Posts about:
Claims Management (4)
Biggest Health IT wins for new spending bill
HIMSS Senior Director of Congressional Affairs broke down how the massive spending bill will boost telehealth, Medicaid and other crucial health IT needs.
“Congressional...
Payers, Providers Pledge to Improve Prior Authorizations
AHIP, BCBSA, AHA, and other organizations have agreed to improve the efficiency of prior authorizations.
“Leaders of organizations participating in the pledge claim that...
CMS MBI Notification
Client Notification
Date: February 15, 2018
All-Payer Claims Databases Offer Insights into Healthcare Spending
The data from an all-payer claims database can reduce wasteful healthcare spending by supporting population health and analytics-driven healthcare decision making.
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CMS launches voluntary bundled payments model, first since spiking mandatory bundles
The agency’s Innovation Center said the new Bundled Payments for Care Improvement Advanced model is the first APM that would qualify under MACRA.
“The Centers for...
Medical Device Data, UDIs on Claims Impact Costs, Patient Safety
According to recent reports, payers who incorporate medical device data and UDIs into their claims may improve costs and patient safety.
“Adding medical device data and...
Claims Analytics Help Medicare Identify, Prevent Provider Fraud
The use of a claims analytics platform helped Medicare to identify and prevent millions of dollars in provider fraud.
“Close to a quarter of new Medicare fraud...
Quality Payment Program needs more technical assistance, oversight, OIG finds
A new report by HHS’ Office of Inspector General gives CMS points for making significant efforts to implement the Quality Payment Program (QPP) but says challenges...
