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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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CMS Proposes”CMS-0057-P” to Streamline Prior Authorizations with Real-Time Approvals Using Interoperability in Healthcare

Telebehavioral Health Institute

What Is Interoperability in Healthcare? The ability of different systems, devices, and applications to work together and exchange information seamlessly is known as interoperability in healthcare. Medicare and a supplemental plan) to receive care from multiple providers (e.g.,

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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.

FHIR 101
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Bonus Features – February 25, 2024 – 73% of digital health vendors use FHIR APIs, 83% of clinicians think telemedicine is good for chronic condition management, plus 28 more stories

Healthcare IT Today

A survey published in JAMIA found 73% of digital health vendors are using standards-based FHIR APIs when integrating with EHR systems. Edifecs said it will now enable compliance with CMS Interoperability and Prior Authorization Final Rule. Provider network management vendor Medallion launched a one-day credentialing solution.

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CMS Releases Proposed Rule Expanding Health Data Interoperability Requirements For Payers

Healthcare IT Today

The announcement follows the release of the Interoperability and Patient Access final rule in July, which requires all health plans doing business with the […].

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Toward a Wider Adoption of Digital Insurance Cards

Healthcare IT Today

So I was intrigued when Mark Scrimshire, chief interoperability officer of OnyxOS , introduced me to developments over the past few years that will make digital insurance cards feasible. HL7 , which has been setting standards for health care since 1987, leapt into the modern age of computer standards by adopting the FHIR standard.

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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.