Payers, Providers Pledge to Improve Prior Authorizations
AHIP, BCBSA, AHA, and other organizations have agreed to improve the efficiency of prior authorizations. “Leaders of organizations participating in the pledge […]
CMS MBI Notification
Client Notification Date: February 15, 2018 Topic: MBI Purpose: The following notification is to inform our Medicare Health Plan clients that HealthAxis Group […]
All-Payer Claims Databases Offer Insights into Healthcare Spending
The data from an all-payer claims database can reduce wasteful healthcare spending by supporting population health and analytics-driven healthcare decision making. “All-payer […]
CMS launches voluntary bundled payments model, first since spiking mandatory bundles
The agency’s Innovation Center said the new Bundled Payments for Care Improvement Advanced model is the first APM that would qualify under […]
Medical Device Data, UDIs on Claims Impact Costs, Patient Safety
According to recent reports, payers who incorporate medical device data and UDIs into their claims may improve costs and patient safety. “Adding […]
Claims Analytics Help Medicare Identify, Prevent Provider Fraud
The use of a claims analytics platform helped Medicare to identify and prevent millions of dollars in provider fraud. “Close to a […]
Quality Payment Program needs more technical assistance, oversight, OIG finds
A new report by HHS’ Office of Inspector General gives CMS points for making significant efforts to implement the Quality Payment Program […]
More billing codes, demonstrations help bridge physician payment gap
In the 2018 Medicare Physician Fee Schedule, CMS said it is working incrementally to “identify gaps in appropriate coding and payment for […]
HXG Cybersecurity Series: Multi-Factor Authentication
The Everlasting Issue of Breaches and How We Avoid Them We recently discussed how security breaches affect the healthcare system and the […]
CMS takes aim at regulatory reforms to ease provider burden
Lack of productivity and increased workload among top complaints from providers surveyed The Centers for Medicare and Medicaid Services is committed to […]