Claims Processing
The bipartisan HEALTH Act would make permanent Medicare payments for telehealth services at federally qualified health centers and rural health clinics.
More than three-dozen HEDIS measures have been adjusted to reflect new telemedicine services in response to COVID-19 and better align with the realities of virtual care delivery.
The tools could help payers manage the demands of standards-based interoperability challenges, and also offer security, identity management and consent management.
CMS says the move to reimburse physicians will enable beneficiaries to get telehealth services in physician's offices, hospitals, nursing homes, rural health clinics – and their homes.
Health plans will be responsible for data sharing and patient access in a way they're not used to. "A lot will have to go into meeting that deadline," one expert says.
AI and blockchain also continue to feature in its new technologies, as the revenue cycle and data exchange company works to help modernize the claims process and digitize more transactions.
The guide from CCHP aims to help providers navigate the process of billing CMS for remote patient monitoring, real-time and asynchronous virtual visits and mobile health services.
Zipari CEO and founder Mark Nathan says in last five years, payers have put the focus on consumers by building better transparency and trust.
As patients face increasing financial responsibility, they need to be given a better experience, says Deirdre Ruttle, vice president of strategy at InstaMed.