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.

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,

Infographic: Using AI to Predict Claims at Risk for Denial

Denials remain a vexing challenge for provider organizations of all sizes. Change Healthcare’s analysis of claims data shows AI could help identify and flag up to 35% of denials prior to submission.

This new infographic illustrates how much denied claims are costing providers, how much providers must spend to get paid,

Infographic: Using AI to Predict Claims at Risk for Denial

Change Healthcare Rolls Out InterQual 2019

Change Healthcare has unveiled InterQual 2019, the latest edition of the company’s flagship clinical decision support solution, which builds on its tradition of continuous innovation in content and technology.

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New CDS from Change Healthcare enables home-based telemonitoring

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Change Healthcare’s InterQual2019 Features Hospital in the Home Programs

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Change Healthcare Introduces InterQual 2019

Change Healthcare Rolls Out Latest Version of InterQual

Change Healthcare Introduces InterQual 2019

Change Healthcare has unveiled InterQual® 2019, the latest edition of the company’s flagship clinical decision support solution. Among the new features are support for Hospital in the Home programs, and the addition of  Episode Day One review functionality to InterQual AutoReview™. These additions complement the rigorous, ongoing review of InterQual criteria–including thousands of new content updates and enhancements.

Change Healthcare Introduces InterQual 2019

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,

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

Infographic: Using AI to Predict Claims at Risk for Denial

Denials remain a vexing challenge for provider organizations of all sizes. Change Healthcare’s analysis of claims data shows AI could help identify and flag up to 35% of denials prior to submission.

This new infographic illustrates how much denied claims are costing providers, how much providers must spend to get paid,

Infographic: Using AI to Predict Claims at Risk for Denial

New Thinking for Providers to Reduce Bad Debt by Improving the Patient Experience

There’s no denying that reducing bad debt is at the top of revenue cycle leaders’ agendas. Patient liability has skyrocketed in recent years due to the rise in high-deductible health plans and erosion in coverage.

And many, if not most providers are being tripped up by these changes.

Advanced Patient Liability Management

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