InterQual 2016 Evolves Utilization Management For A Value-Based World

InterQual 2016 Evolves Utilization Management for a Value-Based World

  • April 18, 2016

Today McKesson Health Solutions unveiled InterQual 2016, the latest release of our flagship evidence-based clinical decision support solution. In addition to over 1,000 updates, enhancements, and advancements, this year's annual release gives you a more holistic view of the patient, better support for proactive care management, and innovative cloud technology and connectivity to improve UM efficiency. Read the news release

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McKesson And KEPRO To Share Guidance For Understanding The Two-Midnight Rule And Avoiding Denials At 2016 ACMA National Conference

McKesson and KEPRO to Share Guidance for Understanding the Two-Midnight Rule and Avoiding Denials at 2016 ACMA National Conference

  • March 29, 2016

Executives from McKesson Health Solutions and KEPRO will come together at the ACMA 2016 National Conference in Tampa, Florida, to help providers make sense of the Two-Midnight Rule as well as how to reduce denials. The interactive session, scheduled for April 5th, is a unique opportunity to hear perspectives directly from one of only two BFCC-QIOs charged by the Centers for Medicare & Medicaid Services to audit short-stay claims. Read the news release

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RelayAssurance EDI Unlocks The Clearinghouse “Black Box” With Real-Time Claim Submission & Editing

RelayAssurance EDI Unlocks the Clearinghouse “Black Box” with Real-Time Claim Submission & Editing

  • March 1, 2016

Today RelayHealth Financial introduced new features in RelayAssurance EDI that bring real-time claim submission and editing capabilities for claims processing businesses. Now these organizations can integrate these functions directly into their solutions through APIs or RelayHealth's ConnectCenter portal, helping to give their provider clients on-demand visibility into claim status, streamlined submission, error correction, and faster reimbursement. Read the news release

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RelayHealth Financial Reports Claim Denial Trends

RelayHealth Financial Reports Claim Denial Trends

  • February 29, 2016

Today RelayHealth Financial announced denial rate data for more than 262 million claims processed between October 1, 2015 and February 15, 2016. Of the $810 billion in claims processed by more than 2,400 hospitals and 630,000 providers using RelayHealth Financial revenue cycle management solutions, just 1.6% have been denied. Read the news release

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HIMSS 2016: RelayHealth Financial Helps Smooth The Path To Payment By Rethinking The Connection Of Financial And Clinical Data

HIMSS 2016: RelayHealth Financial Helps Smooth the Path to Payment by Rethinking the Connection of Financial and Clinical Data

  • February 16, 2016

Today we unveiled a comprehensive agenda for HIMSS 2016 focused on helping healthcare finance leaders maintain healthy revenue during complex EHR-EMR conversions. In addition, we're convening industry thought leaders for problem solving and educational sessions that will help you drive overall revenue cycle improvement in your organization. Read the news release

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Livanta Selects InterQual To Support Its Medicare Utilization And Quality Care Reviews

Livanta Selects InterQual to Support its Medicare Utilization and Quality Care Reviews

  • January 28, 2016

Today we announced that healthcare services company Livanta licensed InterQual after becoming the Beneficiary and Family-Centered Care Quality Improvement Organization (BFCC-QIO) for Centers for Medicare & Medicaid Services (CMS) Areas 1 and 5. Livanta signed a long-term agreement to use InterQual for utilization and quality reviews for Medicare beneficiaries, including short-stay inpatient status claims reviews. Livanta is one of only two BFCC-QIOs charged by CMS to audit short-stay claims. Read the news release

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KEPRO Extends Use Of InterQual To Support Clinical Excellence In Utilization And Quality Reviews

KEPRO Extends Use of InterQual to Support Clinical Excellence in Utilization and Quality Reviews

  • January 25, 2016

Today we announced that KEPRO (Keystone Peer Review Organization, Inc.) will continue its use of InterQual for utilization and quality reviews. KEPRO is one of only two Beneficiary and Family Centered Care Quality Improvement Organizations (BFCC-QIOs) charged by the Centers for Medicare & Medicaid Services (CMS) to audit short-stay claims. As part of the new long-term agreement, KEPRO will use InterQual for review of two-midnight short stays on behalf of CMS, in addition to quality reviews for its state Medicaid contracts and commercial lines. Read the news release

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