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Claims Processing

By Bernie Monegain | 11:29 am | May 20, 2015
Payer report cards released today by health IT company athenathealth and healthcare communications firm ReviveHealth show insurers strong on operational performance, but still lacking in provider trust.
By Tom Sullivan | 11:18 am | May 19, 2015
The list of organizations lining up against ICD-10 is growing -- as is the ferocity of their tone, as the latest in the fray is a conservative think tank that's calling on Congress to abandon the code set transition.
By Tom Sullivan | 02:27 pm | May 14, 2015
One thing about ICD-10 is becoming crystal clear: The compliance deadline is not going to arrive without Congressional resistance. A new GOP-sponsored House bill calls for an 18-month transition period to ensure the conversion goes smoothly.
By Tom Sullivan | 04:29 pm | May 11, 2015
Now that the actual proposed legislation for the new Cutting Costly Codes Act of 2015 is available, here's what we know about Republican Texas Rep. Ted Poe's latest attempt to scuttle ICD-10.
By Bernie Monegain | 10:14 am | May 08, 2015
The U.S. healthcare industry's billing and payment system is a horse-and-buggy in a world contemplating driverless cars, a new report from PwC asserts and calls for going to digital options stat.
By Tom Sullivan | 10:05 am | April 27, 2015
Healthcare providers are going to be penalized after the ICD-10 compliance deadline. Not because they are filing claims wrong, but simply "because the system has changed," says one U.S. Senator.
By Mike Miliard | 10:52 am | March 18, 2015
In what looks like it might be becoming a trend, another health plan has been targeted with a "sophisticated cyberattack," with hackers gaining access to the financial and medical information of 11 million members.
By Mike Miliard | 11:33 am | February 27, 2015
"CMS is ready for ICD-10," said outgoing Centers for Medicare & Medicaid Services Administrator Marilyn Tavenner this week, pointing to 660 providers and billing companies that submitted some 15,000 test claims.
By Mike Miliard | 11:45 am | February 24, 2015
Most physician practices are now convinced that the ICD-10 transition will finally happen on Oct. 1, 2015. But just 21 percent say they're on track with their preparations for the switchover.
By Bernie Monegain | 12:07 pm | February 10, 2015
For physicians in small practices, it turns out the cost of moving from ICD-9 to ICD-10 is much less than anticipated, according to a new study released today by the Professional Association of Health Care Office Management.