Payers Under Fire – Meeting FHIR Deadlines
As if 2020 wasn’t overwhelming enough for payers who are battling a global pandemic while navigating all the many changes it brings to policies and reimbursement – there’s also a…
Is Technology the Remedy for HEDIS Headaches?
Payers and healthcare providers alike are in the constant pursuit of the triple aim in healthcare – including better quality, greater value, and improved patient satisfaction – as the shift…
The Six Most Important Changes Coming to Medicare Advantage Plans in 2021
Enrollment in Medicare Advantage (MA) Plans continues to climb each year. In fact, Medicare Advantage enrollment has doubled over the last decade. As the program takes on its increasing share…
Price Transparency Pushes Forward in 2021
While consumers continue to demand greater value in healthcare, they have very little way of knowing if they’re getting it. That’s because healthcare (payers and providers) – full of its…
Sweeping Changes for E/M Coding Are on the Way – What Do They Really Mean?
Come 2021, outpatient evaluation and management, or more commonly known as E/M coding is getting a massive overhaul and will considerably impact how care is documented and reported. This past…
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