Inside the Hospital in the Home Trend

“Hospital in the Home” is emerging as a frequently discussed concept in the medical community. Programs that allow patients to receive hospital-level of care in their homes have shown to be safer, less costly, and result in better patient outcomes. As a result, Hospital in the Home programs are gaining traction as an alternative option to acute inpatient stays.

CommonWell Enlists Change Healthcare for New Interoperability Work

Change Healthcare has been awarded a six-year contract by CommonWell Health Alliance to continue providing clinical interoperability services to CommonWell, to support both treatment and patient access.

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CommonWell Enlists Change Healthcare for New Interoperability Work

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CommonWell Health Alliance Awards Change Healthcare Six-Year Contract to be the Provider of Clinical Interoperability Services

Change Healthcare announced that it has been awarded a six-year contract by CommonWell Health Alliance® to continue to provide clinical interoperability services to CommonWell to support both treatment and patient access. The new contract extends the existing five-year relationship, whereby CommonWell and Change Healthcare will jointly support clinical data interoperability for Americans,

CommonWell Health Alliance Awards Change Healthcare Six-Year Contract to be the Provider of Clinical Interoperability Services

New AI from Change Healthcare Can Help Providers Prevent Denials

Change Healthcare applied its Claims Lifecycle Artificial Intelligence (AI) technology to its claims management suite with the introduction of Assurance Reimbursement Management™ Denial Propensity Scoring and Revenue Performance Advisor Denial Prevention. With performance enhanced by Claims Lifecycle AI, providers of any size can now proactively identify problem claims that could result in denials,

New AI from Change Healthcare Can Help Providers Prevent Denials

A Better Way for Payers to Manage a CMS Program Audit

Every year CMS requires all MAOs and PDPs to submit multiple “universes” of data to assess the timeliness of their work on a variety of measures. About once every three years, these plans will receive notice that they’ve been selected for a full program audit. The health plans have 15 calendar days to provide dozens of universes with thousands of records of their own and those of delegates.

Change Healthcare Offers Program Audit Services for Those in CMS Crosshairs

Will Artificial Intelligence (AI) and Machine Learning (ML) Make Denial Management a Thing of the Past?

Time is money, especially when it comes to managing denials. While the typical cost to rework a claim is $25, associated costs substantially increase that amount.[1] An American Academy for Family Physicians study found the cost to correct just 15 denied claims per month can add up to $4,500 per year.[2] With denial rates averaging 5-15% or more,

Reducing denials for physician practices

New AI from Change Healthcare Can Help Providers Prevent Denials

Change Healthcare applied its Claims Lifecycle Artificial Intelligence (AI) technology to its claims management suite with the introduction of Assurance Reimbursement Management™ Denial Propensity Scoring and Revenue Performance Advisor Denial Prevention. With performance enhanced by Claims Lifecycle AI, providers of any size can now proactively identify problem claims that could result in denials,

New AI from Change Healthcare Can Help Providers Prevent Denials

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