#Healthcare Data

[vinnovatetechnologies]

EMR (Patient/Claimant) & Billing Management

vInnovate Technologies offers an EMR (Electronic Medical Records) and Billing Management software solution that helps insurance companies efficiently manage Independent Medical Examinations (IMEs). 

The software provides features such as managing claimant personal information, healthcare data, and generating customized reports as per insurance company standards. It addresses the challenges faced by insurance company vendors in handling the high volume of manual paperwork, appointment scheduling, coordination with multiple doctors, and various other inputs required for IMEs.

The fully integrated system streamlines the process and enables insurance companies to make informed decisions regarding patient injuries and appropriate compensation levels.

[falkondata]

A Guide to Healthcare Data Integration & Improved Patient Care

Demystifying the New CMS Prior Authorization Rule

The healthcare landscape is evolving rapidly, driven by a focus on streamlining processes, empowering patients, and delivering quality care efficiently. The new prior authorization rule, with its emphasis on the HL7 FHIR data integration standard, is a pivotal step in this direction. But navigating these complexities can be challenging for healthcare providers and payers alike.

This is where Falkondata, with its expertise in healthcare data integration and interoperability, comes in as your trusted partner.

Here are some frequently asked questions about this new rule:

Q: What is the new rule by the Centers for Medicare & Medicaid Services (CMS) about?

A: The new rule by CMS is about improving healthcare data exchange and prior authorization processes. It aims to streamline the prior authorization process, improve data exchange between providers and payers, and give patients more access to their health information. The new rule requires payers to support HL7 FHIR® Prior Authorization API data integration standard and/or X12 278 transaction standard.

Q: How will the HL7 FHIR Prior Authorization API improve the process?

A: This API automates the entire prior authorization process electronically, saving time and reducing administrative burden for both providers and payers. Medicare FFS already uses this API successfully, demonstrating its efficiency.

Q: What about the X12 278 standard? Is it mandatory?

A: While the rule encourages the use of FHIR API, it offers flexibility. Payers who implement a fully FHIR-based API won't be penalized for not using X12 278, allowing them to choose an FHIR-only or combined approach. They can also offer an X12-only option if desired.

Q: What other API requirements are included?

A: By January 2027, payers must:

Expand their Patient Access API to include prior authorization information.

Implement a Provider Access API for data retrieval (claims, encounters, clinical data, prior authorizations).

Exchange patient data (with permission) via Payer-to-Payer FHIR API when patients switch payers or have multiple ones.

Here are all the APIs healthcare payers should implement:

Here is a link to the chart of proposed and current API standards.

Q: How will these changes benefit patients and providers?

A: These data integration efforts aim to:

Reduce administrative burden for healthcare professionals.

Allow clinicians to spend more time on direct patient care.

Prevent delays in care for patients needing prior authorization.

Improve access to health information for patients and providers.

Q: What about the enforcement of these standards?

A: HHS will enforce the use of the FHIR API for prior authorization. However, they offer enforcement discretion for the X12 278 standard, allowing flexibility in implementation.

Q: Is there anything else to know about this rule?

A: The API compliance deadline has been delayed from January 2026 to January 2027 due to public feedback. Additionally, a new Electronic Prior Authorization measure is being added to MIPS and the Medicare Promoting Interoperability Program to track API usage.

By implementing these standards and promoting data exchange, the goal is to create a more efficient prior authorization process, improve access to health information, and ultimately deliver better, timelier care to patients.

Q. How can Falkondata help with this new rule?

A: The new healthcare rule mandates data integration standards like HL7 FHIR and X12 278 to revolutionize prior authorization, but navigating these complexities can be daunting. That's where Falkondata steps in.

We are healthcare data integration experts:

Proven track record: Successfully implemented various FHIR, HL7 messages, and X12 interfaces.

Deep understanding: We grasp provider and payer workflows for seamless integration.

Comprehensive service: We help implement provider, patient, and prior authorization APIs, ensuring compliance and efficiency.

Embrace the benefits:

Reduce administrative burden: Free up valuable time for healthcare professionals.

Empower patients: Enhance access to health information and faster care delivery.

Boost efficiency: Streamline prior authorization processes with automated solutions.

