Inaccurate Provider Data Causes Problems for Patients and Healthcare Providers

By Thomas White | December 16, 2015

In mid-November 2015, the Centers for Medicare & Medicaid Services (CMS) distributed their 2016 Guidance Letter that calls for health plans to update provider directories on a monthly basis. Unfortunately for patients, at the present time, provider data is required to be...

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Inaccurate provider data can be very costly!

By Adrian Sanabria-Diaz | November 11, 2015

 

Hospitals aren’t the only institutions struggling with inaccurate provider data. A recent Wall Street Journal article titled “Insurers,” reported that listings of insurer in-network doctors were often out-of-date. The article also cited research by JAMA that showed only 26%...

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Is there a solution to provider abuse of the Medicare System?

By Blake Marable | August 03, 2015

In a July 21 Wall Street Journal article, entitled: “Government Report Cites Shortfalls in Medicare’s Screening Process for Doctors,” the writer, Christopher Weaver, states that a GAO report documents that thousands of doctors who bill Medicare have used questionable...

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Inaccuracies move the industry toward a Unified Provider Management (UPM) Platform

By Skylar Hinrichs | July 13, 2015

Over the past several months, you may have heard some talk about health systems having inaccurate provider data, causing communication troubles between health systems and referring providers. According to The Fresno Bee, a recent California state audit found several...

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Data Siloes Abound

By Jarod Olds | September 16, 2014

Physician data exists all throughout the hospital environment. In fact the average healthcare facility has over 30 sets of physician data in various systems. However the problem is that this data is siloed in disparate data processing systems with each one being independent,...

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