by dbauza4gmailcom | Oct 12, 2022 | Blog, Care Coordination, Clinical Outcomes, Healthcare IT
The shift in healthcare from the current fee-for-service (FFS) model to value-based care (VBC) has been unfolding over the past decade. Rather than reimburse providers per service rendered, VBC payment models reimburse providers for the overall value of the care they...
by dbauza4gmailcom | Mar 30, 2022 | Blog, Care Coordination, Encounter Notification Service, Healthcare IT
In the care management plan puzzle, payers in the healthcare system hold key pieces needed to complete it. In fact, they’re often the only ones who know the full picture of the services a patient is receiving. Taking the time to understand the role of payers in care...
by dbauza4gmailcom | Feb 9, 2022 | Blog, Care Coordination, Encounter Notification Service, Healthcare IT
Claims data is created each time a patient covered by an active health insurance plan visits a healthcare provider. After the visit, the provider will submit a summary of services rendered to the patient’s payer for reimbursement, and that information forms part of...
