Betty M.

#TrendingReads Health systems are rethinking where clinical informatics belongs in digital transformation. A recent Becker’s Hospital Review article explores how chief nursing information officers are repositioning informatics from reactive troubleshooting to proactive clinical design. As digital tools move deeper into clinical operations, informaticists are being pulled upstream into earlier phases of planning. At Albany Med Health System, CNIO Michael Durling, RN, described early inclusion in procurement and project road mapping as the ideal state. When informatics teams are involved before decisions are finalized, they can assess workflow feasibility, patient safety implications, education needs, and long term support requirements. Without that early engagement, informatics teams are often left mitigating downstream issues. When technology decisions are made without clinical input, informaticists shift into redesign, risk mitigation, and workflow correction after implementation. At Summa Health, this shift has been more formalized. CNIO Marc Benoy, BSN, RN, positioned informatics as a proactive clinical design function rather than a break fix resource. Structural changes clarified role boundaries across IT, applications, analytics, and training. Governance processes now require informatics review for initiatives that impact clinical workflows or sensitive data. The result is stronger adoption, reduced variation, and more sustainable workflows. Instead of correcting problems after launch, informatics leaders are helping ensure solutions are safe, usable, and aligned with clinical reality from the start. The broader takeaway is clear. Digital transformation succeeds when clinical expertise is embedded early in design and governance. Technology decisions must reflect real world workflow, not just technical capability. At Jorie AI, this same principle guides our approach to revenue cycle automation. Intelligence must be embedded directly into operational workflows, not layered on after the fact. By aligning AI execution with clinical and administrative realities from day one, we help health systems avoid downstream friction and drive measurable, sustainable performance improvement. 📚 Read the full article here: https://bit.ly/3OUM3FG 🔗 Explore how Jorie AI supports proactive, workflow aligned automation: https://bit.ly/3ZMcKi0 #JorieAI #TrendingReads #AIinHealthcare #HealthcareAutomation #HealthIT #RevenueCycleManagement

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The article flags two signals leaders are watching: a large-system rollout plan and an EHR ecosystem integration plan. It notes Mount Sinai announced implementation starting with select departments, with plans to expand system-wide in 2026. It also notes athenahealth announced a collaboration with Microsoft to offer Dragon Copilot as an ambient notes option for athenaOne users, with integration expected in the first half of 2026. Read the rollout and ecosystem section. #BehavioralHealth #HealthcareIT #Microsoft #DragonCopilot #EHR #Integration #ProviderOperations #MicrosoftCloudForHealthcare

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Healthcare organizations are preparing for major changes tied to the Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization Final Rule, which requires payers to adopt FHIR-based APIs and accelerate responses to prior authorization requests while publicly reporting denial data. Despite the rule’s intent to improve transparency and speed patient care, adoption remains slow, with only about 20% of providers beginning implementation. Erin Richter Weber, Chief Policy & Research Officer at CAQH, highlights how operational complexity, technology integration challenges, and limited awareness across healthcare systems continue to slow automation efforts. The CMS and CAQH emphasize that revenue cycle leaders must collaborate closely with technology vendors and operational teams to ensure systems, workflows, and compliance readiness before the 2027 regulatory deadline arrives. Our RCM team strengthens revenue cycle and implementation processes by helping health entities align payer requirements, integrate automation strategies, improve prior authorization workflows, and reduce denials. This approach supports operational readiness, financial stability, and patient access while enabling organizations to implement sustainable programs that benefit providers, patients, and the communities they serve. Let’s CoSource! By strategically CoSourcing parts of your processes, your practice or facility can prevent revenue leakage and strengthen financial performance. Connect with us today at 855-676-8326 to explore how much you could save! #PriorAuthorization #HealthcareAutomation #RevenueCycleManagement #CMS #HealthcareTechnology #RCMStrategy #HealthcareOperations #PayerCompliance #HealthIT #HealthcareLeadership https://lnkd.in/eyMPMmfV

