ACMA Blog

JULY 9, 2024

FTC Conducts Investigation into PBMs Because PBM practices lack transparency and accountability to the public, in 2022, the Federal Trade Commission (FTC) requested data and documents of business practices to the six largest PBMs: Caremark Rx, LLC, Express Scripts, Inc., OptumRx, Inc., Humana Pharmacy Solutions, Inc., References Armstrong D.

Insurance 98

Insurance Patient Centered Care Medication Certification 98

Valant

MARCH 1, 2024

Compliance with the Health Insurance Portability and Accountability Act ( HIPAA ) and other laws/regulations is mandatory. In addition, complying with HIPAA protects your patients, your practice, and helps you avoid fines and penalties. A cornerstone of patient-centered care is the behavioral health treatment plan.

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Billing Patient Centered Care HIPAA Follow-Up 52

ACMA Blog

OCTOBER 8, 2024

Many healthcare providers may prescribe treatments that are not considered routine or may be expensive, an insurance company may need prior authorization (PA) to determine whether they will cover what the healthcare providers recommends 4. The healthcare provider must get approval from the insurance company.

Medication 40

Medication Insurance Documentation Follow-Up 40

Arkenea

MARCH 15, 2025

The HIMSS developed a multi-level framework to assist medical personnel in evaluating their data exchange and document management capacities. At this level, various software platforms and DMS (Document Management Systems) can securely communicate and transfer data with each other. Want to get your HealthTech project off the ground?

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Unit Organization and Environment Transfers Communication Documentation 52

Valant

MARCH 14, 2024

EHRs streamline these tasks by automating routine, repetitive processes such as appointment scheduling , patient communications, and insurance claims processing. It allows for resources to be allocated most efficiently, freeing up valuable time for clinicians and staff to focus on patient care and the patient experience.

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Billing Communication Patient Care Scheduling 52

Ciox

AUGUST 3, 2023

Patient Frustration: Decreased patient satisfaction over the frustration of repeatedly providing medical history to different healthcare providers, leading to a diminished sense of trust in the healthcare system. Quality improvement of clinical documentation. What is Health Information Exchange (HIE)?

Unit Organization and Environment 40

Unit Organization and Environment Medical History Transfers Collaboration 40