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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.

FHIR 111
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Featured Health IT Job: eCQM/dCQM Measure Developer – CORE

Healthcare IT Today

The duties of this position can be carried out remotely if this meets the business needs of CORE. Code, test and maintain electronic clinical quality measures using Clinical Quality Language (CQL) and Fast Healthcare Interoperable Resources (FHIR). Clinical Document Architecture (CDA), FHIR) and the versioning process.

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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. However, cloud hyperscalers are quickly building out their AI infrastructure to meet rising demand. A FHIR store can also help providers capitalize on the cloud’s full potential.)

FHIR 69
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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.

FHIR 100
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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.

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Healthcare IT Regulations – What Needs to Be Added and What Needs to Be Removed

Healthcare IT Today

While the key components of privacy (administrative, uses and disclosures, individual rights, and general security) are all necessary today, I would put privacy, security, breach – and relevant 21 Century Cures Interoperability topics – all together and make sure everyone handling any type of sensitive information be subject to these rules.

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By 2020, 1-in-5 Healthcare organisations will adopt Blockchain says new IDC report

Lloyd Price

In essence, blockchain could help reshape healthcare interoperability by serving as a next-generation middleware that couples health data with decentralized, distributed, and immutable qualities, according to a new report by IDC Health Insights. To date, however, the VA has yet to test blockchain related to its massive healthcare system.