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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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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InterQual Earns Multiple URAC Accreditations

InterQual Earns Multiple URAC Accreditations

  • January 30, 2017

Today McKesson announced its InterQual Coordinated Care Content has received new accreditation and vendor certification from URAC for achieving recognized standards in Case Management and Disease Management. McKesson Health Solutions also earned a three-year renewal reaccrediting CareEnhance Review Manager for Utilization Management (UM). The accreditations mark 13 years of continuous recognition by URAC, a leader in quality standards for the healthcare industry.

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InterQual Available On-Demand

InterQual Available On-Demand

  • January 18, 2017

McKesson has announced that InterQual Criteria is now accessible through new cloud-based implementations of InterQual Online, InterQual Anonymous Review, and InterQual Transparency. The cloud access makes it easier to use the evidence-based decision making criteria—including Level of Care, Planning, and Behavioral Health criteria.

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McKesson Health Solutions Enables Cloud-based Implementations For InterQual Criteria

McKesson Health Solutions Enables Cloud-based Implementations for InterQual Criteria

  • January 17, 2017

Mckesson’s InterQual Criteria can now be accessed on the cloud, making it easier and faster for customers to access objective, evidence-based medical and behavioral health clinical content. The criteria will be available through cloud-based implementations of InterQual Online, InterQual Anonymous Review, and InterQual Transparency. The secure, fast cloud access will help providers make appropriate care decisions across the medical and behavioral health levels of care.

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McKesson Brings InterQual Criteria To The Cloud

McKesson Brings InterQual Criteria to the Cloud

  • January 17, 2017

Today we announced that InterQual Criteria is now accessible as an on demand service. Customers can access InterQual’s evidence-based clinical decision support through cloud-based implementations of InterQual Online, InterQual Anonymous Review, and InterQual Transparency. This fast and easy access will help improve clinical decision-making and management for medical and behavioral health care.

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