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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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Upcoming Healthcare Regulations and Their Impact on Healthcare IT

Healthcare IT Today

To help out, we reached out to our amazing Healthcare IT Today Community to see which healthcare regulations they foresee having a big impact on healthcare IT. Healthcare IT systems, especially EHRs, played a key role in supporting documentation with the use of macros, smart phrases, and templates.

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Cohere Health Raises $50 Million in Equity to Meet Increased Demand for AI-Driven Transformation of Prior Authorization Process

Healthcare IT Today

The latest round of funding will fuel the company’s expansion to meet the increasing demand for Cohere’s intelligent prior authorization platform. Harnessing Cohere’s patented AI-powered technology, Cohere’s solutions assist health plans to meet and exceed these regulations.

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Billing Medicare and Private Payers for Telehealth Visits: What to Expect Post-Public Health Emergency

Healthcare IT News - Telehealth

Prepare Now for Anticipated Changes to Medicare and Private Payer Rules. The Centers for Medicare and Medicaid Services (CMS) is expected to issue new rules for telehealth in the release 2021 Physician Fee Schedule later this year. Today, Medicare reimburses for specific services when delivered via live video.

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

Healthcare IT Today

Or are there areas in healthcare where past regulations are now too restrictive and are holding us back? In search of answers to these questions, we reached out to our incredibly beautiful Healthcare IT Today Community to see what areas they would add, remove, or update regulations. The following is what they had to say.

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ATA applauds 2-year extension of telehealth flexibilities in Congressional Omnibus

Healthcare IT News - Telehealth

The American Telemedicine Association this week cheered the bipartisan omnibus appropriations bill from both houses of Congress for including a two-year extension for Medicare telehealth flexibilities that have been in place since the COVID-19 public health emergency was declared in 2020. Healthcare IT News is a HIMSS publication.

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New codes from the AMA could mean more RPM reimbursement by 2025

Healthcare IT News - Telehealth

Medicare was the first to cover RPM. The proposed changes are currently on the public agenda for the American Medical Association's May CPT Editorial Panel meeting. There are three particularly significant changes AMA is considering for RPM that will be discussed at the meeting. What is the rationale for the changes?

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