The issue with prior authorizations is that is an antiquated, cumbersome process developed years ago when paper-based processes where the norm. In today’s electronically-driven, real-time response world, prior authorizations are an administrative burden for the provider and patient.

With a population of over 80 million, Millennials have now surpassed Baby Boomers as the largest generation of healthcare consumers. And just as each generation expresses its own unique preferences for fashion and music, so is the case with patient engagement preferences. The next generation of healthcare consumers are looking for a stronger relationship with providers as well as more innovation on how they connect and communicate.

Geisinger Health System in Pennsylvania wants to keep their customers happy. So when patients are upset about a long wait in the emergency department, or a doctor’s curt approach, or a meal that never arrived, Geisinger is doing more than apologizing. It’s offering money back on their care, no questions asked.

Provider credentialing and enrollment is an absolute necessity when running a successful physician practice. Becoming a provider with commercial and government insurance companies allows you to maintain steady patient referrals and cash flow which is the backbone of any successful practice. 

A new ruling from The Centers for Medicare & Medicaid Services (CMS) requires rural health clinics (RHCs) to report the appropriate Healthcare Common Code Procedure for each billable service received (whether medically necessary, face-to-face, mental health, or qualified preventive health visits with a RHC practitioner), along with the revenue code and other required billing codes.

The Centers for Medicare & Medicaid Services (CMS) announced a new initiative to transform and improve how primary care is delivered and paid for in the United States. The Comprehensive Primary Care Plus (CPC+) model will be implemented in up to 20 regions and can accommodate 5,000 practices. This would encompass more than 20,000 doctors and clinicians and the 25 million patients they serve. 

The New York Department of Health has issued blanket waivers for exceptional circumstances in which electronic prescribing cannot be performed due to limitations in software functionality. Practitioners issuing prescriptions in the below-listed exceptional circumstances may either use the Official New York State Prescription Form or issue an oral prescription. 

It has been six months since the U.S. healthcare industry has implemented ICD-10. By all accounts, the transition has been unremarkable, certainly not the chaotic Y2K mess that many had predicted. But that does not mean the work is over. Earlier this month the Centers for Medicare and Medicaid Services (CMS) released and ICD-10 Next Steps for Providers Assessment & Maintenance Toolkit to help healthcare providers work through any problems tied to implementation.

From patient portals and personal health records to wearable tech and medical devices, all of these innovations are aimed at providing patient engagement solutions. But, how do patients and providers view the impact of this technology on engagement?  

The United States is experiencing an epidemic of drug overdose deaths. According to the CDC, since 2000 the rate of deaths from drug overdoses has increased 137%, including a 200% increase in the rate of overdose deaths involving opioids (opioid pain relievers and heroin). The proliferation of the epidemic is leading some states to rethink legislation governing opioid prescriptions.