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Electronic visit verification (EVV) is a method used to verify home healthcare visits to ensure patients are not neglected and to cut down on fraudulently documented home visits. Beginning January 1, 2020, home care agencies that provide personal care services must have an EVV solution in place or risk having their Medicaid claims denied, under ...
Arizona's Health Information Exchange, led by the state's Medicaid agency, provides a web-based platform to facilitate the exchange of health information among providers. This system helps bridge the gap between healthcare organizations and ensures that patients' medical records are accessible regardless of the provider they visit.
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HealthCare.gov is a health insurance exchange website operated by the United States federal government under the provisions of the Affordable Care Act (ACA), informally referred to as "Obamacare", which currently serves the residents of the U.S. states which have opted not to create their own state exchanges.
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
In November 1991, the Workgroup for Electronic Data Interchange (WEDI) was established in response to the challenge from the Bush administration, specifically, Louis Sullivan MD, Secretary of HHS, to reduce administrative costs in the nation's health care system by up to 10%.
The REC program goals were to enroll 100,000 Primary Care Providers (PCPs) in the REC program, help them go "live" on EHRs, and help them demonstrate Meaningful Use. As of January 2014, 136,303 PCPs were enrolled, 123,770 went "live," and 85,106 had demonstrated Meaningful Use. RECs were also encouraged to reach out to all providers, not only PCPs.
Health exchanges first emerged in the private sector in the early 1980s, and they used computer networking to integrate claims management, eligibility verification, and inter-carrier payments. These became popular in some regions as a way for small and medium-sized businesses to pool their purchasing power into larger groups, reducing cost.