McKesson’s InterQual Now Available On The Cloud

McKesson’s InterQual Now Available on the Cloud

  • January 17, 2017

McKesson announced that InterQual Criteria can now be accessed via cloud implementations of InterQual Online, InterQual Anonymous Review, and InterQual Transparency. What began over 40 years ago as thick printed books that users had to page through is now accessible on a variety of applications and platforms, from PCs to mobile devices to connected automated services and now, the cloud.

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Two New Federal Interoperability Rules: What You Need To Know

Two New Federal Interoperability Rules: What You Need to Know

  • January 12, 2017

Federal agencies finalized two new rulings aimed at accelerating the pace of interoperability in health IT.  The ONC just released its 2017 Interoperability Standards Advisory and final rulings were made on MACRA. In the first of a series of white papers on interop policy, we review what these regulations mean for the industry. Taken together, the rulings demonstrate the government’s commitment to pushing the industry towards a fully open and connected health information infrastructure. Read now or download and read later  

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The State Of Value-Based Reimbursement And The Transition From Volume To Value In 2014

The State of Value-Based Reimbursement and the Transition from Volume to Value in 2014

  • January 1, 2017

How fast are payers and providers adopting new value-based payment models? According to the first industry study of its kind, more than two-thirds of payments are expected to be based on value measurements by 2020. Remarkably, 90% of payers and 81% of providers are already using some mix of value-based reimbursement and fee-for-service, according to the new report, The State of Value-Based Reimbursement and the Transition from Volume to Value in 2014. Read now or download and read later  

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Authorization Playing Catch Up With Technology

Authorization Playing Catch Up With Technology

  • January 1, 2017

Pre-authorization is time consuming, costly, can delay care, and is a major source of claims denials. Those are just a few of the pre-authorization pain points reported in a survey of C-suite provider executives nationwide. This white paper reports and ranks pre-authorization problems, delves into the issues, and provides a path forward  to improve pre-authorization to create more automated and streamlined system. Read now or download and read later

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Five Strategies For Maintaining Healthy Revenue During An EMR Transition

Five Strategies for Maintaining Healthy Revenue During An EMR Transition

  • January 1, 2017

One of the biggest mistakes when transitioning to EMR is not treating clinical and financial systems as inseparable. That costs providers millions, even tens of millions, in revenue lost or delayed. Follow the five strategies in this white paper to ensure your organization's revenue doesn't take a big hit during your next EMR transition. Read now or download and read later

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Beware The EHR “Ripple Effect”

Beware the EHR “Ripple Effect”

  • January 1, 2017

When implementing new EHR systems, finance departments often see an increase in accounts receivable days and claim denials, and as a result, a dip in cash flow. This "ripple effect" is a potential pitfall when moving to a new EHR. This white paper documents five steps providers can take when gearing up for and implementing a new EHR system. Read now or download and read later

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Fixing Healthcare’s Broken Pre-Authorization Screening & Verification Model

Fixing Healthcare’s Broken Pre-Authorization Screening & Verification Model

  • January 1, 2017

Pre-authorizations can be costly, time-consuming, frustrating for all involved, and can account for a large percentage of denials. It's no surprise that health care networks are increasingly turning to technology to automate the process. Fixing Healthcare’s Broken Pre-Authorization Screening & Verification Model lays out how automation and other necessary components can transform the pre-auth process to be faster, more efficient, and more economical. Read now or download and read later

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Getting In Front Of The Problem: How Can Hospitals Empower Denial Prevention And Management?

Getting in Front of the Problem: How Can Hospitals Empower Denial Prevention and Management?

  • January 1, 2017

Claim denials are a significant financial drain, costing healthcare organizations roughly 3% of their net revenue stream. The white paper, Getting in Front of the Problem: How Can Hospitals Empower Denial Prevention and Management? delves into three key strategies for reducing denials -- and how hospitals have used them effectively. Learn how to take steps to prevent denials on the front-end, manage denials through efficient workflows and processes, and analyze data for common causes of denials. Read now or download and read later

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How We Can Make Healthcare Payment And Delivery Reform Work

How We Can Make Healthcare Payment and Delivery Reform Work

  • January 1, 2017

As we move from fee-for-service to value-based care, payers and providers struggle to contend with the many reform models being tested and implemented. To successfully make the transition, stakeholders need to address these five critical pieces: • Shared risk for all stakeholders • A robust primary care foundation • The alignment of payment models and incentives • Information technology that supports such alignment • Strong regional collaboration Experts from McKesson Health Solution describe how to get it done in How We Can Make Healthcare Payment and Delivery Reform Work. Read now or download and read later  

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Revenue Cycle Payment Clarity

Revenue Cycle Payment Clarity

  • January 1, 2017

The increasing prevalence of high-deductible health plans, along with higher patient out-of-pocket expenses, is leaving more and more patients unable to pay their bills and providers unsure about reimbursement. To maintain payment flow, providers need visibility into when and how much they will be paid, and by whom. They also need to get better at navigating obstacles to payment. This Revenue Cycle Payment Clarity white paper describes how providers can implement the tools and processes to help provide payment clarity and accelerate revenue. Read now or download and read later

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