Claims Processing
09:25 am
August 25, 2020
The majority of health plans say they do not feel ready to meet the new FHIR interoperability standards mandated by CMS.
"The work of this new office will be targeted to help reduce unnecessary burden, increase efficiencies, continue administrative simplification, increase the use of health informatics and improve the beneficiary experience," said CMS Administrator Seema Verma.
11:13 am
June 24, 2020
In addition to reducing the hours and costs clinicians and providers incur for CMS-mandated compliance, the office will also focus on how health data can be harnessed for more efficient healthcare and improved patient experience.
02:08 pm
June 22, 2020
Healthcare IT News lines up five RCM experts in this special report to discuss best practices for optimizing this key financial technology.
02:49 pm
June 19, 2020
The collaboration with Health Care Service Corporation, billed as Epic's first such project with a payer organization, will help health plans more easily review data for managing claims and prior authorization.
(Keith Kissel, Flickr)
01:54 pm
June 12, 2020
The bipartisan HEALTH Act would make permanent Medicare payments for telehealth services at federally qualified health centers and rural health clinics.
04:39 pm
June 05, 2020
More than three-dozen HEDIS measures have been adjusted to reflect new telemedicine services in response to COVID-19 and better align with the realities of virtual care delivery.
01:10 pm
May 12, 2020
The tools could help payers manage the demands of standards-based interoperability challenges, and also offer security, identity management and consent management.
01:28 pm
March 31, 2020
CMS is also allowing ERs to use drive-through testing and telehealth, and for tests to be done at home for stay-at-home residents.
CMS Administrator Seema Verma
02:57 pm
March 17, 2020
CMS says the move to reimburse physicians will enable beneficiaries to get telehealth services in physician's offices, hospitals, nursing homes, rural health clinics – and their homes.
11:15 am
March 17, 2020
Health plans will be responsible for data sharing and patient access in a way they're not used to. "A lot will have to go into meeting that deadline," one expert says.
