Healthcare RCM, Patient Collections Solutions Launch At HIMSS17

Healthcare RCM, Patient Collections Solutions Launch at HIMSS17

  • February 23, 2017

At HIMSS17, healthcare IT companies showcased a range of solutions to manage the changing landscape in healthcare reimbursement. McKesson launched the Healthy Hospital program, which uses analytical tools to benchmark hospital revenue cycles, as well as a payment assurance consulting program that uses data to develop value-based reimbursement strategies. The company also previewed a financial clearance tool that helps revenue cycle management staff manage patient collections with data, and a clinical clearance tool that makes medical record reviews more efficient. Read the article

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McKesson Previews Early Version Of InterQual Auto Review At HIMSS17

McKesson Previews Early Version of InterQual Auto Review at HIMSS17

  • February 20, 2017

What was the "top story" at HIMSS17? McKesson Health Solutions' preview of InterQual AutoReview. Developed in partnership with the National Decision Support Company, InterQual AutoReview automates medical necessity reviews by directly accessing patient data from EHRs. This breakthrough integrates NDSC’s platform into InterQual’s technology, decision support engine, and evidence-based content to streamline medical reviews at the point of care. Read the article

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Reinventing Utilization Management To Bring Value To The Point Of Care

Reinventing Utilization Management to Bring Value to the Point of Care

  • February 17, 2017

It's time to bring utilization management into the 21st century. A more collaborative, automated UM model could create a bridge between the current system, where authorizations happen after care decisions, and real-time communication between payers and providers that provides immediate decisions at the point of care. That bridge is what we call an "exception-based utilization management model." New technology can help payers identify which providers are getting approvals, for which care events, and how often. Then, using that knowledge, most care events can be automatically authorized, letting the payer limit their focus to the outliers. And even then, many of those…

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Put Prior-Auth On The Fast-Track

Put Prior-Auth on the Fast-Track

  • December 15, 2016

Everyone who thinks prior-authorization is a fast, efficient process, please raise your hand. No raised hands? No surprise. That’s because the prior auth process has been on the slow track for years, powered by paper, faxing, siloed software, and phone calls. Now payers can give provider networks a fast-track option for prior auth, where getting an authorization is as easy as requesting it through the payer’s care management portal. Payers like it because it reduces costs by freeing staff to tackle other things. Providers like it because it helps speed quality care. In fact, the only people who don’t like…

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InterQual Connect A Fierce Innovation Awards Finalist

InterQual Connect a Fierce Innovation Awards Finalist

  • October 7, 2016

Today, the editors of FierceHealthcare, FierceHealthIT, and FierceHealthPayer named McKesson’s InterQual Connect as a Fierce Innovation Award 2016 finalist in the Clinical Information Management Innovation category.The award recognizes technologies, tools and programs that are driving improvements and transforming the healthcare industry. Read the news release

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Short-Stay Inpatient Rate Is Zero? Time For Documentation Improvement

Short-Stay Inpatient Rate is Zero? Time for Documentation Improvement

  • May 11, 2016

Hospitals will need to reevaluate their documentation improvement programs because of revisions to the two-midnight rule, which allow for a case by case review of less-than-two-midnight stays. The quality improvement organizations have stated that the review will include InterQual screening criteria. Read the article

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Update Released For InterQual Tool

Update Released for InterQual Tool

  • April 18, 2016

Care managers determining length of stay and managing care transitions will benefit from the newly released InterQual 2016. The updates will help case managers support discharge planning, better manage care timelines, conduct timely interventions, reduce avoidable days, and improve bed management. Read the article

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McKesson And KEPRO To Share Guidance For Understanding The Two-Midnight Rule And Avoiding Denials At 2016 ACMA National Conference

McKesson and KEPRO to Share Guidance for Understanding the Two-Midnight Rule and Avoiding Denials at 2016 ACMA National Conference

  • March 29, 2016

Executives from McKesson Health Solutions and KEPRO will come together at the ACMA 2016 National Conference in Tampa, Florida, to help providers make sense of the Two-Midnight Rule as well as how to reduce denials. The interactive session, scheduled for April 5th, is a unique opportunity to hear perspectives directly from one of only two BFCC-QIOs charged by the Centers for Medicare & Medicaid Services to audit short-stay claims. Read the news release

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McKesson Unveils Cloud-based Ecosystem For Medical Review & Authorization

McKesson Unveils Cloud-based Ecosystem for Medical Review & Authorization

  • March 15, 2016

HIT Consultant reported on McKesson's launch of InterQual Connect, a cloud-based medical review service with automated authorization and connectivity for payers and providers. InterQual Connect works with the same care management systems and InterQual Criteria payers and providers already use, making it fast, easy, and cost-effective to implement and deploy. Read the article

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