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EMR Consulting News and Insights

Category Archives: HealthRules Payer

Optimizing HealthRules Payer Implementation: Enhancing Efficiency and Compliance in Managed Care IT Systems

The National Library of Medicine notes how optimal healthcare IT systems improve “health outcomes, quality of care, and the healthcare experience of patients.” Reducing administrative costs Improving operational efficiency Enabling rapid adaptation to regulatory changes Supporting value-based care models Enhancing member and provider experiences To get the most value from HealthRules for your healthcare system and patients […]

Impact of HealthRules Payer on Healthcare Payer Operations

Healthcare organizations today face numerous challenges, including successfully managing health insurance-related issues and processing transactions that are within the scope of today’s regulatory environment. A vital component is having the optimal core administrative processing system (CAPS)—and, in 2023, HealthEdge HealthRules Payer earned the Best in KLAS designation for the second year in a row. Expanding Requirements for […]