability
What You Should Know: - Today, Innovaccer Inc., the Health Cloud company, announced that it has joined the CARIN Alliance (CARIN), a multisector collaborative working to rapidly advance the consumer-directed exchange of health information to improve the interoperability of healthcare data. - Innovaccer will participate as a member of the multisector alliance to advance healthcare data sharing, enabling consumers, patients, and caregivers easier access to health
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