Don't wait to adapt. Contact Falkondata today to discuss your project and:

Simplify compliance: Ensure smooth implementation of data integration standards.

Optimize workflows: Enhance provider and payer communication for better patient care.

Unlock the future: Embrace the evolving healthcare landscape with confidence.

Together, let's build a more efficient and patient-centric healthcare system.

[priyankarajput22]

Healthcare generates a vast amount of data every day. Electronic health records (EHRs), medical imaging, genomic data, wearable devices, and patient history all contribute to an immense pool of information.

[educationisimp0]

"Unlock the power of your healthcare data with SG Analytics' cutting-edge healthcare data management solutions. Our expert team leverages advanced analytics and robust technology to streamline data collection, integration, and analysis, enabling you to make data-driven decisions and enhance patient outcomes. Transform your healthcare organization today." 

[atzose]

25 Ways Healthcare Data is Revolutionizing the Healthcare Industry

An exhaustive list for healthcare and healthcareIT colleagues and friends. Happy Reading!

Healthcare data refers to the information collected from various sources in the healthcare system, including medical records, laboratory results, and insurance claims. This data can be used in numerous ways to advance healthcare and improve patient outcomes. From improving patient safety to developing personalized treatment plans, healthcare data is a valuable tool that can help healthcare…

[blockchainxtech]

Healthcare Data Management: What Is It and Why Does It Matter?

Health informatics is an emerging practice that is rapidly expanding. Today, there are numerous colleges that provide degrees in health information. Healthcare Data Management (HDM) of healthcare data, information, and knowledge for decision support by care providers, teaching hospitals, research centers, and pharmaceutical and biotech companies is at the heart of healthcare Information management. Healthcare data management is evolving and improving medical treatment delivery and support.

Making sense of healthcare data and managing patient outcomes are driving today’s healthcare practice. We can see this today in the management of the global response to COVID. The response is heavily data-driven in order to make decisions about an appropriate global response to the virus.

What is Healthcare Data Management?

The Process of managing the lifecycle of health data is known as healthcare data management. Data is generated, collected, stored, organized, processed, archived, and destroyed. Furthermore, data is kept secure and protected to ensure strict confidentiality and integrity, and it is only accessible to those who need it. All of this and more is possible with healthcare database management systems, which can analyze disparate and diverse datasets from multiple internal and external sources to provide operational and decision support to applications, devices, and people. Healthcare data management is increasingly focused on digital data, whether on-premises, in the cloud, or at the network’s edge for mobile and telehealth, as well as medical devices and instrumentation.

Healthcare data management, also known as digital healthcare data management, includes population health records, other clinical records for drug efficacy, and even medical instrumentation logs and RF-ID tags on various physical assets ranging from beds to bedpans that are required for the supply chain management. Data management also includes all operational and financial records for healthcare providers and payers, including public, national, and state healthcare programs such as Medicare and Medicaid, as well as private insurers.

Benefits of Healthcare Data Management

From a basic standpoint, the benefits of healthcare data management are obvious. The more accurate the data, the better decisions can be made, and the outcomes of patient’s healthcare can be improved. Aside from the crucial aspect of providing healthcare to patients.

Other benefits of healthcare data management include:

Health data analytics — It can be used to make predictions about patients’ health in order to provide better treatment and a more proactive approach to health care — the overall improvement of health outcomes for the patient and, in some cases, the general public.

Better alignment and communication — Communication improves patients, providers, and other stakeholders, especially when digital records are available. A comprehensive view of the patient can help doctors collaborate more effectively. This is also useful across national and geographic boundaries.

Improved patient engagement with healthcare — This entails greater visibility in patient records to better understand treatments, trends, and proactive care. When necessary, the patient can easily access their health records at any time and from any location.

Data-driven choices — Historical data, real-time data, and other data can help providers and patients make better decisions. Instead of relying on hunches, data can improve both the provider’s and the patient’s diagnostic abilities.

Integration with the patient’s personal health activities — Individual patient-monitored activity with sensors, in particular, can be fed into the Health Record Management system to improve treatments. Many mobile applications now allow data from sensors or other applications to be integrated with or shared with healthcare data management systems.

