Change Healthcare’s Deborah Meisner Wins Multiple Awards From WEDI

Change Healthcare’s Deborah Meisner Wins Multiple Awards from WEDI

  • December 6, 2017

Deborah Meisner, VP of Regulatory Strategy at Change Healthcare, was honored with numerous awards by the Workgroup for Electronic Data Interchange (WEDI) at WEDIcon 2017, the nonprofit HIT group's annual conference. Meisner received the Chair Award, issued by the Chair of the WEDI Board to “recognize an individual who has provided significant support to the Chair and the Board in meeting the goals of the organization.” She shared the honor with Jay Eisenstock, WEDI Chair-elect. Meisner was also honored in two other categories. She received the “Outstanding Leadership Award”, which acknowledges “Workgroup/Taskforce or Subworkgroup (SWG) co-chairs who have consistently contributed…

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Change Healthcare Addresses Looming Medicare Changes At WEDIcon 2017

Change Healthcare Addresses Looming Medicare Changes at WEDIcon 2017

  • December 6, 2017

One of the hot topics at WEDIcon 2017 was the CMS's New Medicare Card Project. This fraud prevention initiative removes Social Security numbers from Medicare cards to help fight identity theft. But changing these ID numbers creates new challenges for claims and reimbursement processing. The new cards will use a unique, randomly-assigned number called a Medicare Beneficiary Identifier (MBI), which will replace the Social Security-based Health Insurance Claim Number (HICN) now used on Medicare cards. The CMS will begin mailing the new cards to Medicare members in April 2018. As a result, the clock is ticking for stakeholders to update…

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Join Change Healthcare At Becker’s 6th Annual CEO + CFO Roundtable

Join Change Healthcare at Becker’s 6th Annual CEO + CFO Roundtable

  • November 10, 2017

By Kevin Weeks, FACHE, Director, Strategic Marketing, Change Healthcare One of our favorite annual events is just around the corner: Becker’s Hospital Review CEO + CFO Roundtable kicks off November 13th and runs through the 15th at the Westin Michigan Avenue in Chicago. It's the sixth year for this must-attend gathering, with over 122 hospital CEOs, CFOs, and industry experts sharing their views on the issues, opportunities, and strategies that matter to health system executives. We'll be there in force, with Change Healthcare experts leading or driving several sessions, joined by representatives of our executive, sales, and account management leadership,…

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InterQual Connect Helps Partners Automate, Streamline Reviews For Providers

InterQual Connect Helps Partners Automate, Streamline Reviews for Providers

  • October 3, 2017

A growing number of healthcare technology vendors are streamlining preauthorizations by integrating the InterQual Connect cloud-based interactive medical review and connectivity solution into their own offerings. Most recently, InfoMC and HealthTrio both announced they are integrating InterQual Connect with their own solutions to automate exception-based utilization management for their provider customers. InfoMC, a provider of cloud-based healthcare management and care coordination solutions, has integrated InterQual Connect into its Incedo Healthcare Management System. The integration will support a more efficient, standardized clinical review process by allowing care managers to easily access care guidelines from within the Incedo decision-support workflow. HealthTrio, which…

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Claims Processing Interoperable

Claims Processing Interoperable

  • August 2, 2017

Change Healthcare announced that its ClaimsXten™and ClaimsXten™ Select claims auditing solutions are now both interoperable with Pegasystems Claims Processing, McKnight’s reports. Read the article

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Reinventing Claims Payment For A Value-Based World

Reinventing Claims Payment for a Value-Based World

  • June 6, 2017

By Amy Larsson RN, BSN, MBA The U.S. healthcare industry’s claims-payment system is frustrating to providers, payers, and patients alike. Inefficiency and a systemwide tendency for error wastes precious resources, worsens miscommunication and mistrust among all stakeholders, and inhibits the ability to transition to value-based approaches that achieve better outcomes. We need to rethink our industry’s disjointed and siloed approach in order to solve a very integrated problem. Despite billions invested in achieving efficient claims payment, more than 7% of claims are not paid correctly the first time, the second time, and sometimes even the third time.¹ The remediation process…

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Reinventing Utilization Management To Bring Value To The Point Of Care

Reinventing Utilization Management to Bring Value to the Point of Care

  • June 6, 2017

How an automated exception-based approach can make UM more efficient and effective By Nilo Mehrabian How can health systems deliver the right care, at the right cost, in the right setting, without overwhelming delivery and reimbursement systems with administrative burden? The shift from volume to value-based care requires the deft combination of value-based delivery (enabled through actionable intelligence and new care delivery models) and value-based payment (enabled through select provider networks and new reimbursement models). Providers and payers must operate across a transparent, administratively simple, shared ecosystem. This giant leap from today’s world in which healthcare stakeholders currently operate might…

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