So Many Records, So Little Time: How to Manage Burgeoning Health Plan Requests

Conclusion
Health plans typically request records required to process or resolve claims, perform risk adjustment reviews, and comply with HEDIS reporting requirements. The purpose is justified. It’s the recent rise in medical request volume that has created significant administrative burden and cost for healthcare providers.
Now is the time for providers to seriously consider automating their procedures and processes for fulfilling health plan medical record requests. Volumes are rising, and thankfully help is at hand.
About Moliehi “Mo” Weitnauer
Mo Weitnauer is the Chief Product Officer at MRO where she is responsible for product strategy and roadmap. With a master’s degree in Health Policy and Management from Harvard T.H. Chan School of Public Health, Mo formerly served in leadership roles for Cotiviti, FinThrive, and McKinsey & Company.

Source: EMR and HIPAA - June 15, 2023 Category: Information Technology Authors: Guest Author Tags: Administration Ambulatory C-Suite Leadership Health IT Company Healthcare IT HIM Hospital - Health System IT Infrastructure and Dev Ops Revenue Cycle Management Claims Denials Health Data Exchange Healthcare Scene Featured HEDIS Source Type: blogs