Genomics Come To HIE

Genomics Come to HIE

  • January 20, 2014

Mike Miliard, Managing Editor of Healthcare IT News, reports on the McKesson Diagnostics Exchange, and explains how it provides an online infrastructure -- including the use of Z-Code Identifiers that uniquely identify molecular diagnostics tests -- that helps support the AMA's efforts to advance personalized medicine, promote access to innovative diagnostic capabilities, and improve patient outcomes. Miliard also covers the progress of Palmetto GBA's use of McKesson Diagnostics Exchange and the benefits they are seeing. Read the article

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A Prescription For Specialty Pharmaceuticals

A Prescription for Specialty Pharmaceuticals

  • November 8, 2013

"The explosive growth in molecular diagnostics and specialty pharmaceuticals is outpacing the growth seen in any prior era, raising serious concerns about clinical quality and cost," writes Douglas Moeller, MD, Medical Director, McKesson Health Solutions, in a recent Formulary Watch bylined article. Web-based decision support software and more sophisticated claims auditing software are now available to help clinicians and payers keep pace with new drugs. Dr. Moeller goes on to describe the challenges and complexity of coding specialty pharmaceuticals, using Botox as a prime example. He discusses the issues of having unique tracking/billing codes, multiple indications, market implications, and better outcomes through collaboration of payers,…

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Unlocking The Human Genome: New Challenges And Opportunities For Health Plans

Unlocking the Human Genome: New Challenges and Opportunities for Health Plans

  • October 28, 2013

Molecular Diagnostics (MDx), the next wave of innovation in healthcare technology, is arriving. Exciting, challenging, transformational, hopeful, complex, alarming, terrifying and expensive are all descriptions that are being used to describe the dawn of this new world. In an earlier post, I discussed the need to build a new diagnostic testing vocabulary that can be shared across payer, provider and lab stakeholders in order to improve collaboration and processing in diagnosis and claims. Following several generations of emerging technology involving digital imaging in the ‘80’s, 90’s, and ‘00’s, Molecular Diagnostics is now arriving with an entirely new view of our genetic…

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Credible, Defensible Estimates

Credible, Defensible Estimates

  • October 14, 2013

Believe it or not, patients actually notice and care about the billing process. A recent survey found the higher a patient's satisfaction with the billing process was, the higher their overall satisfaction with the hospital and the clinical treatment received. Credible, Defensible Estimates explains why hospitals should help patients gain a realistic expectation about their financial responsibility up front, and how to make that happen on a consistent, reliable basis. The white paper also describes RelayHealth's Estimation Maturity Model (EMM) for creating estimates. Read now or download and read later

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Big Data Mining Speeds Claims Payments

Big Data Mining Speeds Claims Payments

  • March 13, 2013

Health Data Management featured a real-world effort to harness big data, profiling Sean Riesterer, director of revenue cycle and reimbursement for Silverton (Ore.) Health. Silverton used RelayHealth's clearinghouse of data to find lags in this organization's service-to submission flow. It took Silverton only a few months to reduce the average service-to-submission time from 30 days to 13 days. Read the case study

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