A single source for provider credentialing would involve creating a centralized, continuously updated database of credentialing information that could be accessed and trusted across the healthcare sector. While no such system exists today, it should be the goal, and here’s why. The post The Case for a “Single Source of Truth” in Provider Credentialing appeared…
Patients at the five CommonSpirit hospitals in Utah will have access to the physicians and providers at University of Utah Health
As hospitals nationwide search to improve the cleanliness of their facilities, infection control continues to be one of their biggest challenges. The challenge of preventing healthcare associated infections persists for several reasons: pathogens have become more resistant; patient flow demands have put added pressure to quickly clean and disinfect patient rooms; and human error, partly…
Updated schema requirements are easy to mix up — here are a few simple solutions The post Common MRF Mistakes Hospitals Are Making in 2024 appeared first on MedCity News.
This brief provides an overview of current lawsuits in health policy including preventive services, abortion care, gender affirming care, Medicare drug price negotiations, nursing home staffing rules, private coverage consumer protections, and protections and health coverage for Deferred Action for Childhood Arrivals (DACA) recipients; how they may be affected by the incoming Trump administration; and…
KFF’s analysis of KFF/AP VoteCast supplemental questions shows how abortion, abortion-related ballot measures, and other health care issues influenced the 2024 election.
Unauthorized switching of Affordable Care Act plans appears to have tapered off in recent weeks based on an almost one-third drop in casework associated with consumer complaints, say federal regulators. The Centers for Medicare & Medicaid Services, which oversees the ACA, credits steps taken to thwart enrollment and switching problems that triggered more than 274,000…
More than 16 million Americans are living alone while growing old – an unprecedented number. Yet surprisingly little is known about their experiences. This slice of the older population has significant health issues: Nearly 4 in 10 seniors living alone have vision or hearing loss, difficulty caring for themselves and living independently, problems with cognition,…More
One of the most important things providers can do on the journey toward consumer-driven care is to check their paternalism at the door, said Nworah Ayogu, head of healthcare impact at Thrive Capital. The post These 3 Mindset Shifts Will Help Providers Deliver Consumer-Driven Care, Investor Says appeared first on MedCity News.
While AI has the potential to streamline processes, its current use in the revenue cycle is resulting in more claim denials, payment delays, and a greater need for appeals, particularly because payers often use AI to retroactively review medical necessity determinations. The post How Payers are Using AI to Deny Claims and Dent Provider Revenue…