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Prior Authorization

3 Ways to Build a Back-to-Basics Approach to Revenue Cycle Management

by Deborrah Short Rodrick, The SSI Group 03/23/2020 Leave a Comment

3 Ways to Build a Back-to-Basics Approach to Revenue Cycle Management

Sixty-nine percent of healthcare revenue cycle leaders say they will put more money toward technologies that boost revenue integrity, eliminate human error and unlock greater efficiency in the year ahead, an HFMA/Navigant analysis found. But for many organizations, the biggest untapped opportunity to improve performance comes down to a single word: data. For all the buzz at about the ways in which digital innovation and automation could transform revenue cycle management, healthcare
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HHS Issues Strategies & Recommendations to Mitigate EHR-Related Clinician Burden

by Fred Pennic 02/24/2020 Leave a Comment

Physician Burnout_Cognitive Overload Documentation Overload

- HHS issues new report outlining the key sources of EHR-related burden, as well as strategies and recommendations to achieve burden reduction goals for healthcare providers. - The HHS report reflects additional input from the more than 200 comments submitted in response to the draft strategy and recommendations. As part of the ongoing efforts to strengthen the relationship between patients and their doctors, the U.S. Department of Health and Human Services (HHS) issued
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CAQH CORE Approves Two-Day Rule to Accelerate Prior Authorization Process

by Jasmine Pennic 02/06/2020 Leave a Comment

CAQH CORE Approves Two-Day Rule to Accelerate Prior Authorization Process

- CAQH CORE participating organizations--consisting of healthcare providers, health plans, vendors, government entities, associations and standard-setting organizations--have come together to pass a national two-day time limit for plans to request additional info and make final decisions on prior authorization requests. - Prior authorizations are the most costly, time-consuming administrative transaction for providers. And when the process takes too long, it can delay patient care. - Over
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Roundtrip Taps Redox to Provide Complete View of Patient’s Transportation Journey

by Fred Pennic 01/22/2020 Leave a Comment

Roundtrip digital transportation marketplace

- Redox partners with Roundtrip digital transportation marketplace to ensure patients get to appointments. - With Redox ensuring total interoperability across healthcare data source systems, Roundtrip can compile a complete view of a patient’s transportation journey between care settings and offer insights to improve outcomes.Roundtrip, a digital transportation marketplace for providers and patients, announced today its strategic partnership with Redox, a healthcare integration platform for
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Top 60 Health IT/Digital Health Mergers & Acquisitions in 2019

by Fred Pennic 12/27/2019 Leave a Comment

Kareo Sells Managed Billing Services Business to Health Prime International

- From Google's acquisition of Fitbit to Philips acquisition of Carestream Health's health IT business, here is a look at some of the biggest health IT/digital health mergers & acquisitions in 2019 by each quarter. Q1 M&A Activity Johnson & Johnson Acquires Auris Health for $3.4B to Expand Digital Surgery Portfolio Johnson & Johnson acquiresAuris Health, a developer of robotic technologies for $3.4 billion in cash. Auris Health is a privately-held developer of
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CVS Health Launches Transform Oncology Care Program, Partners with Tempus

by Jasmine Pennic 12/12/2019 Leave a Comment

CVS Health Launches Transform Oncology Care Program, Partners with Tempus

- CVS Health launches Transform Oncology Care, which includes a comprehensive, first-of-its-kind precision medicine approach to oncology management for payors in collaboration with Tempus.- Transform Oncology Care includes an innovative precision medicine strategy that increases access to broad-panel gene sequencing tests for patients diagnosed with certain advanced-stage cancers. - The program also uses CVS’ local footprint and unique assets to improve patient outcomes and lower costs every
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Waystar Acquires AI-Powered Revenue Cycle Platform Recondo Technology

by Fred Pennic 12/04/2019 Leave a Comment

Waystar Acquires Recondo Technology

- Waystar acquires Recondo Technology, a provider of revenue cycle automated solutions powered by robotic process automated (RPA). - Recondo brings additional artificial intelligence and machine-learning technologies to Waystar’s broad portfolio of solutions.- With new capabilities, improved data efficacy and a larger team, Waystar can help healthcare organizations consolidate vendors and capture more revenue.Waystar, a provider of revenue cycle technology, today announced the acquisition of
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Through EHR Integration, CVS Specialty Launches Specialty Expedite to Streamline Prescription Onboarding

by Fred Pennic 09/25/2019 Leave a Comment

Through EHR Integration, CVS Specialty Launches Specialty Expedite to Streamline Prescription Onboarding

- CVS Specialty launches Specialty Expedite, a pharmacy solution that uses technology to significantly streamline the process and keep patients informed of the status of their prescription along the way. - Streamlined prior authorization and benefits verification process using connectivity with EHR platforms, helping patients get their medications in as little as three days. - Patients are also able to choose how they want to get their specialty medications – at their local CVS
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DrFirst Integrates Adobe Sign With Backline Secure Care Collaboration Platform

by Jasmine Pennic 09/10/2019 Leave a Comment

DrFirst Integrates Adobe Sign With Backline Secure Care Collaboration Platform

- DrFirst and Adobe Sign has announced the integration of Adobe Sign e-signature solution with DrFirst’s Backline secure care collaboration platform, producing the first mobile solution for the healthcare market to offer an e-signature capability. - Using the joint solution, providers can send SMS messages to the mobile devices of patients, caregivers, or other clinicians to share documents that require signatures. - Once received, the patient or provider can tap a link in the text
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DrFirst Integrates with Epic’s Real Time Prescription Benefits Prescribing Workflow

by Fred Pennic 08/01/2019 Leave a Comment

Taking New Medications: Consumers Blame Anxiety on Lack of Time with Physicians

DrFirst, a provider of e-prescribing, price transparency, and medication management solutions announced today that it has entered into an integration agreement with leading EHR provider Epic to make DrFirst’s myBenefitCheck (real-time benefit check) service available to clients in Epic’s RTPB (Real-Time Prescription Benefits) prescribing workflow to help doctors and patients understand the cost of the drugs and drive medication adherence.How myBenefitCheck WorksVia myBenefitCheck, prescribers
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