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
Today, we unveiled InterQual 2017, a faster, more streamlined version of our flagship clinical decision support solution. InterQual 2017 introduces a new time-saving product, Medicare Procedures powered by InterQual, which automates more than 400 Medicare National and Local Coverage Determinations. It also provides a more efficient set of level of care criteria, Initial Review, that supports faster, earlier decisions in the ER. Customers will benefit from a host of new updates, enhancements, and technological advancements, including more than 125 new content areas. Read the news release
McKesson Health Solutions is showcasing its suite of new and revamped products at HIMSS17 in Orlando. McKesson has invested in a reinvention of revenue cycle management, from financial and clinical clearance to payment integrity and analytics in order to help the healthcare industry transition to a value-based world. Solutions, services, and new programs highlighting advancements and expertise across the provider reimbursement process will be on display at HIMSS17 at McKesson’s booth #3479, including: Analytics: Healthy Hospital is a new program that uses advanced analytics to help providers benchmark key revenue cycle metrics. Financial Clearance: RelayHealth Financial will be previewing an upcoming…
On Monday at HIMSS17 in Orlando, RelayHealth Financial will unveil its new Healthy Hospital Index, an online service that allows hospitals to conduct a confidential assessment of their revenue cycle performance. Now, instead of trying to gauge financial performance in a vacuum–with no visibility into relevant national and regional KPIs and trends–financial executives can use Healthy Hospital’s analytics to benchmark their organization’s performance against that of peers. By simply entering some details about their revenue cycle performance, a customized “revenue health index” is generated with a comparative ranking of their hospital’s financial well-being. These insights can then be used to…
Today McKesson Health Solutions announced that HealthQx became the first healthcare analytics platform to earn Claims and Provider Analysis Certification for all 97 episode-of-care definitions in the PROMETHEUS Analytics model. HealthQx helps health plans and health systems simplify the design, implementation, and monitoring of value-based models such as bundled care. HealthQx was certified by Altarum Institute’s Center for Payment Innovation. Read the news release
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.
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.
Today McKesson Health Solutions announced that the Centers for Medicare & Medicaid Services (CMS) will continue their long-term use of InterQual Criteria for Medicare services auditing programs. Extending a 17-year relationship, CMS will continue to benefit from InterQual's evidence-based clinical decision support to help better manage patients as the industry transitions to value-based care. Read the news release
Today McKesson's RelayHealth Financial announced that it has teamed up with Emergency Recovery Inc. (ERI) to provide revenue recovery services for its provider customers. The service can help providers find and recover millions in otherwise unrecovered revenue, without contacting patients or charging up-front fees. Read the news release
Today McKesson Health Solutions unveiled ClaimsXten Policy Management, a new clinical and payment management solution that helps payers cut costs and improve “first pass” payment accuracy by streamlining and automating advanced policy rules and clinically sourced edits. Read the news release