TTEC’s Post

CMS' Interoperability and Prior Auth rule will require health plans to transform prior auth processes and invest in technology. Plans need to begin this change to ensure they are in compliance by 2027. #CMSInteroperability #priorauthorization #healthplan

🌐 The U.S. healthcare system is evolving, and the CMS Interoperability and Prior Authorization Final Rule is at the forefront of this transformation. In our latest insight, we dive into the challenges and opportunities this rule presents for payers, from API implementation to enhanced data sharing and streamlined prior authorizations. Read the full article and stay ahead of the curve! 📖 https://hubs.ly/Q02Y7Nh30 #HealthcareInnovation #PatientCare #AArete

Hear from Nirnay Patel, EVP & GM of Benefits1™, as he shares insights on future trends in the Medicare Payer market and how Simplify Healthcare continues to lead with a 30% market share for PBP bid submissions while supporting CMS modernization initiatives. #SimplifyHealthcare #SimplifyHealthCloud #Medicare #PBPbids #Benefits1

When I have the chance I want to get you in front of our senior leaders so you can get a front row seat to where the market is heading, where Simplify Healthcare is heading, and where you as a #payer and #healthplan leader can take your business. Take a quick minute below and hear directly from Nirnay Patel. Nirnay is a senior leader at Simplify Healthcare serving as EVP and GM of our Benefits1 platform. Having a payer and tech background, Nirnay understands firsthand the challenges and opportunities that payers and health plans have to optimize and innovate. In this segment, hear about how Simplify has vastly improved the #Medicare bid submission process and how leveraging our same platform, leaders can start to achieve other important business outcomes, such has personalizing benefit plan selection. The ability to get people the products, benefits, and services they want, where they live, for their life and family's needs is the big idea that in our own way we are helping payers and health plans achieve. You will enjoy this brief update from Nirnay. Let us know how we can continue the conversation with you and your team. #products #benefits #services #healthcare #sdoh #personalizedhealthcare #employers #employees #patients #physicians #nurses #insurance #medical #medicalinsurance

1 in 3 Medicare Advantage bids goes through our platform! Hear from our EVP & GM Nirnay Patel how we can help enable a connected ecosystem in the Payer world that utilizes personalized and curated MA Benefits data. One area that I can personally connect having come from a clinical software background is, how member benefits can be queried and referenced in RealTime during a Utilization Management request / Review at a provider or payer source and auto approve or deny requests. Go one step further utilizing our AI platform that can use member claims data and clinical review guidelines to predict benefit utilization tailored to individuals or a population of members.

🚨New Blog Alert🚨 Understanding G2211 and How OutcomeMD Can Help. Healthcare providers, are you aware of the buzz around G2211? Since January, Medicare has been reimbursing providers approximately $16 per visit for successfully meeting this code's criteria. By incorporating G2211 into specific visit codes, practices can significantly increase their revenue potential. 📚Read More About It: https://hubs.ly/Q02M4Xv20 ⁉️Curious to delve deeper into G2211 and explore how OutcomeMD can optimize your practice? Contact us today for guidance on navigating these changes and enhancing your approach. https://hubs.ly/Q02M4Xyv0

Calling all healthcare payers! Want contracts that are always by the book? Conga Contract Lifecycle Management makes it easy. Get the ultimate guide to CLM for healthcare payers to find out how👉👉 https://lnkd.in/emQwnQGU #Conga #Healthcare #Contracts #ContractLifecycleManagement #CLM

Calling all healthcare payers! Want contracts that are always by the book? Conga Contract Lifecycle Management makes it easy. Get the ultimate guide to CLM for healthcare payers to find out how👉👉 https://lnkd.in/emQwnQGU #Conga #Healthcare #Contracts #ContractLifecycleManagement #CLM

🚨New Blog Alert🚨 Understanding G2211 and How OutcomeMD Can Help. Healthcare providers, are you aware of the buzz around G2211? Since January, Medicare has been reimbursing providers approximately $16 per visit for successfully meeting this code's criteria. By incorporating G2211 into specific visit codes, practices can significantly increase their revenue potential. 📚Read More About It: https://hubs.ly/Q02M53fD0 ⁉️Curious to delve deeper into G2211 and explore how OutcomeMD can optimize your practice? Contact us today for guidance on navigating these changes and enhancing your approach. https://hubs.ly/Q02M4Xzl0

***Exciting News for Healthcare Providers! *** CMS has introduced a game-changing update to evaluation and management (E/M) coding with the addition of HCPCS code G2211. This new code recognizes the crucial resources required for ongoing, longitudinal care relationships between practitioners and patients. In my latest article, I delve into the significance of HCPCS code G2211, its implications for Medicare claims, and how healthcare providers can leverage it to enhance patient care and reimbursement outcomes. Plus, I debunk common myths surrounding G2211 to ensure accurate understanding and implementation. Read the full article here https://lnkd.in/gbxw5iVt. If you're a healthcare provider navigating the complexities of medical coding and billing, this is a must-read! Let's stay informed and empowered to deliver high-quality care while maximizing reimbursement opportunities. #Healthcare #MedicalCoding #CMS #G2211 #PatientCare #Reimbursement #LongitudinalCare #Medicare