A Peer-to-Peer Review is a conversation between two healthcare professionals, usually licensed doctors, over the phone discussing a patient’s case. The Peer-to-Peer (P2P) process is used to explain or clarify something the clinical record cannot convey clearly. The core of a P2P call basically focuses on matching medical necessity criteria with reimbursement criteria.
BHM Healthcare Solutions, Inc., (BHM), a leader in medical and behavioral health review services and healthcare analytics, announces the retirement of Jean Neiner, President and CEO, effective December 1, 2022. With this change, we are excited to announce that Eric Rosenberg will move into the position of President and CEO.
Americans are increasingly reluctant to give up their personal information to websites, even in return for an improved online experience, according to a new report from the Advertising Research Foundation.
The University of Maryland's Baltimore and Baltimore County campuses have partnered to use technological expertise against cyberattacks
It can be difficult to effectively document sensitive health information of pediatric patients and older adults whose family members have access to their patient portals without violating the patient's privacy, according to a viewpoint article in AAP News and Journals.
Multispecialty medical group and integrated delivery system revenue is increasingly risk-based, but these organizations continue to experience barriers that slow their progress toward total value-based healthcare, according to a new survey.
Patient-generated health data (PGHD) has not yet been embraced as a revolutionary tool for healthcare, despite being touted as having the potential to increase patient engagement and clinician insight, according to a new study published in the Journal of the American Medical Informatics Association.
As part of its effort to shift more of its business towards value-based care arrangements, Louisville-based insurer Humana has launched a national Oncology Model of Care program meant to drive better treatment of cancer patients across the country.
Value-based care programs are flourishing across the U.S., with a seven-fold increase in the number of states implementing such initiatives in the past five years. That’s according to Value-Based Care in America: State-by-State, the second national study of state healthcare payment programs published by Change Healthcare.
Unauthorized users gaining access to private medical records is not a prevalent concern among young adult patients, according to the Kaiser Family Foundation's January 2019 Health Tracking Poll.