Integration with emerging technologies — Improved integration with artificial intelligence to assist in diagnosing illness without requiring a physical doctor visit — better integration with medical chatbots that use medical knowledge management systems with health data and knowledge integration for self-service.

Challenges of Healthcare Data Management

Over the last four years, medical data has evolved from purely paper-based tracking to digitized information. Many types of medical data have yet to be digitized or integrated into health data management systems, even today.

Here are a few of the most pressing issues confronting health data professionals today:

Fragmented data — Medical data can be structured in spreadsheets or databases, images or video files, digital documents, scanned paper documents or stored in specialized formats like the DICOM format used for MRI scans. Data is frequently duplicated, collected multiple times, and stored in multiple versions by healthcare providers, public health organizations, insurance companies, pharmacies, and patients. There is no single source of truth about the well-being of patients.

Changes in data — Medical data, as well as the names, professions, locations, and conditions of patients and physicians, are constantly changing. Over time, patients are subjected to a variety of tests and treatments, and medications themselves evolve. New medical treatment models, such as telehealth models, generate new types of data.

Regulations and compliance — Medical data is sensitive and must comply with government regulations such as the USA Health Insurance Portability and Accountability Act (HIPAA). Data discovery challenges and poor data quality make it much more difficult to perform required audits and meet regulatory requirements, as well as limit the diversity of data available to medical professionals so that patients may benefit.

Use Cases of Blockchain in Healthcare

Many healthcare organizations and blockchain firms are developing blockchain-enabled systems and blockchain in healthcare is improving healthcare services for both patients and healthcare professionals. Blockchain technology is all set to revolutionize the healthcare industry by decentralizing patient medical histories, improving payment methods, and tracking pharmaceuticals.

Here are some examples of blockchain use cases in healthcare:

Patient Data Management

Patient data management is one of the most popular blockchain use cases in healthcare. Healthcare organizations typically separate patients’ medical records, making it possible to identify a patient’s medical history without having to contact previous healthcare providers. It takes a significant amount of time and may result in mistakes due to human error.

Overcoming counterfeit drugs

Tens of thousands of people are expected to die each year as a result of counterfeit drugs. Blockchain provides complete visibility into the medical supply chain, allowing for the tracking of when a medicine has been altered or changed while in transit. As a result, drug recalls are simplified, and counterfeiting is reduced.

EHR accessibility

EHRs are difficult to manage. EHRs provided by one healthcare provider for a patient differ from those provided by another healthcare provider for the same patient. Blockchain solves the interoperability problem by allowing healthcare professionals to store data in one place that can be distributed to all network nodes.

Healthcare Data Management decision support systems

All stakeholders, from providers to patients, can benefit from healthcare data. Data is everywhere and must be available in real-time to support timely decision-making. Data can be used to measure anything healthcare-related, manage decisions, and monetize actions using integrated, secure collaborative systems. Various providers can create healthcare service catalogs of information, which can then be combined with factual, real-time data to determine the availability of services and products.

Emerging technologies such as artificial intelligence, machine learning, and others can benefit from the use of health data on social, mobile, and cloud platforms to support a wide range of use cases in healthcare Information management. Clinical decision support systems can examine evidence-based data collected in a health care management system at any point of care, whether routine or emergency.

When a healthcare provider can do their job better and the patient has more knowledge about care, it benefits both parties. Healthcare data management systems increase the efficiency and effectiveness of health care.

Some real-world examples of Blockchain in Healthcare?

Here are four real-world examples of blockchain technology in healthcare:

BurstIQ

Medicalchain

Patientory

Let’s find out more about them.

BurstIQ

BurstIQ, based in Colorado, USA, uses blockchain to improve the way medical information is shared and used. BurstIQ’s platform enables healthcare organizations to securely manage a large amount of patient data while ensuring strict HIPAA compliance and enabling:

Safekeeping data

Selling data

Sharing data

Licensing data

Since the platform keeps complete and up-to-date patient health information, it has aided in the control of prescription drugs and opioid abuse.

Medicalchain

Medicalchain’s blockchain-based platform is located in London.

Protects patients’ identities from outside sources.

Ensures the accuracy of records

Keeps track of origin records.

In 2018, Medicalchain also launched its telemedicine platform, allowing patients to consult physicians and specialists via video calls and pay in “MedTokens.”

