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Policy Ingredients for Real-Time Improvements in Health Care, Prior Auth, and Claims

Healthcare IT Today

Don Rucker, MD, chief strategy officer at 1upHealth , shows us in this video how current regulations and FHIR standards will actually make that happen. In a fast-paced exchanged with John Lynn of Healthcare IT Today, Rucker covers regulations and evolving data exchange standards that foster interoperability and data analytics.

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Prior Authorization Takes a Leap Forward in CMS Regulation

Healthcare IT Today

The Centers for Medicare & Medicaid Services (CMS) have taken a bold step by mandating a standard for prior authorization. A Process in Urgent Need of an Upgrade Clearly, prior authorization is crying out for standardization and interoperability. The release of FHIR in the mid-2010 decade changed everything. population.

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Bonus Features – April 28, 2024 – 22% of employers fully trust chronic condition management vendors, Common Agreement v2.0 requires support for FHIR API exchange, plus 29 more stories

Healthcare IT Today

Updates that require support for FHIR-based APIs should allow TEFCA participants to more easily exchange information directly, and enable individuals to more easily access their own information. Products Augmedix launched Augmedix Go , ambient AI medical documentation for the ED, and announced HCA Healthcare as a pilot user.

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Crystal Ball Chronicles: Reflecting on Out of Pocket Health’s 2024 Predictions

Redox

Original prediction: We won’t see accelerated adoption of interoperability standards (e.g., HL7 ® , HL7 ® Fast Healthcare Interoperability Resources or FHIR ® ). Increasingly, machines are much less discriminating between a finely structured FHIR document and a poorly scanned PDF—and the latter may be richer than the former.

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Featured Health IT Job: eCQM/dCQM Measure Developer – CORE

Healthcare IT Today

Code, test and maintain electronic clinical quality measures using Clinical Quality Language (CQL) and Fast Healthcare Interoperable Resources (FHIR). Applies health data standards and interoperability such as HL7 FHIR Accelerator activities and the Office of National Coordinator certification regulations and policies.

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Modernising the MyHR?

Health Intersections

On Friday last week, an article by Wendy John was published by Wild Health , in which I’m quoted as saying, regarding the My Health Record and the Strengthening Medicare Taskforce report : FHIR guru Grahame Grieve has advocated for interoperability standards in healthcare for over two decades. It’s a difference that matters.

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2018 Medicare Fee-For-Service improper payment rate is lowest since 2010

CMS.gov

2018 Medicare Fee-For-Service improper payment rate is lowest since 2010. Administrator, Centers for Medicare & Medicaid Services. 2018 Medicare Fee-For-Service improper payment rate is lowest since 2010 Significant progress in saving $4.59B in estimated improper payments for the Medicare Fee-For-Service program.