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CMS’ New Interoperability & Prior Authorization Rule — and How Blubyrd Is Leading the Way CMS’ final rule (CMS-0057-F), released January 2024, marks a major shift in healthcare interoperability and prior authorization. Here’s what’s coming—and how Blubyrd is already ahead: Key Requirements Faster decisions (2026): Payers must respond in 7 days (standard) or 72 hours (expedited), with clear denial reasons. API mandates (2027): Patient Access API: Adds PA data for full visibility. Provider Access API: Real-time access to claims, encounters, USCDI data, and PA status. Payer-to-Payer API: Ensures continuity of care with 5 years of shared data. Prior Authorization API: Automates PA requests and responses. These changes cut administrative friction, improve transparency, and give providers more time for patient care. Blubyrd is already ahead PriorAuth Assistance: Direct EHR submission + real-time status updates. Centralized Data Hub: Seamless exchange across providers, payers, and participants. At Blubyrd, we’re not just complying—we’re building the interoperable future of healthcare. Let’s connect and explore how your organization can get ahead of these changes. #interoperability #BluByrd #Healthtech

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Clinical Office: MPage Reports is now available and it will change how you work with Oracle Cerner CCL reports forever. With just three simple lines of CCL code, you can advance your Cerner reports from a dated simple grid control to an advanced web view packed with features such: 1. Multi-column filtering 2. Multi-column sorting 3. Multi-Tabbed output with data coming from several select statements. 4. column adjustments (resize, hide, force frozen, re-arrange). 5. Custom views that can be saved and re-used on later runs. 6. Advanced exporting with real-time generation of Excel documents, CSV files and delimited files. 7. Data is presented with a virtual scroll table allowing for massive volumes of data. 8. User actions including PowerChart access from your CCL report. 9. And more... Visit us at https://lnkd.in/g25C76_U to request your 30 day risk free trial today. #cerner #oracle #ccl #discern #mpages

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A recent Change Healthcare study found that 65% of denied inpatient claims stem from missing documentation. 💡 What if AI could catch those issues before the claim is even submitted? Discover how leading CDI & RCM teams are leveraging real-time AI to flag documentation gaps, validate DRGs, and avoid costly errors before it’s too late. 👉 Stop playing catch-up with denials. Start preventing them. Book a Demo to see AI in action. https://lnkd.in/e6fxsvvK #healthcare #denialmanagement #CDI #datarovers #ai #healthsystems #Revenuecyclemanagement

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Excellent breakdown of a pivotal moment for health systems. Spot-on analysis from our founder Rana Fahad Arshad. Our team is already equipped to guide practices through the necessary EHR configuration, workflow redesign, and compliance strategy for a seamless 2026 transition.

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For CIOs planning EHR migrations, the #1 mistake is underestimating timeline and complexity. 314e Corporation CEO, Abhishek Begerhotta, shares hard-won wisdom from 25+ years in healthcare IT: start early, bundle conversion with archival, and partner with specialists who live and breathe data migration. Listen to the full #executiveinterview: https://loom.ly/t3YkOy8

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📈EHR adoption is accelerating across ASCs, yet many centers still rely on disconnected or paper-based systems. As reporting requirements, patient experience expectations, and clinical complexity increase, foundational systems must support how information flows across the organization. Digital readiness goes beyond simple efficiency. It impacts quality reporting, contract negotiations, cybersecurity, and staff workload. When systems aren't built for data sharing, every new requirement becomes harder to manage. For ASC leaders, technology choices shape daily operations. Investing in systems that enable real-time data sharing, safeguard patient information, and adapt as requirements evolve helps centers stay efficient, compliant, and ready for future challenges. 💡How is your ASC preparing its systems to keep pace with change? Read the full article from Becker's Healthcare here: https://hubs.la/Q03-_rMG0 #OperateSmart #AmbulatorySurgeryCenters #HealthcareTechnology

