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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. Another survey by the Medical Group Management Association (MGMA) ranked prior authorization as the largest regulatory burden on doctors. The release of FHIR in the mid-2010 decade changed everything.

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Vital Lines November 2023

Redox

Learn more Remote patient monitoring RPM boosts outcomes but drives up costs In a new study, RPM reduced hospital stays among Medicare patients with hypertension but also raised costs per patient. The Dell’Oro Group describes the tech taxonomy and current vendors.

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Bonus Features – September 24, 2023 – 72 percent of patients say affordability is the biggest challenge for paying medical bills

Healthcare IT Today

Medicare Advantage costs are 12% lower than similar beneficiaries covered under fee-for-service Medicare, according to research from Inovalon and Harvard Medical School. Drummond Group unveiled FHIR Client Certification Program , which will enter its pilot phase on Oct.

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

Healthcare IT Today

We have assembled a talented, multidisciplinary group who are committed to developing solutions to the practical needs of medicine and healthcare. Code, test and maintain electronic clinical quality measures using Clinical Quality Language (CQL) and Fast Healthcare Interoperable Resources (FHIR).

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

Redox

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. And, nowadays, those regulatory requirements are heavy-handed with FHIR interoperability.

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The healthcare executive’s guide to AI

Redox

AI reimbursement Medicare and Medicaid are beginning to reimburse for AI applications on a per-use basis, though adoption is still in its infancy. To stream clinical data into the cloud, it must first be translated from legacy standards (HL7v2, CD, X12, and DICOM®) to Fast Healthcare Interoperability Resources (FHIR®). www.rbccm.com.

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Weekly Roundup – July 29, 2023

Healthcare IT Today

John Lynn spoke to Mo Weitnauer at MRO about using FHIR-based APIs to automatically fulfill the vast majority of requests in minutes or seconds – not weeks. Harris Computer , an operating group of Constellation Software. Read more… Public Health Transparency Improves Outcomes in San Bernardino County. CloudMD sold its U.S.-based