Navigating the Complexities of Clinical Data Exchange: A Survey-Based Analysis by MRO
Earlier this year, MRO and CHIME surveyed more than 180 leaders at health systems to better understand the challenges of bidirectional exchange of clinical data with payers across seven common use cases: prior authorization, risk adjustment, care management, quality...
Case Study: CareFirst BlueCross BlueShield
Background Summary Learn how MRO and CareFirst partnered to uncover ways to visualize gaps in quality performance, share information, and enhance clinician relationships for insights that drove better patient outcomes. MRO uncovered quality data gaps missed by...
Case Study: Banner Health
Background Summary Banner Health’s large in-house release of information (ROI) operation sought guidance on how to optimize their ROI. They also recognized the need for a new technology platform to manage ROI requests. Essential priorities to meet this need included...
Use Case: Audit Manager
Background Summary Leverage technology to automate repetitive and duplicative tasks, ease the burden of volatile staffing levels, and drive a positive financial impact of claim monitoring and adjudication with MRO Audit Manager. With a nearly 58% increase in...