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Claims Processing

By Mike Miliard | 11:51 am | December 08, 2010
MedeAnalytics, a provider of healthcare performance management solutions such as on-demand analytics, announced Wednesday the launch of its new accountable care organization solution, alongside an ACO resource center for provider and payer organizations.
By Mike Miliard | 11:24 am | December 06, 2010
As it seeks to expand its suite of clinical solutions for unified patient information management (UPIM), NaviNet, the biggest healthcare communications network in the country, has acquired Prematics, a provider of mobile care management solutions.
By Molly Merrill | 10:35 am | November 30, 2010
A pilot program being conducted by the Department of Veterans Affairs (VA) will use a private contractor and the Internet to speed claims decisions and cut down the time it takes to receive healthcare records from private physicians.
By Molly Merrill | 06:15 pm | November 04, 2010
Epocrates, Inc., announced Thursday a partnership with Covisint, a Compuware Company, that aims at helping doctors get paid for quality reporting.
By Eric Wicklund | 11:45 am | September 08, 2010
Payers aren’t always in the loop when physicians and patients get together to map out a healthcare regimen. IBM is looking to the clouds to change that.
By John Andrews | 10:18 am | July 01, 2010
Real data and real results tell the story of the pay-for-performance movement, but market specialists say it starts with the vision of what an organization aspires to be and the priorities it sets.
By Bernie Monegain | 10:16 am | July 01, 2010
A healthcare price-comparison startup started by the founder of RelayHealth and the co-founder of athenahealth has raised $60 million in funding, including an investment from the Cleveland Clinic.

By Mike Miliard | 10:40 am | June 02, 2010
Florida is famous for its sunshine, but it's infamous for its Medicaid fraud. With the fourth largest program in the country, covering more than 2.1 million people, the state loses as much as $3.2 billion in fraudulent claims each year.