How CDex replaces CCDs for healthcare data exchange

This is an essential breakdown from HealthTech Mastery Academy for any leader in the healthcare space. For my network in the BPO/CPO industry, this list isn't just tech jargon; it's a roadmap to the future of compliance and a major threat to the "fragile patchwork" of old integrations. Your US clients are being mandated by CMS to adopt these FHIR standards, and that pressure flows directly downstream to you. The ability to handle FHIR isn't just a technology upgrade; it's a competitive advantage. It's the foundation for a "Digital Backbone" that reduces claim denials, ensures compliance, and allows you to deliver the high-value services your clients demand. #FHIR #Interoperability #HealthIT #BPO #CPO #DigitalTransformation #HealthcareTransformation

HLTH 2025 Day 2 Summary & Insights: Strategic Partnerships, New Offerings - HIT Consultant HLTH 2025 Day 2 showcased transformative partnerships and innovations in healthcare IT. Oracle Health and Baylor College of Medicine are pioneering ALD research using AI and real-world data. Certara and Veeva aim to expedite regulatory submissions through AI integration, while Altera Digital Health enhances EHR interoperability with Health Gorilla. New product launches include Martlet.ai's RADV Audit Readiness Platform and WestCX's Agentic AI for pharmacies, driving efficiency and patient engagement. The surge in AI investment, now at $1.4 billion, highlights a pivotal shift towards preventive care and automation. Exciting times lie ahead for healthcare IT! #HealthcareIT #AIinHealthcare #DigitalHealth #HealthTech #Interoperability #PatientEngagement #Innovation ai.mediformatica.com #health #platform #data #partners #this #digital #altera #oracle #research #digitalhealth #insights #partnerships #healthit #healthtech #healthcaretechnology @MediFormatica (https://buff.ly/DeJJEW9)

Every utilization management decision affects a patient’s care journey. With precision utilization management, payers can use data, automation, and clinical insight to make reviews faster, smarter, and more compassionate — improving outcomes and experiences for everyone involved. 🌟 Learn how Sagility helps payers put patients first: https://lnkd.in/eXjPVznw #UtilizationManagement #PatientCare #Payer #HealthPlans

Clinicians don’t want more dashboards. They want insights inside their EHR. Payers, meanwhile, demand standardized, auditable outcomes like Time-in-Range (TIR) and hypoglycemia rates for reimbursement and risk sharing. That’s why bi-directional FHIR/HL7 sync matters now — it connects CGM data, analytics, and EHR workflows into one loop. 👉 Read the full playbook to learn how to build fast, compliant diabetes integrations that actually go live. https://lnkd.in/e_R_etZw #DigitalHealth #FHIR #HL7 #Interoperability #DiabetesCare #HealthTech #EHRIntegration #Jelvix

👩⚕️👨⚕️ At Oracle Health, we believe the best technology is built hand-in-hand with those who use it every day. That’s why physicians have been at the heart of every step in developing our EHR platform. Now, we’re taking it further—with purpose-built AI designed to simplify workflows and help doctors focus more on what matters most: caring for their patients. Explore how innovation meets compassion in our latest update. 💡❤️ #OracleHealth #AIinHealthcare #EHR #PhysicianFirst #HealthTech

FHIR adoption is easy on paper, but embedding it into daily workflows is where the magic happens. Most healthcare organizations today say they’re “FHIR-ready.” But being FHIR-ready isn’t the same as being workflow-ready. Let’s look at what it means when FHIR actually runs inside a clinician’s day, not just in an API sandbox. Example Use-Case: A patient’s vitals and lab results are updated in the EHR. → The FHIR API streams this data in real time. → An AI engine calculates risk of deterioration or flags medication interactions. → A CDS (Clinical Decision Support) pop-up appears in-workflow, not in another app. → The clinician acts within the EHR-  saving time, reducing clicks, improving safety. Key Enablers - FHIR Subscriptions for real-time event triggers - CDS Hooks / SMART on FHIR for in-EHR insights - AI engine consuming FHIR bundles (JSON → analytics → recommendation) - Unified logging + provenance for audit & compliance FHIR isn’t just a data bridge. When tied to AI workflows and surfaced contextually inside the EHR, it turns interoperability into intelligence. At Nirmitee.io, we build these FHIR-native, AI-driven workflows that fit seamlessly inside Epic, Cerner, and Athena EHRs, turning standards into smarter care. #FHIR #Interoperability #HealthcareAI #EHRIntegration #ClinicalDecisionSupport #ONC #HealthIT #DigitalHealth #FHIRAPI #SMARTonFHIR #HealthcareInnovation

