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 Claims Management For The Value-Based Era

Reinventing Claims Management for the Value-Based Era

  • February 16, 2017

Claim denials hurt both the bottom line and the morale of provider organizations. To reduce denials, providers need to adapt a systemic approach that blends claims management and denials management. Find out more in this Healthcare Scene article. Read the article

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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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McKesson To Launch Analytics-as-a-Service At HIMSS17

McKesson to Launch Analytics-as-a-Service at HIMSS17

  • February 15, 2017

McKesson revealed plans to debut a cloud-based analytics-as-a-service offering at HIMSS17 in Orlando next week. Called HQX Analytics, the consulting service helps providers and payers collaborate to develop successful value-based strategies as they transition from volume to value. Read the article

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Analytics Platform Receives Certification

Analytics Platform Receives Certification

  • February 14, 2017

McKesson's 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 was certified by Altarum Institute’s Center for Payment Innovation. Read the article

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Andrei Gonzales On Value-Based Care Innovations

Andrei Gonzales on Value-Based Care Innovations

  • February 10, 2017

The transition to value-based care has been helpful in getting providers to examine their own performance and find ways to improve quality. It allows providers to look at care as an episode of care, which is how patients experience it, and see where they can improve their care, says Andrei Gonzales, of McKesson Health Solutions. See the video

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BPCI Bundles Don’t Fuel Volume Increases: Analysis

BPCI Bundles Don’t Fuel Volume Increases: Analysis

  • February 8, 2017

New research found no evidence that bundled payment models increase the volume of procedures. Researchers compared major lower joint replacement rates among participants in Medicare’s Bundled Payment for Care Improvement (BPCI) program with rates of all other Medicare hospitals from 2011 through 2015. They found procedures at BPCI hospitals increased by 2.5% compared to a 9.7% increase among other hospitals. Read the article

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