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Many ambulatory organizations are reassessing whether their core EHR and PM platforms can serve as a true foundation or whether third-party solutions are still required to meet their everyday needs. KLAS looks at how these organizations are approaching this question in our recently published Comprehensive Ambulatory Care EHR & PM Suites report. We dig into functionality adoption, third-party use, and reported outcomes, all to get a clear view into when comprehensive suites deliver value and where gaps remain. Learn more about the findings from report author Alexander McIntosh at the link in the comments! #KLASResearch #AmbulatoryCare #Blog

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Switching EHR vendors? If your migration plan doesn’t use open standards like FHIR, HL7v2, and C-CDA, you could be leaving critical patient data behind. Hart’s standards-based migration approach ensures you don’t miss: - Unstructured clinical notes - Historical lab and order data - Billing and financial records No black boxes. No shortcuts. Just complete, compliant data—moved and validated in just weeks. Find out how with a Hart Data Management Assessment. https://hubs.ly/Q03vkDfS0. #cio #healthcaredata #NoDataLeftBehind #HealthIT

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ICYMI: As payers increase the use of automated acuity re-scoring, #emergency #departments are facing new challenges to reimbursement accuracy and revenue integrity. Our latest article breaks down what #healthcare organizations need to know to protect ED revenue, strengthen documentation strategies, and respond to evolving payer tactics. Catch up on the full article here: https://bit.ly/4cBCYLl

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EHR vendors face MU certification deadlines. See how this Puerto Rico-based firm delivered Meaningful Use Stage 3 certification in 6 months by modernizing their entire architecture. Read the case study: https://lnkd.in/gpziXQ7c #EHR #HealthcareIT #Compliance #MeaningfulUse

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Big changes ahead: CMS is overhauling prior authorization in 2026. A new federal rule means practices working with Medicare Advantage, Medicaid, and CHIP plans must prepare for FHIR®-enabled APIs, stricter response timelines, and enhanced transparency. Here’s what’s changing: • Electronic prior authorization via FHIR® API becomes the new standard. • Faster response times: 72 hours for urgent requests, 7 calendar days for standard. • Improved data sharing and traceability across payers and providers. • Applies to 17 outpatient service categories as part of streamlined approvals. This is a critical step toward reducing administrative burden and improving the patient experience but the compliance deadlines are real. Now is the time to strengthen your processes and tech infrastructure. Need help navigating what this means for your practice? Let’s talk! ReveNewCycle is ready to support your transition. Click link in bio!

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Healthcare data archiving is critical for compliance, absolutely. But we started to ask some different types of questions. Such as... Can access to longitudinal data... ✅ Enhance continuity of care for patients? ✅ Improve clinical workflows for providers? ✅ Give providers more information for clinical decision-making and care planning? ✅ Be easier through integration with existing tools? Working with healthcare providers all over the country, we learned that providers, HIM and rev cycle leaders and IT teams all need easier and meaningful access to historical data. There's value in yesterday's data. LDA can help uncover it. https://lnkd.in/ew2_WPXH #HealthcareDataArchive #ContinuityOfCare #ClinicalIntegration #ReleaseOfInformation #ARWorkdown

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Waiting on prior authorizations shouldn't slow care or cash flow. Yet too often, teams are stuck manually checking portals, making phone calls, and hoping nothing slips through the cracks. SparkChange turns authorizations into actionable workflows. Systems track status automatically. Alerts surface delays. Escalations happen when approvals are at risk. Payer rules are part of the process, so nothing gets lost. Your team spends less time waiting and more time moving revenue forward. Approvals happen faster, denials drop, and patient care stays on track. 🔗 https://lnkd.in/gh2DB3H8

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Prior authorization expectations have already changed. 👉 https://dminfo.link/3NKBvZ Health plans are now expected to honor prior authorizations during member transitions — even while FHIR-based automation is still evolving. Leading plans aren’t waiting. They’re using secure, standards-based exchange today to demonstrate continuity, manage operational risk, and stay aligned with AHIP & BCBSA commitments. If continuity planning is on your roadmap for this year, this is a practical place to start.

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