PHYSICIANS DONT WANT MORE CLICKS - THEY WANT CLARITY, SPEED AND CLINICAL RELEVANCE. In 2025, the best EHRs don’t just record—they guide, simplify, and connect. But here’s the catch: 71% of doctors say their EHR still takes too much time away from care. And 35% of denials stem from documentation gaps. 🔍 What Physicians Really Want from Their EHR Physicians are asking for EHRs that reduce friction, support clinical reasoning, and integrate seamlessly with billing and payer workflows. The top priorities include: 1. Fewer clicks and faster charting 2. Cleaner encounter data for coding and billing 3. Real-time decision support 4. Integrated prior authorization and eligibility checks 5. Better visibility into patient history and care gaps 📊 Key Stats (2025) 1. 71% of physicians say EHR documentation takes too much time away from patient care 2. Only 28% believe their EHR helps improve clinical decision-making 3. Up to 35% of claim denials stem from incomplete or inaccurate encounter documentation 4. Physician burnout linked to EHR burden costs the U.S. healthcare system $4.6B annually 🧠 Real-World Examples Mayo Clinic redesigned EHR templates to reduce documentation time by 40% in outpatient cardiology IHA’s CMAPSO Checklist helps practices align EHR and RCM tools for cleaner encounter data and better value-based payment readiness Banner Health integrated AI into EHR workflows to flag missing documentation before claims submission 🏥 How RCM & Payer Teams Can Support For RCM Teams: Audit encounter data quality before claims go out Train clinicians on documentation best practices tied to coding and reimbursement Use EHR-integrated prompts to capture HCCs, SDOH, and risk adjustment factors Track metrics: clean claim rate, denial rate, documentation completeness For Payer Teams: Integrate with provider EHRs to streamline prior auth and eligibility Share denial trends to improve documentation at the source Use NLP tools to extract structured data from clinical notes Support value-based care with shared dashboards and care gap alerts Physicians don’t want more features—they want fewer headaches. #EHR #RCM #PayerStrategy #ClinicalDocumentation #PhysicianBurnout #MedicalBilling #HealthTech #ValueBasedCare #LinkedInLearning

⚡ Why Indian Hospitals Need to review their software⚡ Most hospitals in India already have HIS or EMR systems. But let’s be honest, many of them are old, fragmented, and hard to use. Some were built 10–20 years ago and never designed for today’s fast-paced, patient-centric workflows. Others exist only as partial modules, billing here, lab there, OPD records somewhere else. 🌵 Here’s what hospitals are struggling with every single day: 😒 Legacy systems that are slow, closed, and hard to integrate 😒 Doctors spending more time typing than treating 😒 Fragmented data — pharmacy, lab, and OPD systems rarely talk to each other 😒 Missing ICD codes, incomplete patient histories, poor analytics 😒 Expensive migrations that disrupt hospital operations 😒 Minimal interoperability with ABDM or insurance platforms This digital friction costs hospitals efficiency, accuracy, and trust. That’s where Healthflo comes in, not as another HIS, but as an AI-powered layer that modernizes what hospitals already have. ✨ What Healthflo Brings 🗣️ Voice-to-text automation in multiple Indian languages — no more manual note-taking 🤖 AI-generated summaries, diagnosis suggestions, and treatment plans 🔗 Approval flow between junior and senior doctors for faster, safer care 📊 Smart dashboards for patient load, revenue, and workflow analytics ⚙️ FHIR and ABDM-ready data, enabling interoperability and compliance 💡 Hospitals using Healthflo are seeing over 60% improvement in operational efficiency, thanks to automation across clinical documentation, diagnostic reasoning, treatment planning, and approval workflows. Think of Healthflo as the bridge between legacy hospital systems and the intelligent hospitals of tomorrow, a smart, seamless layer that transforms unstructured conversations into structured insights. ⚡ Healthcare doesn’t need more software. ⚡ It needs systems that think with the doctor — and that’s what Healthflo delivers.

Abridge Enhances Clinical Workflows With UpToDate Integration - DistilINFO Hospital IT Abridge is revolutionizing clinical documentation through its enhanced partnership with Wolters Kluwer, integrating UpToDate’s evidence-based clinical decision support directly into physician workflows. This innovative approach streamlines documentation by delivering real-time insights tailored to patient encounters, reducing cognitive load and improving accuracy. As over 200 health systems adopt this technology, clinicians can seamlessly access relevant information without switching applications, ultimately enhancing care quality. The integration exemplifies the healthcare industry's commitment to reducing administrative burdens while supporting value-based care. #HealthcareIT #ClinicalDocumentation #AIinHealthcare #HealthTech #ValueBasedCare #PatientCare #DigitalHealth ai.mediformatica.com #health #clinical #this #abridge #documentation #healthcare #integration #clinicians #hospital #flow #uptodate #medical #digitalhealth #healthit #healthtech #healthcaretechnology @MediFormatica (https://buff.ly/DeJJEW9)

CMS-0057 adoption is still in its infancy, but it will define the next wave of healthcare automation. Over the past few months, I’ve noticed a quiet but powerful shift among a handful of forward-thinking providers. They’re not treating CMS-0057 as another compliance checkbox; they’re using it as a blueprint for end-to-end automation. Here’s why this matters: Until now, prior authorization has been a black hole, fragmented, fax-driven, and painfully manual. CMS-0057 changes that by mandating: - Real-time data exchange via FHIR-based APIs - Electronic prior auth (ePA) directly inside EHR workflows - Decision transparency from payers to providers - Interoperable data sharing with patients But the early adopters aren’t stopping there. They’re re-architecting workflows so that: - FHIR PriorAuth API integrates with clinical decision support (CDS Hooks) - Real-Time Benefit Tools (RTBT) connect to formulary and cost data - AI agents pre-screen requests for completeness and medical necessity - Status updates flow bidirectionally between payers, EHRs, and patient apps This is the real promise of CMS-0057,  not just compliance, but automation that saves clinicians hours, reduces denials, and improves patient access. The smartest systems are asking: “How can we turn a regulation into a workflow advantage? And that’s where healthcare automation is quietly being rewritten. #FHIR #CMS0057 #PriorAuthorization #HealthcareAutomation #Interoperability #HealthTech #AIinHealthcare #DigitalHealth #EHRIntegration #Nirmitee Jitendra Choudhary Chetan Mantri