Patientory

Patientory’s blockchain platform, located in Atlanta, Georgia, allows for the secure storage and transfer of medical information. It supports end-to-end encryption, ensuring the secure exchange of all patient data. It also allows patients and providers to use blockchain to access, store, and transfer all critical information.

Closing thoughts,

We hope you now have a better understanding of how blockchain technology, when combined with AI and IoT, can be unstoppable in the healthcare industry. AI-enabled automated health checks that save money and time; patients’ immutable health records securely stored on the blockchain; and millions of devices performing precise diagnoses and finding better — the future of healthcare data management is near.

[global-insights]

Healthcare Data Management Solutions | SG Analytics

Our clients can sift through complex, large-volume trial data for pharmaceuticals and devices with healthcare data management, providing them with intelligent solutions. A reputable supplier of health data & management systems is SG Analytics (SGA). One of the leading health data & management solutions suppliers in the U.S., our teams, cover conferences, podcasts, and the financial analyses of all the top pharmaceutical firms.

Visit us:

[justinspoliticalcorner]

Christopher Wiggins at The Advocate:

A Houston-based surgeon stands accused of betraying the privacy of transgender kids who weren’t under his care by stealing their medical information and handing it over to a far-right extremist who vehemently opposes transgender rights. The federal indictment, unsealed on Monday, details Dr. Eithan Haim’s alleged unauthorized access and disclosure of sensitive patient information at Texas Children’s Hospital. Haim, 34, completed his residency at Baylor College of Medicine and reportedly reactivated his access to the hospital’s electronic records system in April 2023. He is accused of illicitly obtaining patient names, treatment codes, and attending physician details, which he then shared with conservative activist Christopher Rufo. Rufo, known for his hardline stance against transgender rights, used the information to publish an exposé claiming the hospital continued to provide gender-affirming care for minors despite a public announcement to halt such services.

The indictment alleges Haim accessed this sensitive information under false pretenses and with malicious intent, aiming to harm Texas Children’s Hospital. Haim’s actions followed a 2022 opinion from Republican Texas Attorney General Ken Paxton, labeling gender-affirming care for minors as a form of child abuse. Gov. Greg Abbott, a Republican, subsequently directed the Texas Department of Family and Protective Services to investigate parents seeking such care for their children. In response, Texas Children’s Hospital announced it would pause all gender-affirming services for minors to comply with these directives and protect its staff and patients from potential legal consequences.

Dr. Eithan Haim, who leaked the health records of trans kids to far-right anti-LGBTQ+ extremist Christopher Rufo, is facing charges of violation patient privacy.

[ai-innova7ions]

Neturbiz Enterprises - AI Innov7ions

Our mission is to provide details about AI-powered platforms across different technologies, each of which offer unique set of features. The AI industry encompasses a broad range of technologies designed to simulate human intelligence. These include machine learning, natural language processing, robotics, computer vision, and more. Companies and research institutions are continuously advancing AI capabilities, from creating sophisticated algorithms to developing powerful hardware. The AI industry, characterized by the development and deployment of artificial intelligence technologies, has a profound impact on our daily lives, reshaping various aspects of how we live, work, and interact.

[iamyelling]

Hi all! I recently came across this zine all about Testosterone by Rena Yehuda. I found it really helpful and informative and also asks some great questions about what research is needed! I found it helpful as someone who recently started taking T, and I also think it can be helpful for people thinking about it, who've been on T for years, or if you know someone who is thinking about it. Just a great resource. Check it out. It's free to download!

The Testosterone Survey Zine is a 60-page community health art project compiling the results of a nearly-400 person survey documenting the experiences of people medically transitioning on testosterone. A seven month labor of love and the only resource of its kind, this zine features analysis and trans-joy illustrations by Rena Yehuda Newman, illuminating the qualitative data of hundreds of transmasculine people.

This zine is a public health art project designed to empower people transitioning on testosterone with knowledge, help us ask vital questions about our bodies and needs, and hopefully, make us all feel a little less alone. This zine was also designed for doctors, educators, therapists, and all those who care for transgender people to learn more about our experiences, struggles, and needs as they relate to medical transition using testosterone.

This zine is always free or donation for download. The information belong to the community.

