November 5, 2019
Using FHIR as a Competitive Advantage to Expand Referral Networks
by Beau Benson | Healthcare Technology
Healthcare has a physician burnout problem. Healthcare has a patient satisfaction problem. Healthcare has a cost problem. These are common refrains in healthcare today, but what single factor is at the center of each of these problems? Access to data. Lack of access to data leads to delays in care, redundant data entry, repetitive procedures, and causes financial hardship for patients and providers alike. As a result, costs to healthcare organizations and their patients have skyrocketed. Data sharing in healthcare has been limited by several factors: competition-fueled inertia, resilient paper-based workflows, systems cost, and (most acutely) a lack of standards… Read entire article here
Imagine that you’ve been recruited to be part of a dance routine. You arrive at the first rehearsal and meet the other dancers. The instructor strides in and introduces herself, then describes in intricate detail how the dance will be choreographed. After several hours of practice, you are starting to hit your marks. When you arrive for rehearsal the next day, however, there is a new instructor. He incorporates some of the previous instructor’s choreography but it is by no means the same dance. He adds new material and changes some important sequences. You stumble through the new routine but… Read entire article here
The prior authorization process is a textbook example of the law of unintended consequences. Created for sound reasons — as a utilization management tool for healthcare insurance companies to control costs and protect patients from surprise bills — it has unintentionally paved the way for a corresponding surge in administrative burdens, claim denials and rework. All of which have taken a toll on the revenues of healthcare providers. Not to mention the psyche of revenue cycle teams and patients. The obvious answer to reducing claim denials and ensuing denial write-offs is to prevent them from occurring in the first… Read entire article here
