Thoughts on Healthcare Markets & Technology
Thoughts on Healthcare Markets & Technology Podcast
Part II: Medicare Wants a Three-Second Claim But Still Owes a Fourteen-Day Wallet: Inside the ClaimsCore Re-Platforming Draft, the MAP Bridge, and Why Sub-Second Adjudication Cannot Pay Providers
0:00
-8:46

Paid episode

The full episode is only available to paid subscribers of Thoughts on Healthcare Markets & Technology

Part II: Medicare Wants a Three-Second Claim But Still Owes a Fourteen-Day Wallet: Inside the ClaimsCore Re-Platforming Draft, the MAP Bridge, and Why Sub-Second Adjudication Cannot Pay Providers

CMS wants sub-second Medicare claims adjudication. The statutory payment floor is still 13 days. Those two facts don’t cancel each other. They coexist, and that’s the whole story.

The ClaimsCore RFI contemplates replacing FISS, MCS, the DME system, and the Common Working File with a commercial cloud platform. That’s a draft acquisition concept, not an aw…

User's avatar

Continue reading this post for free, courtesy of Thoughts on Healthcare.