Claims Processing
Harmony Park Family Medicine also saw turnaround times decrease significantly, with more than half of monthly determinations requiring no authorization – and 70% of prior auth requests sent to Humana being approved instantly.
In its new HTI-2 proposed rule, the Office of the National Coordinator is hoping FHIR-focused interoperability criteria will ignite payers and public health and others to embrace broader information sharing goals.
In a "tour de force" rulemaking, the agency has "harnessed all the tools at ONC's disposal" to advance HHS' nationwide interoperability and patient engagement goals, says National Coordinator Micky Tripathi.
Payers need information for risk adjustment and providers need data to close gaps in care, says Piyush Khanna of CareFirst BCBS.
Several vendors announced new artificial intelligence integrations that help primary care providers, home caregivers and others to retain employees and improve operations and patient care.
AHIP panelist Terry Douglas of Surescripts talks about what this means for payers, providers, pharma and others.
CertifyOS founder and CEO Anshul Rathi engineered a database of providers for payers.
The Veterans Affairs Office of Information and Technology finds artificial intelligence-driven clinical documentation is helping to solve physician burnout, but the value for benefits administration is yet to be determined.
Testifying before Congress on Wednesday, UnitedHeath Group CEO Andrew Witty promised that his company has stepped up its cybersecurity efforts after the massive and far-reaching ransomware attack, and pledged to underwrite providers' cashflows as needed.
Researchers proposed that integrating AI with expert knowledge could automate medical coding to enhance billing accuracy and reduce administrative costs, but they found available large language models vague and error-prone.
