Featured Articles
Bridging the Trust Gap Between Providers and Payers, One Record at a Time
MRO wants to make the exchange of data between providers and payers more frictionless. They have developed a new solution that caters to this payer-provider interface. By bridging this data gap, MRO aims to enhance trust between providers and payers.[dnxte_button...
6 steps to prepare now for looming information-blocking requirements
The 21st Century Cures Act includes provisions aimed at identifying and stopping information-blocking practices that interfere with reasonable seamless sharing of electric health information. The Office of the National Coordinator for Health Information Technology...
How a payer-provider collaboration around quality reporting can reduce costs and improve patient outcomes
Too often today, relations between provider and payer organizations can become contentious around issues related to payment and quality of care. Yet such conflict does not serve patients well, because it deflects these organizations’ attention from their underlying...
Six HI Questions to Ask Your EHR Vendor for High-Volume Payer Requests
Health information (HI) professionals nationwide anticipate a looming tsunami of payer requests for medical records. The Centers for Medicare and Medicaid Services (CMS) Medicare Advantage Risk Adjustment Data Validation (RADV) audit season peaks from March through...
Release of Information: The Digitization of ROI
The health care industry has undergone a significant transformation with the widespread adoption of EHRs and the electronic exchange of patient information. In the wake of digitization, the release of information (ROI) process has also changed and will continue to...
Value-Based Care and Its Potential for HI Professional Growth
The US healthcare system spends more per citizen on healthcare than any other nation yet renders some of the worst patient health outcomes as reiterated by a January 2023 Issue Brief published by The Commonwealth Fund. As medicine and technology advanced in the US,...
MRO Satisfies Payer Medical Record Requests Automatically
Requests for medical records have grown enormously in recent years—and that’s as it should be. Because data allows for better decision-making, patient records are being requested by payers, communities of care, and patients themselves. However, this can sometimes be...
Why quality measures are a crucial on-ramp to VBC
Technology is key to success as health systems and providers opt in to value-based contracts and away from fee-for-service reimbursement. Accurate, properly documented, interoperable patient data is required to achieve CMS’s goal for 100 percent of Medicare (and the...
So Many Records, So Little Time: How to Manage Burgeoning Health Plan Requests
So Many Records, So Little Time: How to Manage Burgeoning Health Plan Requests June 15, 2023 Healthcare IT TodayProviders are witnessing an explosion in health plan requests for medical records. In some regions, request volumes are up by 30 percent over last year....