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3 Tips To Getting The Best Results From Your Independent Medical Reviewer

February 12, 2016 by Josh Nelson

Sending your medical reviews to an Independent Review Organization offers many benefits, including faster turnaround time and a broader depth of specialty knowledge. Once you have made the decision to send your medical reviews it is important that you understand how to get the best results from these reviews and what factors will impact the determination.[read more]

Socioeconomic Factors Crucial for Provider Performance Measurement in a Value-Based Paradigm

February 12, 2016 by Ashish Varshneya

These recent studies clearly suggest that socioeconomic adjusters are important not only for provider performance measurement but also broadly in the value-based payment paradigm. The debate continues and time will tell if CMS continues its stance on the exclusion of socioeconomic factors for determining provider performance measures.[read more]

4 Questions to Ask Your Credentials Verification Organization

February 11, 2016 by Lucy Qi

We are all too familiar with the amount of work behind a position that requires time and detail sensitivity. The process of hiring someone to do that work will also require great scrutiny. When the amount of work exceeds available bandwidth, healthcare facilities consider hiring a Credentials Verification Organization (CVO).[read more]

Should Medicare negotiate drug prices? Probably not

February 11, 2016 by David E Williams

It’s nice that the vast majority of Democrats (93%) and Republicans (74%) have found something to agree upon. Too bad it’s the overrated idea of having Medicare negotiate drug prices.[read more]

Laying the foundation for Artificial Intelligence in health care

February 10, 2016 by Robert Rowley

Machine learning and pattern recognition are an emerging science. But with sufficient data and sufficient clinical knowledge, machine-learned pattern recognition can provide recommendations that are ultimately more reliable than – thought built on the same premises as – the “gut hunch” of the experienced clinician.[read more]

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Healthcare IT Trends to Watch for This Year

February 10, 2016 by Dennis Hung

Although there are certainly incredible technologies being honed right now that have the power to change the healthcare industry as we know it, sometimes the most impactful technologies are the ones that seem the simplest.[read more]