Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

Features

Telehealth Reimbursement and Its Interstate Licensure Problem

mHealthIntelligence Telehealth’s great promise lies in allowing a doctor to treat a patient no matter where each are located. One of the biggest challenges to that platform is licensing. A clinician must apply for a license in each state in which he or she wants to practice. For multi-state health systems, telehealth programs and specialists who work across the country, that means holding dozens of li...


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How Data Encryption Benefits Data Security

HealthITSecurity As healthcare organizations continue to make the switch from physical to electronic records, implement EHRs, and connect to HIEs, healthcare data encryption options have also increased in popularity. This is when covered entities or business associates make health data unreadable unless an individual has the necessary key or code to decrypt it. Organizations convert the original form of ...

How mHealth Technology Supports Patient Engagement Strategies

PatientEngagementHIT mHealth is an important tool for improving patient engagement because so much of the technology is already consumer-facing. From fitness trackers and patient portals to smartphone apps and home monitoring equipment, mHealth permeates patients’ everyday lives. When these tools are easily available through a smartphone or a wearable sensor on a wrist, they can ideally lead patients t...

How Medicare, Medicaid, and CHIP Guide the Health Payer Industry

HealthPayerIntelligence Medicare, Medicaid, and CHIP, the three major public insurance programs overseen by CMS, often set the tone for the large private health payer industry.  CMS is using all three programs to actively encourage the movement towards value-based care in an effort to reduce costs and raise quality, and many private insurers are taking their cues from their partners in the industry. Privat...

How Evolving Healthcare Cybersecurity Threats Affect Providers

HealthITSecurity As healthcare providers work to implement the latest pieces of technology to improve patient care, the healthcare cybersecurity threats will also continue to evolve. Healthcare ransomware attacks, BYOD security, and healthcare data breaches continue to be top concerns for covered entities and business associates of all sizes. However, there are ways for organizations to stay prepared and...

Potential for Healthcare Kiosks in Improving Care Delivery

mHealthIntelligence Kiosks are all the rage in retail and service industries, but can healthcare kiosks make a difference for providers and patients? The simple answer is yes, if done right. They give healthcare providers a chance to collect data and automate tasks that gobble up valuable time in the doctor’s office, clinic, or hospital. And they can give the consumer quick access to a healthcare prov...

Which Healthcare Big Data, Business Intelligence Vendors are Most Popular?

HealthITAnalytics Electronic health records may have reached a whopping 96 percent of hospitals in 2016, but healthcare providers have not yet reached such great heights when it comes to purchasing and implementing business intelligence (BI) tools that harness their big data reserves. The popularity of big data-driven BI tools to automate and streamline operational processes and revenue cycle management m...

HIPAA Data Breaches: What Covered Entities Must Know

HealthITSecurity As more healthcare organizations implement new technologies, connect to health information exchanges, and adopt electronic health record technology, they are potentially exposing themselves to more online threats and potential HIPAA data breaches. Patient information, in particular PHI, will continue to become more accessible to providers —but also more readily accessible to other ...

How Will MACRA Impact Patient Engagement, Care Coordination?

PatientEngagementHIT In 2015, Congress passed the Medicare Access and CHIP Reauthorization Act (MACRA) with an overwhelming bipartisan majority. The complex piece of legislation has a number of  provisions, each of which affects different areas of the healthcare industry, including patient engagement. MACRA includes two major components: the Merit-based Incentive Payment System (MIPS) and incentive paym...

Potential for Healthcare APIs to Revolutionize the Industry

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How Health Insurance Mergers Could Change the Payer Industry

HealthPayerIntelligence During the summer of 2015, Aetna and Humana, as well as Anthem and Cigna, started a merger process that would reduce four of the nation’s largest insurers down to just two. If the mergers are successful, only three payers would dominate as much as 80 percent of the American marketplace. While these large companies believe there are significant advantages to consolidating their effo...

Potential for Healthcare APIs to Revolutionize the Industry

EHRIntelligence Application programming interfaces (APIs) provide the means for one software program to access the services of another. Analogies abound for explaining how APIs work, but one that is particularly compelling is the wall socket analogy. Rather than having to hardwire a new appliance to the power source, a person need only plug it in to draw electricity. That person doesn't need to know...

Exploring the Use of Blockchain for EHRs, Healthcare Big Data

HealthITAnalytics The Office of the National Coordinator might not always get what it wants when it comes to industry cooperation, but ONC officials have been pleasantly surprised by the positive response to its informational blockchain challenge. The agency found its inbox flooded with 70 entries after offering a cash prize for academic papers that best capture the potential uses of blockchain technology...

How Nighttime Telehealth Services Can Improve Overnight Care

mHealthIntelligence In hospitals across the country, the image of the solitary doctor making midnight rounds is changing, thanks to telemedicine. That doctor now sits in front of a tablet, laptop or desktop computer, perhaps at home or even in another country. And he or she can be connected to several hospitals via a telemedicine network, helping night shift nurses with whatever needs to be done during thos...

How to Get Started with a Population Health Management Program

HealthITAnalytics Healthcare providers are well aware by now that there is no magic solution to the incredibly complex conundrum of systemic reform.  Depending on who you ask, the answer to the puzzle of the Triple Aim is either more technology, less technology, more acquisitions and mergers, increased provider autonomy, less quality reporting, more federal oversight, more incentives for performance,...

How Fog Computing May Power the Healthcare Internet of Things

HealthITAnalytics The healthcare industry has always had a bit of a rocky relationship with information technology, and the Internet of Things is shaping up to be no exception.  As devices get smaller and data gets bigger, providers are still struggling with meaningful ways to collect, analyze, visualize, and utilize data that can make a measurable difference in patient care. While most of the big da...

The Role of Risk Assessments in Healthcare

HealthITSecurity A risk assessment helps covered entities ensure they are compliant with the HIPAA requirements in terms of physical, technical, and administrative safeguards. It also assists in showing potential areas where an organization might be putting PHI at risk. All PHI and electronic PHI (ePHI) that a facility creates, receives, maintains or transmits must be  protected, and the risk assess...

What Is the Role of Natural Language Processing in Healthcare?

HealthITAnalytics For many providers, the healthcare landscape is looking more and more like a shifting quagmire of regulatory pitfalls, financial quicksand, and unpredictable eruptions of acrimony from overwhelmed clinicians on the edge of revolt. The industry is currently hanging in suspense between the anticipated end of the EHR Incentive Programs and the implementation of the MACRA framework, a transi...

How Payers Could Succeed in ACA Health Insurance Exchanges

HealthPayerIntelligence State and federal health insurance exchanges stemming from the Patient Protection and Affordable Care Act (ACA) offer medical coverage for families and individuals that would have otherwise had little opportunity to obtain a health plan and healthcare access. Individuals that are unable to afford health insurance through other means, such as employer-sponsored health coverage, now have t...

How Patient Engagement Supports Chronic Disease Management

PatientEngagementHIT Patient engagement and chronic disease management are both key components in support of the healthcare industry’s shift toward value-based healthcare. Through robust patient support efforts inside and out of the doctor’s office, providers can boost overall patient wellness and forestall the development of serious complications, which may ultimately reduce healthcare spending ...

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