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Fixing Medicare Advantage Payments

Healthcare IT Today

There’s widespread consensus that payments to Medicare Advantage Organizations (MAOs) are a mess. These programs, which care for more than 30 million of the nearly 64 million Medicare enrollees , operate on the cutting edge of health care and suffer serious problems in data collection and billing.

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How to Discover Better Insurance Coverage, Together

Healthcare IT Today

Streamline the billing process The right RCM partner will help providers optimize revenue by creating faster, easier processes to identify insurance coverage. As Medicare Beneficiary Identifiers (MBIs) only relate to Medicare coverage, providers need tools that will go beyond MBIs and caps from payer searches.

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Turning Increased Ambulatory Volumes into Financial Strength: 4 Moves for RCM

Healthcare IT Today

For example, as outpatient services such as infusions outpace projections , and as the Centers for Medicare & Medicaid Services open the door to more outpatient procedures by moving 11 procedures off its “inpatient only” list, ambulatory providers must have the financial strength to make the investments needed to support growth.

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Weekender 5/18/18

HIStalk Weekender

As a cash-strapped buyer who just wants to know what I will be billed when my PCP orders a dermatology test for a sun spot that I’ve had for 10 years, what am to do? My first inclination is to at least publish the Medicare price. Health IT from the Investor’s Chair 5/14/18. News 5/16/18. Curbside Consult with Dr. Jayne 5/14/18.

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

Healthcare IT Today

I would continue to advance CMS’ directive that by 2030 all Medicare and the bulk of Medicaid beneficiaries be in care engagements governed under a value-based contract.

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Experian Health Acquires Wave HDC, Immediately Enabling Real-Time, Single Inquiry Insurance Discovery/Verification at the Point of Patient Registration

Healthcare IT Today

The acquisition bolsters the Experian Health business portfolio with more comprehensive and faster healthcare coverage identification and automation capabilities.

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Broadband expansion, $62M for ONC among pandemic relief package provisions

Healthcare IT News - Telehealth

We are also grateful that Congress included Medicare coverage for telemental health services, just one of the many clinical specialties that benefitted from telehealth during the COVID-19 public health emergency," said Johnson. Although the U.S.