Claims Processing

Leapfrog Group says 30 percent of hospitals fully meet the four criteria for bar code medication administration, though 74 percent meet the group’s two CPOE criteria.

Emergency teams can connect via DirectTrust, Carequality, FHIR and more.

Real engagement means managing hospital workflow, still-emerging relationships with post-acute practices and a complex customer dynamic for payers and providers alike.

Denials erode the provider organization’s bottom line and require an inordinate amount of administrative work for both payers and providers. But they don’t need to.

The network now conducts more transactions daily than Amazon or Uber, according to CEO Tom Skelton.

McKesson expands its ability to support customers in bundled payment programs with HealthQX’s ClarityQx software.

New rules under MACRA mean that qualified providers can share or sell analyses of Medicare and private claims data, which the Centers for Medicare and Medicaid Services could be a boon to better care delivery.

Payers reject 6.4 percent of claims on the first go-round, company data show.

While EHR implementations can be disruptive, the hospital system implemented new clinical and revenue cycle software in January and is pointing to its strategy of engaging every employee in the electronic health records system deployment.

The platform will enable payments to be processed faster, reduce risk for hospitals transitioning to value-based care and ultimately decrease the cost of bundled procedures, the companies said.