Digging into CMS’s Memo to Better Serve Dual Eligible Populations

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Today, over 12 million individuals are enrolled in both Medicaid and Medicare. These “dual eligible” individuals typically have high rates of chronic illness, many with multiple chronic conditions and/or social risk factors.

In a recent letter to state Medicaid directors, the Centers for Medicare and Medicaid services (CMS) outlined ten opportunities to better serve dual eligible populations.

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 Joins TODO Group

Change Healthcare becomes the first healthcare IT company to join leading open-source consortium

Change Healthcare has become a member of the TODO Group, becoming the first healthcare IT company to join the national consortium that is working to establish best practices for using open source software in the enterprise.

Change Healthcare Joins TODO Grou

Casenet Integrates with InterQual Connect

Casenet® LLC, a population health company, announced that it is launching an integration with Change Healthcare’s InterQual Connect™ that enables providers and payers to access evidence-based content to streamline authorization requests and facilitate utilization review.

Integration with InterQual Connect provides an easy,

Casenet Integrates with InterQual Connect

Digging into CMS’s Memo to Better Serve Dual Eligible Populations

LISTEN NOW

Today, over 12 million individuals are enrolled in both Medicaid and Medicare. These “dual eligible” individuals typically have high rates of chronic illness, many with multiple chronic conditions and/or social risk factors.

In a recent letter to state Medicaid directors, the Centers for Medicare and Medicaid services (CMS) outlined ten opportunities to better serve dual eligible populations.

Demystifying the CMS-Outlined Opportunities to Better Serve Dual-Eligibles

Documenting Medical Necessity is Critical for Two-Midnight Rule Compliance

It’s hard to believe, but CMS’s controversial ‘Two-Midnight’ rule (2MN rule) has been in effect for more than five years. The rule was initially intended to provide a clear, time-based method to help determine whether patients should be placed in observation or inpatient status.

Although CMS has issued updates and clarifications,

Change Healthcare Announces AI for Claims Management

At HIMSS 2019, Change Healthcare announced Claims Lifecycle Artificial Intelligence, a new capability to help providers and payers optimize the entire claims processing lifecycle.

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Change Healthcare announces AI for claims management at HIMSS19

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AI Incorporated into Claims

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Change Healthcare Announces AI for Claims Management at HIMSS19

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8 Tech Highlights from HIMSS

Change Healthcare Announces AI for Claims Management

Change Healthcare Unveils Claims Lifecycle Artificial Intelligence

Change Healthcare introduced Claims Lifecycle Artificial Intelligence, a new capability being integrated into the company’s Intelligent Healthcare Network and financial solutions, to help providers and payers optimize the entire claims processing lifecycle.

Read the news release

Change Healthcare Unveils Claims Lifecycle Artificial Intelligence

Experian, Change Healthcare Collaborating on New Identity Management Platform

Change Healthcare and Experian Health are teaming up to solve one of the most common challenges in healthcare today: accurate ID of patients across care settings. The two companies announced a partnership to provide an identity management solution to solve patient identification and duplication challenges.

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Experian, Change Healthcare Collaborating on New Identity Management Platform

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