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Claims Processing

By Tom Sullivan | 05:07 pm | January 09, 2012
Physician and blogger Kevin Pho, MD, who practices medicine in Nashua, N.H., discusses the healthcare issues that matter most to Granite State voters, and explains how politics shape ballot casters' views of health reform during the primary process.
By Tom Sullivan | 03:23 pm | November 23, 2011
After a political impasse, in which Republicans effectively blocked his Senate confirmation, Donald Berwick, MD, will step down next week as administrator of the Centers for Medicare & Medicaid Services. President Obama has nominated CMS principal deputy Marilynn Tavenner as Berwick's replacement.
By Molly Merrill | 09:53 am | October 25, 2011
The Medical Group Management Association is calling on the Department of Health and Human Services to issue a HIPAA 5010 contingency plan, permitting health plans to adjudicate claims that may not have all the required data.
By Tom Sullivan | 11:57 am | October 21, 2011
George Roman of the AMGA shares his initial impressions of the final regs. While it’s too early to make any final conclusions, he says, it seems CMS has made some critical changes.
By Stephanie Bouchard | 10:40 am | October 19, 2011
The deadline for HIPAA 5010 - Jan. 1, 2012 - is approaching faster than many providers, payers and vendors would like. And, confusion abounds about what “readiness” means, says the Healthcare Billing & Management Association (HBMA).
By Bernie Monegain | 10:49 am | October 06, 2011
Lynne Thomas Gordon, the new CEO of the American Health Information Management Association, spent her first days on the job at the organization's 83rd annual convention in Salt Lake City this week. She spoke with Healthcare IT News about her expectations and the challenges ahead for the 63,000 member organization.
By Mike Miliard | 12:10 pm | September 21, 2011
As health organizations begin to feel their way toward accountable care models, a new report from KLAS explores how providers and vendors are putting the pieces together, finding varying levels of confidence in IT solutions' integration ability.
By Chris Anderson | 11:24 am | September 21, 2011
With the ICD-10 transition deadline now just two years away, providers and payers have finally begun tackling the project in earnest, according to a new survey from the American Health Information Management Association (AHIMA), which shows 85 percent of organizations either planning for or implementing the new codes.
By Diana Manos | 11:57 am | September 09, 2011
The Centers for Medicare & Medicaid Services has fully certified the Massachusetts’ Medicaid Management Information System (MMIS). The accreditation ensures the state will receive maximum federal funding for the system’s implementation and ongoing operation.
By Bernie Monegain | 11:35 am | September 09, 2011
The Board of Directors of the American Health Information Management Association has appointed Lynne Thomas Gordon as its new CEO. She will assume the post on Sept. 29, days before the launch of the organization's annual conference, which begins Oct. 2 in Salt Lake City.