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Medical Records | Health Information Management | Revenue Cycle Management

Traditional RESTful APIs Will Not Solve Healthcare’s Biggest Interoperability Problems

by Brian Platz, Co-CEO and Co-Chairman of Fluree 01/12/2021 Leave a Comment

Traditional RESTful APIs Will Not Solve Healthcare's Biggest Interoperability Problems

Brian Platz, Co-CEO and Co-Chairman of Fluree Interoperability is a big discussion in health care, with new regulations requiring interoperability for patient data. Most approaches follow the typical RESTful API approach that has become the standard method for data exchange. Yet Health Level Seven (HL7), with its new Fast Healthcare Interoperability Resources (FHIR) standard for the electronic transfer of health data, is leading to a rash of implementations that, to date, are not solving core
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4 Quick Tips for Getting COVID-19 Claims Paid Promptly

by Lillian Phelps, Sr. Director of Product Management, Availity 01/07/2021 Leave a Comment

4 Quick Tips for Getting COVID-19 Claims Paid Promptly

Lillian Phelps, Sr. Director of Product Management, Availity As the COVID-19 pandemic has gripped the world, many providers have adopted an all-hands-on-deck approach and mentality for treating COVID-19 patients, stretching their resources to the breaking point.  We have heard about the frontline heroes who have sacrificed their own health and safety to treat patients and, in less-fortunate scenarios, comfort patients in their last moments as they were quarantined from loved
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Meaningful Use of Genomics Requires Informatics Beyond EMRs

by Assaf Halevy, Founder and CEO of 2bPrecise 01/06/2021 Leave a Comment

Why EHRs fall short w/ providing valuable genetic insights

Assaf Halevy, Founder and CEO of 2bPrecise Electronic medical records (EMRs) are widely expected to serve as a cornerstone technology that drives the delivery of modern patient care.  But can the EMR alone support all the informatics capabilities required by an ever-evolving healthcare industry? The rapid growth of precision medicine, particularly the use of genetic and genomic information during clinical decision making, is a compelling example that functionality beyond the EMR is
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20 COVID-19 Predictions and Trends for 2021 – Executive Roundup

by Fred Pennic 01/05/2021 Leave a Comment

20 COVID-19 Predictions and Trends for 2021 - Executive Roundup

Dr. Justin Graham, Chief Medical Officer, GYANT The rapid development of a COVID-19 vaccine is a monumental achievement, but it does nothing to address our extremely fragmented healthcare system. In 2021, policymakers must create and extend incentives to providers to work together to keep patients healthy rather than maximize profit. The pandemic has devastated the traditional fee-for-service budgets of many healthcare systems, and it isn't clear they will ever be able to catch up without
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30 Executives Share Top Healthcare Predictions & Trends to Watch in 2021

by Fred Pennic 12/30/2020 Leave a Comment

30 Executives Share Top Healthcare Predictions & Trends to Watch in 2021

As we close out the year, we asked several healthcare executives to share their predictions and trends for 2021. Kimberly Powell, Vice President & General Manager, NVIDIA Healthcare Federated Learning: The clinical community will increase their use of federated learning approaches to build robust AI models across various institutions, geographies, patient demographics, and medical scanners. The sensitivity and selectivity of these models are outperforming AI models
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For Better Patient Care Coordination, We Need Seamless Digital Communications

by Catherine Thomas, VP of Customer Experience & Dr. Peter S. Tippett, Founder and CEO of careMESH 12/22/2020 Leave a Comment

For Better Patient Care Coordination, We Need Seamless Digital Communications

Catherine Thomas: Co-Founder and VP, Customer Engagement, careMESH  Peter Tippett MD, PhD: Founder and CEO, careMESH A recent Advisory Board briefing examined the annual Centers for Medicare & Medicaid Services (CMS) Readmission penalties.  Of the 3,080 hospitals CMS evaluated, 83% received a penalty for payments to be made in 2021, based on expected outcomes for a wide variety of treated conditions. While CMS indicated that some of these penalties might be waived or
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AI Algorithms Can Predict Outcomes of COVID-19 Patients with Mild Symptoms in ER

by Fred Pennic 12/16/2020 Leave a Comment

AI Algorithms Can Predict Outcomes of COVID-19 Patients with Mild Symptoms in ER

What You Should Know: - Artificial intelligence algorithms can predict outcomes of COVID-19 patients with mild symptoms in emergency rooms, according to recent research findings published in Radiology: Artificial Intelligence journal. - Researchers trained the algorithm from data on 338 positive COVID-19 patients between the ages of 21 and 50 by using diverse patient data from emergency departments within Mount Sinai Health System hospitals (The Mount Sinai Hospital in Manhattan, Mount
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Innovaccer, SyTrue Partner to Generate Actionable Insights from Healthcare Data

by Jasmine Pennic 12/15/2020 Leave a Comment

Innovaccer, SyTrue Partner to Generate Actionable Insights from Healthcare Data

What You Should Know: - Innovaccer partners with SyTrue to uncover powerful insights and accelerate its efforts to drive healthcare’s digital transformation. - The integration of SyTrue’s proprietary NLP OS with Innovaccer’s FHIR-enabled Data Activation Platform will empower healthcare organizations to identify diagnosis codes and Hierarchical Condition Categories (HCC) from patient care progress notes and other unstructured texts. Innovaccer, Inc., a San Francisco, CA-based
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Gleaning Insights for COVID-19: Why Claims and Clinical Data Matter

by Emad Rizk, M.D., President, CEO & Chairman of the Board, Cotiviti 12/15/2020 Leave a Comment

Navigating Healthcare’s Uncertain Future: Three Data-Driven Approaches for Payers

Emad Rizk, M.D., President, CEO & Chairman of the Board, Cotiviti Healthcare organizations continue to rely heavily on data analytics to try to improve COVID-19 outcomes and public health. Since the novel coronavirus became widespread in the U.S., healthcare data scientists have leveraged clinical and claims data to pinpoint which underlying conditions put patients at higher risk of complications from COVID-19. Health systems are mining clinical data to predict surges in COVID-19 cases
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Despite COVID-19: Providers Should Not Lose Sight of MIPS Compliance

by Courtney Tesvich VP, Regulatory at Nextech 12/11/2020 Leave a Comment

Despite COVID-19: Providers Should Not Lose Sight of MIPS Compliance

Courtney Tesvich, VP of Regulatory at Nextech When 2020 began, no one anticipated that complying with the Merit-based Incentive Payment System (MIPS)—the flagship payment model of the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP)—would look so different halfway through the year. Like many other things, the COVID-19 crisis has delayed, diverted, or derailed many organizations’ reporting efforts and capabilities. Lower procedure volumes, new remote work
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