Skip to main content

Claims Processing

By Mike Miliard | 12:05 pm | February 05, 2014
Just eight months out from the ICD-10 compliance date, fewer than 10 percent of physician practices say they've made significant progress in their readiness for implementation, according to the Medical Group Management Association.
By Bernie Monegain | 06:56 am | January 29, 2014
The Massachusetts Health Data Consortium is working with Edifecs to provide ICD-10 collaborative testing for many of the state's health plans and provider organizations. The MHDC's Collaborative Testing Program participants will have access to Edifecs' testing tools and team of experts.
By Mike Miliard | 10:55 am | January 21, 2014
As they try to get a better handle on population health management and member engagement, payers are increasingly looking to consumer-facing technologies for help, according to the latest report from Chilmark Research.
By Mike Miliard | 08:58 am | December 09, 2013
"I'm surprised that we continue to see the status quo in revenue cycle management," says Sean Wieland, managing director and senior research analyst at Piper Jaffray, adding that, "If any other industry had a revenue cycle like that, we'd all be living like the Amish."
By Tom Sullivan | 11:46 am | November 01, 2013
The top ICD-10 takeaway from the AHIMA Convention and Exhibit is that the industry's readiness still comprises all the points between not-knowing and already prepared.
By Bernie Monegain | 11:15 am | November 01, 2013
Physicians and other healthcare professionals will have to employ much more accurate and specific documentation of their care if ICD-10 coding is to work right, speakers asserted in an education session at the AHIMA Convention and Exhibit.
By Chris Nerney | 10:58 am | October 25, 2013
The problems plaguing the insurance exchange site can be blamed on poor coding and political pressures, according to three technology experts interviewed by Healthcare IT News. While all three identified inadequate pre-launch testing as a big source of its technical woes, they disagreed on whether the Obama administration's call for outside help is the right way forward.
By Mike Miliard | 12:06 pm | October 21, 2013
Three weeks after the disastrous launch of its health insurance marketplace, the Obama administration has vowed to redouble its efforts to fix its many glitches, promising a 'tech surge' to iron out its problems and improve the customer experience.
By Bernie Monegain | 10:52 am | October 21, 2013
In the revenue cycle management market, hospitals show high adoption of technology focused on eligibility and scheduling, with much work left to be done around charity screening and propensity to pay, according to a new report from HIMSS Analytics.
By Erin McCann | 02:40 am | October 08, 2013
Who would have thought that something so simple as copy and paste could have such serious consequences? Diana Warner, director at AHIMA, confirmed the seriousness of inappropriately using copy and paste functions in electronic health records. And the government agrees -- it's no laughing matter.