[my-midlife-crisis]

[decolonize-the-everything]

Y'all ever look at this?

I was doing some research about healthcare and stumbled into this lobbying tracker and I am...pissed off???

Free rage machine over at opensecrets

[deva-arts]

nate being the only doctor makes me wonder what he's had to do for the others before

Nate does a lot for the crew. (Also woo look at his human disguise!)

When he's not actively treating or checking on them, he's constantly working to compare studies and test data to understand how to treat his friends, seeing as they have widely different genetic makeups and could react in ways that are *catastrophically* unexpected.

He can't use human rules when working on them, which greatly complicates things when he's educated in treating humans. Sera and Vince naturally have nucleated blood cells for greater oxygen input since they're always in rigorous activity, but this is a sign of leukemia or other major deficiency in humans. How do drugs interact with their bodies? what reaction will their immune systems have? do they have an intolerance to certain chemical developments?

This is partly why Vincent underwent so much testing and experimentation- to catalogue and document an atlas for the reproduction and understanding of this hybrid Variant species, and how every facet of its anatomy works in that respect. Like a rough draft you don't care about messing up, and use only to learn from.

Sorry Vince.

It's a wonder how Nathaniel was able to successfully recompile enough information to save his friends at all. It's a lot of stress on one guy with no nurses! That goes without saying for Amon (who is a beastshifter) Sonia... (Who is a living chemical synthesis lab) The various other people who end up joining... (Who shall remain incognito)

...Yikes.

He has likely seen all of them naked at least once, due to emergencies. He's extremely professional, so it's like it never happened... But it's still never fun to have to use that kind of ER protocol on your injured friends and associates.

Everyone except for Vincent, since V never lets Nathaniel treat him for anything, even when he needs it.

Instead, everyone caught a harrowing and unwanted glimpse of Vincent when he landed back home after streaking in the rain. He now flies with his pants duct-taped on. And goggles. For the glare and the overwhelming surplus of bugs he slams into at twice the speed of a f1 car.

[nonegenderleftpain]

I want everyone - every single one of you - to reach out to your healthcare providers and ask them what third-party tracking they use on any online portals you use to access your medical charts. I received a letter today from my local healthcare network ("local" in that they serve the entirety of the 300sq miles of Indianapolis and many of the surrounding cities) letting me know there had been a breach of my protected medical information. Everyone's, in fact. See, apparently they use both Facebook and Google tracking in their internal systems. This was never disclosed to me in the years I have been a patient there. I did not know that these megacorporations that are completely unrelated to healthcare could access my information, nor that every bit of communication I have had with my doctors over the online MyChart portal is run through their third-party tracking without my consent.

This information should be disclosed to the public long before you sign off to be a patient somewhere, but apparently it is not. So please ask your healthcare companies what tracking of your information there is in their systems, what it is for, and why it cannot be done without third parties like Facebook knowing about your reproductive healthcare. Or transition/gender healthcare. Or your HIV treatment. Demand these answers and do not take "because it's easy" as an answer. I am hoping that this will cause a class-action lawsuit, and if it does not, I will be taking legal action myself.

There is no reason third-party tracking needs to be used internally with sensitive documents. I urge you to find out what your healthcare providers are doing with your information and who else can access it. I will never be taking for granted that my medical documents will be protected, as clearly HIPAA is not enough to make these companies guarantee my privacy.

[prussianmemes]

what's incredible about these maps is how hard western euros will cope at the idea that their enlightened and superior society could ever be worse than *flips through notebook* those uncivilized lesser slavic poles and ukrainians. russians and croats also are lying too.

what's funny is that this yearly EU study is conducted in such a way that literally accounts for bias in reporting and cultural stigma, yet still they will cope and are unable to consider that based social democrat scandinavian finns beat their wives more than poles

(don't look at spousal murder rates in scandinavia ha ha)

[crimeronan]

be a good little leftist for mommy and actually go to the pharmacy to ask for a booster early next time so you understand why ickle bitty CDC appwoval was sooooo important before you jack off in mommy's replies about her being a big bad cuck liberal who sucks the government's peepee and waits for unkie sam to tell her what to do, okay honey sweetiepie uguu babuu?? i wuvvvvv uuuuuu 😇😇😇😇😇😇