Claims Processing
The collaboration aims to help health plans more easily scale both fee-for-service and value-based models.
Florida Hospital reaps $72.5 million from clinical documentation improvement, achieves ICD-10 compl…
The health system credits clinical and financial improvements to a CDI initiative that resulted in more accurate coding and greater physician engagement.
Revenue cycle management has gone from being a "back office" function to an "end-to-end" system that begins at patient intake or even before, claims specialists say.
ICD-10: Providers can recoup millions of dollars in lost revenue by analyzing claims denials, data …
Advanced analytics and machine learning technologies are critical to pinpointing problems in large datasets that could be losing providers money. That’s why some organizations are investigating every single denied claim to better understand trends.
Hospitals are starting to hire younger, more diverse people to handle the new coding. The shift will likely benefit healthcare organizations in time, but it won’t happen overnight.
The healthcare industry appears to have successfully withstood the transition from ICD-9 to ICD-10. But are the sighs of relief premature? Is another shoe waiting to drop?
As healthcare and technology professionals gather to share strategies for optimizing revenue cycle management in a challenging and fast-changing reimbursement environment, Healthcare IT News' sister publication Healthcare Finance offers live updates.
Triple-S Management Corporation has agreed to settle potential HIPAA violations with the U.S. Department of Health and Human services to the tune of $3.5 million, after repeatedly failing to put safeguards in place for its beneficiaries' PHI.
AHIMA CEO Lynne Thomas Gordon says she's confident the transition that begins Thursday will go off with few, if any, glitches. As she sees it, all of healthcare will be better for it.