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Claims Processing

By Mike Miliard | 11:26 am | September 30, 2015
As ICD-10 looms, value-based reimbursement remains clouded in uncertainty and many technology vendors under-deliver on their promises, more and more hospitals are outsourcing their revenue cycle management processes.
By Bernie Monegain | 10:04 am | September 29, 2015
We highlight six of the most talked about new products on display and available for demo at the 2015 AHIMA Convention and Exhibit.
By Bernie Monegain | 06:14 am | September 29, 2015
They may be in the Big Easy, where the good times roll, but the people in charge of managing health data at hospitals across the country are focused on the hard work of realizing the most benefit they can from ICD-10.
By Mike Miliard | 11:28 am | September 24, 2015
The October 1 deadline is really just the beginning. As ICD-10 coding gets underway in earnest next month, there will be plenty of questions that need answering for providers nationwide. AHIMA wants to help.
By Tom Sullivan | 11:09 am | September 11, 2015
Even hospitals that feel prepared for ICD-10 would be wise to consider a plan for handling problems as they crop up. Here's what Rochester Regional Health System is doing to ensure they're ready for the big day.
By Tom Sullivan | 08:51 am | September 08, 2015
Even though it has felt, perhaps, as if the opposite was true for several years, hospitals and medical practices are captains of their own ICD-10 ships -- a fact that's more apparent now, literally days from shore, than ever before.
By Mike Miliard | 10:12 am | August 28, 2015
Medicare fee-for-service providers, clearinghouses and billing agencies built on earlier successes during the final end-to-end testing week in July, according to the Centers for Medicare & Medicaid Services.
By John Andrews | 08:38 am | August 24, 2015
Fifteen years after the Y2K panic, the healthcare industry is once again closely watching the calendar. Not since Jan. 1, 2000, have so many industry professionals had their eyes on a deadline as they do on Oct. 1, 2015.
By Mike Miliard | 08:35 am | August 12, 2015
Healthcare's revenue cycle management processes are undergoing lightning-fast change on many different fronts: "Providers are now, in earnest, starting to grasp how quickly this paradigm shift is occurring."
By Tom Sullivan | 04:52 pm | May 20, 2015
What to make of the newest Congressional wrangling over the conversion to ICD-10 and the rekindled debate that has followed. Also: the one thing healthcare executives should be doing right now.