Claims Processing

More than three-dozen HEDIS measures have been adjusted to reflect new telemedicine services in response to COVID-19 and better align with the realities of virtual care delivery.

The tools could help payers manage the demands of standards-based interoperability challenges, and also offer security, identity management and consent management.

CMS is also allowing ERs to use drive-through testing and telehealth, and for tests to be done at home for stay-at-home residents.

CMS says the move to reimburse physicians will enable beneficiaries to get telehealth services in physician's offices, hospitals, nursing homes, rural health clinics – and their homes.

Health plans will be responsible for data sharing and patient access in a way they're not used to. "A lot will have to go into meeting that deadline," one expert says.

AI and blockchain also continue to feature in its new technologies, as the revenue cycle and data exchange company works to help modernize the claims process and digitize more transactions.

The guide from CCHP aims to help providers navigate the process of billing CMS for remote patient monitoring, real-time and asynchronous virtual visits and mobile health services.

The adoption of EHRs and supporting health IT may result in new methods of E/M documentation and coding tech adoption. And these types of E/M coding issues also apply to providers offering telemedicine services.

Thrive, which develops tools to incorporating earlier cancer detection into routine clinical workflows, will now gain access to five years of BCBS claims data to help innovate its approaches.

At Integris Health, billing and analytics technology is responsible for measurable rises in patients' perceptions of the financial experience – helping them set up payment plans, make payments, register for self-service and sign up for text alerts.