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Claims Processing

Strategic Planning
By Mike Miliard | 05:05 pm | October 21, 2019
eHI's collaborative includes Humana, United HealthCare, American Hospital Association and others who are working to encourage use of existing ICD-10-CM Z codes and develop new ones.
By Nathan Eddy | 01:30 pm | September 23, 2019
Cerner will add Simplee's financial engagement platform to its revenue cycle portfolio and incorporate its billing tools into its consumer-facing technology
By Mike Miliard | 01:54 pm | August 27, 2019
The companies plan to create new cloud-based applications focused on patient engagement, pop health, customer relationship management, claims processing and more.
By Mike Miliard | 04:19 pm | August 07, 2019
Healthy Alliance IPA, led by former ONC deputy Dr. Jacob Reider, will work with MVP Health Care to connect social services and healthcare providers via the Unite Us technology platform. The aim: strengthening community organizations, boosting pop health and reducing costs.
Workforce Development
By Mike Miliard | 11:41 am | July 19, 2019
As part of the deal, which involves nonclinical technologies, about 540 health system staff will become Optum employees.
Workforce Development
By Mike Miliard | 04:41 pm | July 18, 2019
The list of healthcare jobs the AHIMA Foundation program can help fill and upskill is long and varied, including clinical documentation improvement specialists, data analysts, medical and clinical lab techs, privacy and security officers and more.
By Nathan Eddy | 12:30 pm | July 12, 2019
Digitize.AI's Lia technology uses real-time analytics and machine learning to automatically check for new cases and securely submit them directly to payers.
By Mike Miliard | 04:44 pm | June 28, 2019
The CEO says cash raised by the stock offering will help broaden the analytics and data capabilities it can offer its payer and provider customers – and drive innovations in AI, blockchain, robotics and more.
Payment Models
By Mike Miliard | 01:34 pm | June 24, 2019
The tool can help health systems optimize submissions and better predict potential issues with claims, the company says, giving recommendations to help mitigate denials before they're submitted.
By Nathan Eddy | 09:57 am | March 29, 2019
IaaS and SaaS offerings are enabling payers to run analytics against claims and other data in new ways that enable them to operate more efficiently.