Claims Processing
The Medical Group Management Association is calling on the Department of Health and Human Services to withdraw its proposed HIPAA "accounting of disclosures" rule, due to the burden it would put on practices to provide such a report – and the possibility that it might deter them from implementing new technology.
The Department of Health and Human Services has released a proposed rule detailing how states can create and operate their health insurance marketplaces, where consumers and small businesses can compare and shop for health plans starting in 2014.
OptumInsight (formerly Ingenix) and Dallas-based RemitDATA have launched a service that offers physician practices intelligence about health plan claims processing trends, alongside coding and referential tools to increase productivity, reduce denials and prevent delays.
After completing a successful pilot program with 500 physicians, Blue Cross and Blue Shield of Georgia (BCBSGa) has teamed up with Availity, a health information network that health plan officials say will streamline business processes between more than 26,000 of Georgia's healthcare providers and BCBSGa, the state's largest health plan.
From an editorial in the Jan. 31, 2011, issue of The Boston Globe, this real-life scenario is all too typical. Providers make decisions absent easy access to a patient’s complete medical history as well as guidelines, best practices, checklists and scientific findings that support them in providing the best possible care to patients.
athenahealth, which provides practice management, electronic health record and patient communication services to physician practices, has closed on the purchase of property in Northport, Maine, for $7.7 million, where it plans to establish a training center near another of its facilities.
The government has found a new high-tech way to crack down on fraud in the Medicare program – predictive modeling. The Centers for Medicare & Medicaid Services (CMS) said last week the initiative would start on July 1.
The CEO and COO at the American Health Information Management Association (AHIMA) have left the organization that represents more than 61,000 health information management professionals.
Sometimes what may seem like a small expense – $3,700 – can make all the difference to patients in need of care, but with no insurance or means to get it.
The Department of Health and Human Services has launched a new initiative aimed at rewarding hospitals for the quality of care they provide to people with Medicare while reducing healthcare costs.