Patient Identification and Record Matching – WEDI 2013 Report

shutterstock_73881016

The Workgroup for Electronic Data Interchange (WEDI) just released its 2013 Report documenting a new road map for the industry to get “the right information to the right place at the right time.”  The report addresses accelerating innovation with new technologies and solving the challenges of achieving greater efficiencies at a lower cost. As such, [Read More…]

Medical Identity Theft – Fight Growing Fraud with Secure Identity Proofing

shutterstock_146157575

The Ponemon Institute just published its “Third Annual Benchmark Study on Patient Privacy & Data Security” which disturbingly points out that medical identity theft and fraud has risen by 20 percent in the past year.  The ramifications are frightening and include:  falsified claims for expensive medical procedures and prescription drugs (all at the victim’s expense), [Read More…]

Is Customer Data Enough to Optimize EMPI Patient Match Rates?

mergers and acquisitions in healthcare

The ramifications of incorrectly matched patient records or unmatched patient records can be life threatening. Combining medical and medication history for two different people can lead to adverse drug events, incorrect diagnoses, unnecessary diagnostic tests and even death. Conversely, missing medical and medication history for an individual if multiple medical records for that individual are [Read More…]

Enrollment and Eligibility a Top Priority at 2012 MESC Medicaid Conference

The expansion of Medicaid as a result of the Affordable Care Act and the push to modernize Medicaid systems and processes focused a lot of attention on enrollment and eligibility at the recent Medicaid Enterprise Systems Conference in Boston. The attendees we spoke with were concerned about whether the federal data services hub will be [Read More…]