Feature Content
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Clean Claim Rate: Why It Matters And What You Can Do About It
1/3/2018
Working in the healthcare IT space, chances are good that you’ve encountered the term “clean claim rate” (CCR) at some point. In case you are unfamiliar, however, CCR is a key revenue cycle metric that indicates the quality of claims-related data being collected and reported in the form of a claim as it begins its journey from provider to the claim scrubber to the clearinghouse and on to the payer.
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Time To Bring Automation To Prior Auth
12/29/2017
Prior auths may be as popular among providers as ants at a picnic, but they have become a common and necessary part of the reimbursement process. As a result, being able to manage prior auths efficiently is critical to maintaining a healthy revenue cycle and avoiding issues such as denied claims, administrative waste, excessive staff turnover and, of course, patient dissatisfaction.
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Reducing Misdiagnosis: Healthcare Technology Set To Save Thousands Of Lives And Billions Of Dollars
12/26/2017
Digital transformation holds promise to solve many problems across industries – but one that may seem less obvious is misdiagnosis, one of the largest challenges in health care.
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7 Steps For Comprehensive HIPAA Risk Assessment
12/22/2017
IT risk assessment, or risk analysis, is one of the main requirements for HIPAA compliance. According to paragraph 164.308, risk analysis is “an accurate and thorough assessment of the potential risks and vulnerabilities to the confidentiality, integrity, and availability of electronic protected health information held by the covered entity.” Failure to establish proper control over risks in the IT environment can result in not only failed compliance audits, but devastating breaches that can lead to civil and criminal penalties and loss of customer loyalty.
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The Lost Generation: Meeting The Communication Needs Of Baby Boomers
12/21/2017
It’s been said before; the millennials want more technology in their healthcare. Millennials want to be able to text their doctor, and millennials are driving expectations for healthcare. But what about everybody else? Are millennials the only ones healthcare providers should cater to?
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When It Comes To Sharing Patient Information, Can You Do it Securely?
12/18/2017
The healthcare IT systems used to collect, store and share confidential patient information are under constant attack. The Identity Theft Resource Center reports the healthcare industry experienced 179 breaches in just the first half of this year, accounting for nearly a quarter of all breaches in the U.S. The Dark Web is a thriving marketplace for packages of protected healthcare information (PHI) that thieves can use to steal identities or file fake medical claims. Reversing this trend and demonstrating compliance with the industry regulations and laws governing the protection of PHI requires healthcare organizations to have full visibility into where patient data and other sensitive information sits within their networks.
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Healthcare Interoperability: A Must To Revolutionize Value-Based Care
12/7/2017
I’m sure I’m not the only one who lost count of the times I’ve been asked, “Why can’t the systems talk to each other?” or, in more technical terms, “Why don’t we have interoperability?”
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How Online Tools Increase Patient Retention
12/5/2017
If patients aren’t satisfied with their provider all it takes is a quick online search to find another one. How can providers work to proactively combat these high attrition rates? Not surprisingly, the top items on patients’ wish lists for the ideal doctor are greater connectivity and convenience through online tools — both things that are easy for a practice to implement using patient relationship management (PRM) solutions. By Jim Higgins, CEO and founder, Solutionreach
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Connect And Protect: Zero-Trust Helps Secure Electronic Medical Records
12/1/2017
The Zero Trust model of security, long a hot topic among CISOs, is being implemented today in healthcare. Virtualization, visibility, and automation in the software-defined data center make the approach practical, helping organizations minimize threats to patient data and safety, even as their digital care ecosystems expand.
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Behind The Scenes Of A Data Breach
11/29/2017
In today’s security landscape, it’s not a matter of if a company will be attacked, rather the question is when. Forrester Research reports that 49 percent of global network security decision-makers have experienced at least one breach during the past 12 months. Research shows the average company loses $141 per compromised record, with the greatest loss in the healthcare industry as $380 is lost per each compromised record – not to mention the legal implications when patient data becomes at risk.