Redox

JANUARY 24, 2024

My debut focused on how the CMS proposed Interoperability and Prior Authorization rule would dramatically improve prior authorization processes with electronic processing via APIs. CMS just finalized the CMS Interoperability and Prior Authorization Final Rule CMS-0057-F , or what many have called the “Interop 3” rule.

FHIR 59

FHIR Interoperability HIPAA 59

FierceHealthIT

JULY 2, 2019

In a recent case study of new preauthorization technology, a primary care office was able to cut the provider-to-payer process down to seconds instead of minutes.

Primary Care 85

Primary Care 85

Healthcare IT Today

FEBRUARY 16, 2024

Besides taking data from structured fields, Health Note is testing the use of NLP on doctors prior’ notes to improve the accuracy and relevancy of questionnaires. The information collected is useful not only for the visit itself, but for prior authorization and submitting claims.

EHR 103

EHR FHIR Patient Experience EMR 103

Healthcare IT Today

MARCH 30, 2024

John connected with Aakarsh Sethi and Stuart Newsome at Infinx, who explained how automating processes such as establishing eligibility, getting prior authorization, and billing can reduce denials. Read more… When Insurance and Patients Start Demanding 24/7 Availability.

RCM 101

RCM Healthcare IT Patient Experience EHR 101

Digital Health Global

FEBRUARY 25, 2023

Highlights include a poster titled Proteomic Biomarker Panel for Gauging Multiple Sclerosis Disease Activity: A Case Series from Real-World Use (P035), Gonyou, T., presented in partnership with the Michigan Institute for Neurological Disorders (MIND), describing real-world clinical experience using Octave’s MSDA test.

Health science 88

Health science Mental health Digital Health 88