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Countdown to Interoperability and Prior Authorization Final Rule
Finance/RCM

Countdown to Interoperability and Prior Authorization Final Rule

9:29

Payer-provider collaboration in data exchange is being mandated and payers must speed up the prior authorization process, says Courtney Yeakel, chief product officer of the Payer Unit at Veradigm.

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Studying MedPAC's claim of favorable selection in MA

Real-world encounter data shows individuals enrolled in a MA plan are more likely to have a chronic condition than those who sign up for original Medicare, says Inovalon's VP of research science and advanced analytics, Christie Teigland.

Studying MedPAC's claim of favorable selection in MA
Real-world encounter data shows individuals enrolled in a MA plan are more likely to have a chronic condition than those who sign up for original Medicare, says Inovalon's VP of research science and advanced analytics, Christie Teigland.
8:46
7:05

How AI is reshaping the revenue cycle

Agentic AI learns and can evaluate claims to make faster decisions to drive improved reimbursement, says John Yount, Chief Innovation Officer at FinThrive.

How AI is reshaping the revenue cycle
Agentic AI learns and can evaluate claims to make faster decisions to drive improved reimbursement, says John Yount, Chief Innovation Officer at FinThrive.
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3:27

Accurate provider directories are needed for patient access

The work of updating provider directories is the responsibility of payers, and much of it is still being done manually with mistakes incurring heavy penalties, says Megan Schmidt, CEO at Madaket Health.

Accurate provider directories are needed for patient access
The work of updating provider directories is the responsibility of payers, and much of it is still being done manually with mistakes incurring heavy penalties, says Megan Schmidt, CEO at Madaket Health.
3:27