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Claims Processing

By Jeff Lagasse | 11:46 am | January 13, 2021
The rule is meant to ease undue burden for innovators and speed access to potentially lifesaving technologies.
By Mike Miliard | 05:31 pm | December 17, 2020
By connecting provider and payer access points, the deal aims to make care more available, boost care coordination and improve online patient experience, says Kyruus CEO Graham Gardner.
Workforce
By Mallory Hackett | 11:53 am | November 25, 2020
When health systems have their staff manage revenue cycles, up to 25% of the day can be spent on repetitive tasks related to the revenue process.
By Mike Miliard | 01:41 pm | November 20, 2020
Two groups applied the Framework for Cross-Organizational Patient Identity Management, first developed with Intermountain in 2016, to payers – and found a high matching accuracy rate across 36 different organizations.
By Susan Morse | 10:25 am | August 25, 2020
The majority of health plans say they do not feel ready to meet the new FHIR interoperability standards mandated by CMS.
By Mike Miliard | 12:13 pm | June 24, 2020
In addition to reducing the hours and costs clinicians and providers incur for CMS-mandated compliance, the office will also focus on how health data can be harnessed for more efficient healthcare and improved patient experience.
By HIMSS TV | 05:52 am | June 23, 2020
Availity CEO Russ Thomas says his company ensures providers have the information they need to treat and bill COVID-19 encounters.
By Bill Siwicki | 03:08 pm | June 22, 2020
Healthcare IT News lines up five RCM experts in this special report to discuss best practices for optimizing this key financial technology.
By Mike Miliard | 03:49 pm | June 19, 2020
The collaboration with Health Care Service Corporation, billed as Epic's first such project with a payer organization, will help health plans more easily review data for managing claims and prior authorization.
By Kat Jercich | 02:54 pm | June 12, 2020
The bipartisan HEALTH Act would make permanent Medicare payments for telehealth services at federally qualified health centers and rural health clinics.