The Cost Savings Opportunities on the Business Side of Healthcare – #HITsm Chat Topic

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 8/17 at Noon ET (9 AM PT). This week’s chat will be hosted by Don Lee (@dflee30) and @CAQH on the topic of “The Cost Savings Opportunities on the Business Side of Healthcare“. Progress on the Journey to Automate the Business of Healthcare Next time you’re in the doctor’s office, take note of what the administrative staff is doing behind the reception desk. For every patient, the staff needs to know if he or she has an active health insurance policy, if it will reimburse for the specific services the doctor provides and the deductibles or copays to determine the patient’s bill. After the patient leaves, the staff submits the claim and may continue to follow up to make sure it gets paid. Complicating their job, not every patient has the same insurance plan, let alone the same insurance company. That makes it easy to imagine how the doctor’s office could become a chaotic logjam without some uniformity in how all these processes are accomplished from one health plan to another. But, all in all, this system works pretty well, doesn’t it? This is because leaders on the business side of healthcare began collaborating more than 10 years ago to crack the code on interoperability. They hammered out rules of the road that, in combination with other efforts, have accelerated the use of automation and brought uniformity to routine processes — like figuring out...
Source: EMR and HIPAA - Category: Information Technology Authors: Tags: #HITsm Digital Health Healthcare HealthCare IT #HITsm Topics CAQH Don Lee Source Type: blogs