McKesson Entity Now Change Healthcare

McKesson Entity Now Change Healthcare

  • May 6, 2017

McKesson Technology Solutions and Change Healthcare have merged to create a new healthcare information technology company. The new Change Healthcare includes all of Change Healthcare's businesses and the majority of McKesson Technology Solutions, and will employ about 15,000 people. Read the article

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Consistent Review Outcomes Are Quality Outcomes

Consistent Review Outcomes are Quality Outcomes

  • May 2, 2017

by Steven Silverstein, MD Recent articles in the Journal of the American Medical Association (here1 and here2) reported on the use and misuse of clinical practice guidelines, and the need to avoid hedging and equivocation when writing them. These articles also discussed the differences inherent in targeting individual physician decision support versus more general purposes, as well as issues related to lack of adherence to guideline development standards published by the Institute of Medicine3. A related issue is that it is not uncommon for guidelines developed by different specialty societies to advocate different approaches to a given clinical situation. This…

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Change Healthcare’s InterQual Expert To Share Blueprint For Case Management Optimization At ACMA 2017

Change Healthcare’s InterQual Expert to Share Blueprint for Case Management Optimization at ACMA 2017

  • April 17, 2017

The American Case Management Association's annual conference, ACMA 2017, gets underway in Washington this week, and attendees looking to gear their case management programs for the industry shift to value should be sure to attend the “Blueprint for Case Management Optimization” presentation. That's where Change Healthcare’s Carol Everhart will share nine best practices to help assess the health of a case management program. Read the News Release

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New Version Of Clinical Decision Support Released

New Version of Clinical Decision Support Released

  • April 11, 2017

McKnight's covered the launch of InterQual 2017, the latest version of the evidence-based clinical decision support solution. McKnight's reports this new release includes more than 120 new criteria and enhancements that help enable faster, safer, and better clinical decisions at the point of care. 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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Ten Steps To Reduce Denials, Win More Appeals, And Improve Hospital Performance

Ten Steps to Reduce Denials, Win More Appeals, and Improve Hospital Performance

  • February 16, 2017

There's tremendous pressure on hospitals to reduce denial rates, and the problem is getting worse as claims processing becomes more complex. One way to reduce denials is to close common gaps that lead to medical necessity denials, which can account for as much as 5% of denials. CMSA Today shares a ten step process to that can have a quick and positive impact on your revenue cycle. Read the article

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Ten Steps To Reduce Denials, Win More  Appeals, And Improve Hospital Performance

Ten Steps to Reduce Denials, Win More Appeals, and Improve Hospital Performance

  • June 24, 2016

Providers face tremendous pressure to reduce denials. Although many issues can lead to denials, there’s one area that denial management programs can easily overlook: issues related to medical necessity. This white paper focuses on 10 gaps that can cause medical necessity denials and how to address them, from beefing up emergency department case management to improving level of care management. Read now or download and read later

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