Rebecca Marsh, VP of Advisory Solutions, nThrive
Many consider a strong charge integrity program the cornerstone and heartbeat of the revenue cycle. Without an effective charge integrity program, health care providers run the risk of revenue leakage.
According to the Healthcare Financial Management Association, “one percent of net patient revenue is lost due to charge capture errors,” which can add up to multi-millions of dollars for health care organizations. Most providers have not
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Improving Patient/Member Satisfaction through Nurse Triage Services
Not long ago, viewed members as captive audiences (more or less). Most members obtained their health insurance through their employers or another group and were unlikely to go outside of that option no matter how they actually felt about the health payer. Providers had to be a little more careful since it was easier to change hospitals or doctors, but even then most patients were willing to unquestioningly accept a low level of service as part of the package of obtaining quality healthcare.
Not
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Applied Analytics: Making the Dream of Cost-Controlled Population Health a Reality
Moshe Starkman, Senior Director, Value Based Reimbursement, nThrive
Ninety percent of a solution is accurately defining the problem, however, in healthcare, much like nearly every other industry, more time and energy is spent on fixing perceived symptoms rather than identifying root caU.S.es.
Today we will explore the contribution that applied analytics has made and continues to make on bending the dramatic U.S. healthcare cost curve. To do this well we will first explore the primary cost
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Humana Integrates Real-Time Benefits Tool with Epic’s E-prescribing Workflow
Humana and Epic today announced an agreement to integrate Humana’s IntelligentRX real-time benefits tool directly into Epic’s e-prescribing workflow. Humana is the first national insurer to collaborate with Epic to bring together patients, providers and payers to power value-based care. The resulting integration will deliver real-time pharmacy data and access to patients’ medical history, which, in turn will enable cost reduction, improved quality, and increased patient satisfaction.Epic/Humana
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StartUp Health Adds 11 New Startups to Army of Healthcare Transformers
StartUp Health, a platform where health transformers, partners, customers, investors, patients, and caregivers connect and accelerate the progress of the health moonshots.Here is a look at the 11 new members of Startup Health’s global army of healthcare transformers:1. Cityblock Health: Iyah Romm (Co-Founder & CEO)Cityblock is a Brooklyn, NY-based company building sustainable, scalable systems that provide high-quality, cost-effective care for underserved populations with complex health
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Change Healthcare’s InterQual2019 Features Hospital in the Home Programs
Change Healthcare today unveiled InterQual® 2019, the latest edition of the company's flagship clinical decision support solution. The new release builds on Change Healthcare’s tradition of continuous innovation in content and technology. Among the new features is support for ‘Hospital in the Home’ programs, which have gained traction as an alternative option to acute inpatient stays. This latest edition also advances the technology in InterQual AutoReview™ with Episode Day One review
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Digital Health – Is It Worth It? How to Calculate ROI in Digital Health
The results are in. A 2019 PEGA survey asked 2,000 U.S. consumers how they felt about recent trends in healthcare, and the response was overwhelming — they want a personal touch, and they want it digital. Not only that, but the survey also revealed that communications from healthcare organizations actually drive a patient’s desire to improve their health, fueling the popular opinion that technology is the magic key to patient engagement. What the survey fails to reveal, though, is why the
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Physician Practices Strategy to Developing A Strong Chronic Care Management (CCM) Program
Zachary Blunt, Sr. Manager of Product Development, Population Health at Greenway Health
More than three years have passed since the Centers for Medicare & Medicaid Services (CMS) introduced its separately billable non-face-to-face Chronic Care Management (CCM) service. This was intended to help more than two-thirds of individuals on Medicare who suffer from multiple conditions receive more coordinated, regular primary care. The hope was that a focus on managing chronic conditions would
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Medsphere Launches Wellsoft Urgent Care EHR, PM/RCM Solution
Medsphere Systems Corporation, a provider of affordable and interoperable healthcare information technology (IT) solutions and services, today announced the launch of their new urgent care EHR solution, Wellsoft Urgent Care. The launch of Wellsoft Urgent Care comes just two months after Medsphere acquired Wellsoft, a Somerset, NJ-based Emergency Department (ED) EHR platform.Wellsoft Urgent Care EHR/PM/RCM Platform OverviewWellsoft Urgent Care’s cloud-based platform features advanced Electronic
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Telemedicine: A Potential Remedy to Rural Healthcare Ills?
Mary Tolan, Co-Founder & Managing Partner at Chicago Pacific Founders
The symptoms are innocuous enough at first. They begin with simple fatigue; readily explainable by a day spent working under the hot sun. The thirst sets in next, then the persistent hunger. The farmer brushes his symptoms off as simple work-caused exhaustion, and rationalizes that anyone would be tired, hungry, and thirsty after a long day in the field - he's getting older, after all. He thinks little of it until his
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