HMS

HMS | September 06, 2016

Most questions we receive regarding pre-pay clinical claim review involve prompt pay. They tend to come down to, “How can I complete a clinical claim review within prompt pay guidelines?”So let’s first address prompt pay guidelines. Prompt pay guidelines are based on specific requirements of the program and/or a contract between the plan and the provider. The Centers for Medicaid and Medicare Services and most contracts do allow for additional timing when a claim requires review of documentation...

Digital Health | September 05, 2019

The newly announced National Artificial Intelligence (AI) Lab will be used to “train” algorithms and develop “ethical” frameworks, Matt Hancock has said. Appearing via video at NHS Expo, the health secretary said the lab was part of a “major transformation” to improve digital health and patient experience. The lab] will boost the national research capability with a controlled environment where we can train algorithms, trial new concepts and scale up the best i...

ONC | November 08, 2017

The Office of the National Coordinator for Health Information Technology has revealed the winners of its Patient Matching Algorithm Challenge, launched this past June. More than 40 competing teams, using an ONC-provided dataset, offered some 7,000 submissions that explored a variety of solutions to the matching problem....

LabRoots | March 14, 2018

With the help of Google’s artificial intelligence (AI) research group, scientists are on their way to relying on algorithms and software to make diagnoses as accurate and precise as a group of specialists would. In a new study from the American Academy of Ophthalmology, researchers recruit AI to improve detection and diagnosis for a common diabetic eye disease....