Claims Processing
Two groups applied the Framework for Cross-Organizational Patient Identity Management, first developed with Intermountain in 2016, to payers – and found a high matching accuracy rate across 36 different organizations.
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.
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.
Healthcare IT News lines up five RCM experts in this special report to discuss best practices for optimizing this key financial technology.
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)
The bipartisan HEALTH Act would make permanent Medicare payments for telehealth services at federally qualified health centers and rural health clinics.
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.
The tools could help payers manage the demands of standards-based interoperability challenges, and also offer security, identity management and consent management.
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
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.
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P1020531 by Takuya Oikawa, licensed under CC BY-SA 2.0
