Featured Articles
Interoperability Rule Enforcement Is Coming. Are You Ready?
Rita Bowen of MRO discusses why some organizations are choosing not to ready themselves for interoperability until enforcement begins and how reproductive care can throw a wrench into the process.[dnxte_button button_text="View Full Article" button_link=""...
Three Tech Takeaways from RISE: Health Plans Focus on Engagement, Collaboration and Compliance
by Beth Friedman, FINN Partners It has been said that wherever Medicare goes, so do all the rest of the payers. If last week’s RISE National 2023 keynote speaker was any indication, future efforts and investments by payers and health plans will focus on three specific...
3 specific areas of data sharing to clarify and consider in 2023
As Fred Bazzoli’s article on the ONC notes, work on interoperability has been happening for more than 20 years and the “coming attractions” are here. While no one argues that we still have work to do, the 21st Century Cures Act, the Trusted Exchange Framework and...
Hospitals require an integrated team approach to ensuring revenue integrity
Healthcare organizations cannot expect to achieve financial sustainability without having a deliberate focus on ensuring revenue integrity. Only with such a focus can they deliver programs and services that are essential for coordinating internal efforts to maintain...
Information Blocking: Leading the World in Patient Access: Two Insights Post Data Liberation Day
October 6, 2022, marked the formal enforcement and compliance deadline for the United States health care industry to provide patients with access to their electronic health information (EHI). Also coined “health data liberation day,” the celebration was an important...
Payer Plugs Gap with Innovative Alliance
And to gather additional contextual data that is not included in the claims data, CareFirst has partnered with Rockford, Ill.-based FIGmd, a software platform that supports data submission processes within different health systems across the country. “The whole idea...
2023 forecast: Balancing patient privacy and data sharing
Harmonizing HIPAA with interoperability, third-party compliance and data usability are among the priorities this year for Rita Bowen, a member of the Sequoia Project board of directors and MRO vice president.[dnxte_button button_text="View Full Article" button_link=""...
Digital Innovation and AI in Revenue Cycle Management
Digital Innovation and Artificial Intelligence are two huge topics recently in the world of Healthcare IT. We’ve talked about the many areas in which they are actively making a difference, and the areas in which they could make a difference, if applied. Let’s now take...
Strategies to Focus Internal Audit Activities
Healthcare staffing shortages, declining margins, and lower reimbursements brings renewed attention to operational expenditures. Yet as the volume of administrative work continues to climb, this means getting more done with fewer resources. So it may be a good time to...
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