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Claims Processing

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.
By Mike Miliard | 12:03 pm | February 06, 2015
Analytics tools are increasingly being deployed across healthcare, but in few places are investments in those technologies more important than at small and rural hospitals.
By Rodney J. Moore | 10:56 am | November 18, 2014
The collections process is ripe for innovation, on both the payer and provider side. Increasingly, savvy providers are using health IT to broaden their access to and knowledge about their patient populations, with an eye toward greater success with bill collection.
By Bernie Monegain | 11:41 am | August 27, 2014
A Mississippi health system and three hospitals in Texas, Indiana and Alabama are illustrating how hospitals can thrive, even in a tough economic environment. One hospital increased its revenue by $8.2 million after improving clinical documentation. Another changed the way it collected for services and boosted revenue by $6.1 million.