Claims Processing

Since 2007, and in the wake of the Great Recession, an additional 10 million Americans have enrolled in Medicaid, at the same time that states' tax revenue declined. But those long-plagued by Medicaid debt are starting to address their problems, several states are forging ahead with accountable care innovations and the consumer experience is becoming an increasingly important point of focus as states begin to modernize their systems.

Deborah Essex of Aspen Valley Hospital explains how incentives led to increased patient collections for the Colorado-based facility.

Franco Rizzolo of the Suburban Orthopaedic Medical Center explains how integrating an EMR with a patient payments system has reduced front-end work and increased accuracy.

In the grand finale of the 2013 HIMSS Annual Conference and Exhibition in New Orleans, Karl Rove and James Carville took the stage for a most theatrical debate on sequestration, party politics, immigration and, of course, healthcare reform.

A new research partnership between Mayo Clinic and Optum - the health IT arm of UnitedHealth - will bring together more than 105 million clinical and claims records for the purpose of improving quality metrics in healthcare.

For the second time, President Barack Obama has nominated Marilyn Tavenner to be permanent administrator for the Centers for Medicare & Medicaid Services. She has been serving as acting administrator since December 2011, when Donald Berwick, MD, stepped down.

The Workgroup for Electronic Data Interchange (WEDI) announced Thursday that it is conducting its latest online ICD-10 industry progress survey.

Researchers at the Mayo Clinic have teamed up with Optum, the health IT unit of UnitedHealth, to launch a collaborative research and development facility where both clinical and claims data will be shared for the aim of improving patient care, officials announced Tuesday.

When the National Institute of Standards and Technology recently selected Aegis.Net to establish a health IT test standard and interoperability as part of meaningful use of electronic health records, it highlighted the rising importance of interoperability testing.

Deloitte Consulting announced Monday it has closed on a deal to acquire Recombinant Data Corporation, a Newton, Mass.-based healthcare data warehousing and analytics firm. The move signals the growing momentum toward using clinical data to transform healthcare, say Deloitte officials.