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

Features

How EHR Technology Definitions Influence EHR Use Statistics

EHRIntelligence On a near-annual basics, federal agencies provide updates on EHR adoption that serve as a bellwether of the healthcare's industry technical capabilities, most notably the Office of the National Coordinator for Health Information Technology (ONC). However, reliance on these facts and figures can be problematic as a result of varying definitions of EHR technology. As recently as May 31...


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The Role of Healthcare Data Governance in Big Data Analytics

HealthITAnalytics Data has always been the lifeblood of the healthcare industry.  From blood pressure readings and surgical records to insurance claims, immunization histories, patient demographics, and payment receipts, every action of every member of the healthcare ecosystem relies on an endless stream of information. Before the advent of the electronic health record, the vast majority of this data...

Preventing Big Data Pain Points During a Healthcare Encounter

HealthITAnalytics When it comes to the healthcare space, the term “big data” may seem needlessly redundant.  After all, each and every patient generates a staggering amount of information each second they’re in the clinical setting.  Even a quick trip to the ED for a broken toe or a few stitches will involve a stream of data from a pulse oximeter, a blood pressure cuff, and a t...

Why Blockchain Technology Matters for Healthcare Security

HealthITSecurity With technological innovations continuing to find a place in the healthcare industry, health data security must remain a top priority for organizations of all sizes. More electronic data is available than ever before, and covered entities are looking to find the most efficient and secure ways to manage it all. Blockchain technology organizes data so transactions can be verified and recor...

How Payers Should Prepare for Value-Based Reimbursement

HealthPayerIntelligence Value-based reimbursement is a new payment strategy between insurers and providers meant to foster higher quality care by incentivizing strong performance with shared savings, bonuses, or other financial rewards. This diverges from the more traditional fee-for-service payment system in which providers are reimbursed based on the quantity of services instead of the quality. Pay-for-perfor...

How the Affordable Care Act Impacts Patient Engagement

PatientEngagementHIT The 2010 passage of the Affordable Care Act began a thorough overhaul of the healthcare system. Some states expanded Medicaid, consumers began to buy health insurance on federal and state health insurance exchanges, and healthcare professionals started to emphasize patient engagement. Alongside these changes, the push for patient-centered healthcare and engagement gained significant trac...

What Clinical Quality Measures Mean to Healthcare Providers

EHRIntelligence Throughout the healthcare landscape, providers and hospitals must navigate various different incentive programs and quality improvement programs, with which come numerous requirements for clinical quality measures. However, provided the vast number of clinical quality measures, these can be difficult for industry stakeholders to manage. Between the measure requirements for various progra...

How to Choose the Right Healthcare Big Data Analytics Tools

HealthITAnalytics In just a few short years, the idea of “big data analytics” has transitioned from a mysterious new buzzword to an essential competency for healthcare organizations large and small.  Analytics has moved from a lofty cutting-edge experiment to the foundations of regulatory programs like MACRA, and providers are no longer struggling with the question of how to acquire big d...

The Impact of BYOD on Healthcare Providers and Hospitals

mHealthIntelligence While BYOD was thought to have begun around the same time that patients started bringing their smartphones into the hospital, its relevance is driven by doctors who have their own preference for devices. Back in the “good old days,” when doctors were in charge and patients … weren’t, the cellphone was about as welcome in the hospital as a flea-infested rat with a...

What Hospitals Should Know about Cloud Computing Security

HealthITSecurity With more healthcare organizations implementing mobile devices, and increasing their digital storage options, cloud computing security is quickly becoming a top healthcare industry issue. Healthcare cybersecurity concerns can often make covered entities think twice before they opt for cloud computing, but are all of those concerns justified? How can healthcare organizations maintain PHI ...

How Precision Medicine Will Shift from Research to Clinical Care

HealthITAnalytics President Obama’s widely hailed unveiling of the Precision Medicine Initiative in 2015 may have brought the term to the forefront of the nation’s consciousness, but “personalized medicine” in and of itself is far from a new concept. In fact, it has always been the foundation of all medical activity, from the ancient days of charms, potions, and poultices to the as...

How to Overcome the Challenges of Bundled Payment Models

HealthPayerIntelligence Bundled payment models are a form of reimbursement between payers and providers that adheres to an episode of care instead of payment for a particular medical service. This reimbursement system was created to transition healthcare providers from the fee-for-service model to more value-based care payments in order to reduce some financial responsibility from payers to providers. Risk play...

The 3 Building Blocks Supporting Patient Engagement Strategies

PatientEngagementHIT In the increasingly value-based healthcare industry, patient engagement has become an important buzzword to know. However, the wide-reaching definition of the phrase can often make it difficult to pinpoint. According to the Healthcare Information and Management Systems Society, patient engagement is “providers and patients working together to improve health.” Although that de...

What Is EHR Optimization, How Does It Start?

EHRIntelligence So much of the focus of an EHR implementation is on the go-live and plenty of hustle and bustle precedes a practice's launch of a new EHR technology. However, the digital journey has only just begun at that point and what follows to sustain EHR adoption and use is known as EHR optimization. Simply put, EHR optimization is the process of refining an install of EHR software to serve a ...

The Difference Between Big Data and Smart Data in Healthcare

HealthITAnalytics The healthcare system’s digital makeover has aimed to help providers work smarter instead of harder, but there are plenty of stakeholders who firmly believe that the electronic health record revolution has completely missed the mark.  The disappointments stemming from barely usable and scarcely interoperable EHRs are well known by now: a lack of actionable data for patient car...

How the Affordable Care Act Changed the Face of Health Insurance

HealthPayerIntelligence The Patient Protection and Affordable Care Act (ACA) has revolutionized the health insurance industry in a number of ways. Its impacts have been vast and wide. One of the most significant impacts of the landmark legislation is the upward trajectory of premiums, deductibles, and out-of-pocket costs, especially with plans sold on the health insurance exchanges. At the end of last year, the...

BYOD Security in the Healthcare Setting

HealthITSecurity With mobile devices quickly becoming an integral part of daily operations at more healthcare organizations, both covered entities and their business associates need to ensure that they fully comprehend BYOD security and overall healthcare mobile security. Moreover, organizations must understand which options are applicable to their daily needs when it comes to keeping mobile devices, suc...

Why HIE Data Analytics are Critical for Behavioral Healthcare

HealthITAnalytics In the healthcare industry, “interoperability” is more than just a technical term for the way electronic health record systems shuffle information back and forth.  It’s a concept that can – and should – be applied to the connections between organizations across the care continuum, from primary care and specialty services to inpatient admissions, long-te...

Is There a Difference between Telemedicine and Telehealth?

mHealthIntelligence Today’s healthcare ecosystem is filled with references to and examples of telemedicine and telehealth – in some cases, the two terms are used interchangeably. Whether they mean the same thing is a topic of considerable debate. In general terms, telemedicine is considered the clinical application of technology, while telehealth encompasses a broader, consumer-facing approach &...

What Are the Benefits of Accountable Care Organizations?

HealthPayerIntelligence Accountable care organizations (ACOs) are provider and payer arrangements established to improve care coordination between primary care physicians, hospitals, specialists, and public or private health payers. The Centers for Medicare & Medicaid Services (CMS), for instance, has created the Medicare Shared Savings Program in which accountable care organizations must meet quality ...

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