The American Medical Association (AMA) has recently unveiled the eagerly anticipated 2024 Current Procedural Terminology (CPT) code set, introducing several significant updates and innovations. This comprehensive code set, comprising 11,163 codes, encompasses 230 additions, 49 deletions, and 70 revisions, as detailed in an official AMA news release ..read more

Leading healthcare solutions provider unveils a game-changing platform to improve documentation and enhance code capture both concurrently and retrospectively. HERNDON, VA, UNITED STATES , August 28, 2023/EINPresswire.com/ -- ECLAT Health Solutions, a pioneer in delivering innovative healthcare solutions, is excited to announce the launch of "evaire," a comprehensive NLP/ML enabled Software-as-a-Service (SaaS) platform designed to revolutionize risk adjustment within all lines of business and redefine the landscape for risk-bearing providers and payers seeking seamless and efficient solutions ..read more

Calculating the correct Risk Adjustment Factor Score (RAF Score) the first time is both a vital indicator of process resiliency and an essential metric for compliance assurance, reimbursement accuracy and patient health in all risk-adjusted lines of business. These endeavors are often assisted by SaaS technology which needs to create the clarity and transparency to make truly data-driven decisions with the time sensitivity required. Once determined, the variables of a patient’s health outcomes detailing expected and actual performance as well as the national average results can be plugged i ..read more

Achieving thorough and precise Clinical Documentation the first time sustains the Medical Coding quality driving the timely, optimal reimbursements that fuels both operations and strategic growth ..read more

Whether you’re a Payer, Risk-Bearing Provider or Health System, the success and sustainability of your Risk Adjustment initiatives depend upon accurate HCC Risk Adjustment Coding capture and quality of documentation. Rigid accuracy standards are essential to achieving these goals in government Risk-Adjusted lines of business from Medicare Advantage to Managed Medicaid and ACA ..read more

For Shared-Risk Providers and Payers, RAF Scores are a critical indicator of future expenses.  This metric is relied upon for budgeting and resource allocation, two considerations that are constantly shifting during the unpredictability of the COVID pandemic ..read more

The experts at ECLAT Health Solutions were excited to peer into the new year and guide the Experience The Brilliance audience through one of the most crucial subjects to date - FY 2022 Coding Updates: Determining the Principal Diagnosis.  Mastering these changes is both vital and time-sensitive to coding teams across the nation as the first round of updates has already taken effect as of October 1st and more are pending over the next several months ..read more

Join ECLAT’s Experience The Brilliance Team on December 8th, 2021 at 1:30 PM EST/12:30 PM CST as we explore Coding Updates and Determining the Principal Diagnosis     As we prepare to leave 2021 behind, ECLAT’s team is preparing to host the most crucial Experience The Brilliance webinar of the year. Join us next month on Wednesday, December 8th to hear how October 1st and pending January 1st ICD-10 (International Classification of Diseases 10) coding guidelines affect us and how you can apply reimbursement optimizations when determining the principal diagnosis. Maintaining Compli ..read more

AHIMA21’s theme: “Transforming the Future of Health Data” was reflected in every aspect of the conference.  The event, sponsored in part by ECLAT Health Solutions, was opened by Katherine Lusk, President and Chair1, who defined our sector with the bold proclamation that “we are a learning profession that adapts to change,” a statement that was met with a virtual roar of agreement from all the attendees.  ..read more

Community Hospitals have risen to the challenge of the past two years with fast thinking, quick evolutions and continual adaptations.  Fortunately, not all shifts have taken us by surprise, including the changing discussion on healthcare payment models in a value-based care context.  The conversation on both patient care and monetary reimbursement has been fundamentally refocused on how providers can secure better health outcomes and close the coverage gap (1) on a person-by-person basis ..read more