Utilization management (UM) is crucial facet of the healthcare ecosystem. It ensures that healthcare systems are running efficiently and providing a standard level of care. Overall, utilization management is critical for ensuring that an organization is not only reducing denied claims, but catering to patients’ preferences and providing proper care.
It’s only the beginning of 2016 but here at BHM Healthcare Solutions we have been keeping a close eye on the upcoming healthcare trends for the year. So far we’ve discussed the important trends of Pharmacy and Behavioral Health and how each of those industries is expected to make great strides in the New Year.
The healthcare industry is rapidly growing: With innovations in medical tools and new successful procedures performed annually, there is no shortage of change. Just as vital to the industry are solutions that help manage the information of the millions of patients who visit each year. To keep up with the demand and to facilitate the process, adjusting healthcare information management practices is a necessity. Here are three trends that are being implemented.
BHM's webclinic “Components of a Great Peer Review Program” goes live Wednesday, November 18th from 12:00pm to 1:00pm EST. You don't want to miss this great opportunity to receive expert advice related to Peer Review Services. Don't worry you still have time to sign up!
Revenue cycle management (RCM) is incredibly important to a practice’s profitability. Without the ability to streamline the billing and collections processes, a medical enterprise will find it challenging to stay afloat. Managing your practice’s revenue cycle requires you and your staff to take an honest look at your current workflow to determine what’s working and what isn’t. Here are some things to focus on:
The NCQA's Patient Centered Medical Home program has been running since 2008 but over the past few years it has gone through some substantial revisions. Now the NCQA is asking for people in field, both who are providing care and receiving care, to help make the PCMH program the best it can be. Here are the basics you need to know:
Specialty pharmacy is a growing industry and with many pharmacies moving toward accreditation, the process can get overwhelming. The following infographic will review some basics of the new CPPA Specialty Pharmacy Accreditation.
Did you know that the Affordable Care Act is effecting the staffing industry? The ACA regulations put into effect state "that companies with more than 50 employees must provide insurance to their employees." The new regulation has had a great impact on staffing, hiring and the staffing industry's future. The following infographic from Akken Cloud will give you some insight on the relationship between the ACA and the staffing industry as a whole.
The role of the pharmacist in the healthcare industry has been expanding over the past decade, from simple medication fulfillment to crucial patient aftercare, education, and administering vaccinations. 2015 has already seen big changes within the healthcare industry and we predict that the role of the pharmacist will only expand more.
To an onlooker, it's easy to mistake a robust, high-tech hospital as a stable entity; however, hospitals face a myriad of high-pressure challenges. From juggling the changing healthcare system to the source of hospital funding, the obstacles faced by hospitals can be daunting.