Financial/Revenue Cycle Management

Harmony Park Family Medicine also saw turnaround times decrease significantly, with more than half of monthly determinations requiring no authorization – and 70% of prior auth requests sent to Humana being approved instantly.

Janus Health CEO Todd Doze dispels three commonly held ideas about how OI technology works and what it can accomplish, explaining why he thinks these assumptions are untrue.

Zubin Khambatta, a healthcare attorney and partner at Holland & Knight, unpacks the rule, which was to go into effect on July 9 but has been challenged by the state of Texas.  

The Change Healthcare cyberattack was a watershed moment, says Greg Surla, senior vice president and CISO for FinThrive. He advises providers to start with the cybersecurity performance goals before the government dictates controls.  

Payers need information for risk adjustment and providers need data to close gaps in care, says Piyush Khanna of CareFirst BCBS.

Sal Lo, CEO of Jorie AI, discusses the company's policy of offering its automated billing and collections product to rural hospitals at a lower price to help them maximize reimbursements and sustain operations.

The Change Healthcare ransomware attack may not have shaken cyber insurance opportunities, but how chain reaction cyberattacks can aggregate policy claims gives underwriters the shivers, explains Hartmut Mai, president of Cyberwrite.

C-suite leaders and other executives from EHR, analytics, clinical automation and managed services firms see enforcement of the new Cures Act final rule as an overdue "step in the right direction."

As health systems aim to boost their finances and fine-tune operations post COVID-19, staffing and employee issues need to be addressed in a less fragmented way, says QGenda Chief Innovation Officer Rich Miller.