healthcare provider profiles
No Surprises Act: Pushing Health Plans into Action
Written by: Laura Long, Vertical Solutions Consultant, Provider Data

With political changes also come regulation changes. Though surprise medical billing has long been an issue, Congress recently passed HR 3630 containing the “No Surprises Act”, to remedy the problem. This latest bill applies to all group and individual health plans, with an effective date of January 2022. Among other things, this regulation requires that provider directories be updated on a regular basis, every 90 days.

provider directory
“No Surprises Act” Contains New Provider...
Written by: Dan Eikum, Senior Solution Consultant

The new “No Surprises Act” requires health plans to verify and update provider directory information at least every 90 days, which includes both individual providers and facilities. If you don’t have a plan to meet the requirements of the new regulation, it’s a good time to start.

provider data
Provider Data: Leaving Patients in Limbo?
Written by: John Markloff, Sr. Director, Content Strategy

Quality provider data is very important to healthcare organizations. In fact, in a recent survey[1]we conducted with data governance decision makers in provider organizations, 63% of respondents said that proper data governance improves care coordination across practices. These leaders also noted its importance to strategic planning (31% of respondents) and marketing (22%). Even so, organizations seem limited in their ability to maintain high quality provider data.

telehealth and provider data
Is My Doctor Online? Enabling Telehealth Through...
Written by: Rich Morino, Senior Director, Health Care Solutions

As the United States faces the growing COVID-19 health crisis, the delivery of healthcare is changing rapidly – particularly regarding the use of telehealth. In March, telehealth visits were up 50% and are expected to hit 1 billion this year. …

provider data quality image
Optimizing Provider Data Quality to Enhance the...
Written by: Rich Morino, Senior Director, Health Care Solutions

Mr. Smith is a 68-year-old retired teacher on a tight, fixed income. After visiting his Primary Care Physician (PCP) for a regular check-up, his PCP requested that he schedule an appointment with an Ear, Nose, Throat (ENT) specialist for a …

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