The Business of Health Care - Effective use of healthcare EDI
Health Care is a business like any other. Of course, the mission of the business is to help people get well & stay well, however, hospitals and providers of health care must be sure they keep their business healthy, as well.
What is preventing the healthcare providers from making process changes toward efficient administration?
Let me know your thoughts on what the greatest obstacles are. Is it HIPAA, EDI phobia????
For example, why don't more providers take advantage of the eligibility and claim status transactions electronically? More and more payers are providing good data via this method and a process can be established to use these tools to obtain the information needed more timely and with less effort -- so why are only 20-30% of the providers using them?