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Claims Processing

Stethoscope on tablet
By Susan Morse | 12:45 pm | April 01, 2024
First Choice works with providers that are interested in working directly with employers.
Treasury bill
By Andrea Fox | 02:44 pm | March 27, 2024
Washington, Maryland and New Mexico have leveraged funding opportunities and regulatory tools to ease the burden on providers still struggling to operate with claims payments disrupted.
Abstract of a grid hovering over city streets
By Jeff Lagasse | 10:51 am | March 21, 2024
HHS surveyed payers for data relating to actions they were taking to help providers resolve issues.
Digital abstract of a padlock
By Andrea Fox | 06:00 pm | March 19, 2024
Also: Availity clarifies reports that it has cut ties with the clearinghouse and says it "fully expects" to reconnect to Change Healthcare.
Change Healthcare booth at HIMSS global conference
By Susan Morse | 11:51 am | March 19, 2024
The security breach has been a major disruption and opened an opportunity for scammers, Minnesota AG warns.
Eric Eckhart of Community Medical Centers of Fresno on AI
Success Stories & ROI
By Bill Siwicki | 01:37 pm | March 18, 2024
The provider saw a 22% decrease in one type of denial and an 18% decrease in another. Those improvements have resulted in more than 30 hours per week in eliminated work for follow-up staff.
Cybersecurity - hacker's hand at keyboard
By Mike Miliard | 04:56 pm | March 14, 2024
Meanwhile, the American Hospital Association is calling on Congress to do more in the face of a "staggering loss of revenue" for health systems.
Doctors walking outside of a hospital
By Susan Morse | 04:02 pm | March 11, 2024
AHA says it welcomes the letter urging UHG to step up payments to hospitals, physicians and other providers.
InterSystems at HIMSS24
By Mike Miliard | 12:01 am | March 11, 2024
The anchor exhibitor has been working on data exchange for a long time. With the FHIR spec now widespread and becoming normative, good things are starting to happen across a variety of use cases – and the company plans to show how it's helping.
Doctor on phone
By Andrea Fox | 04:47 pm | March 08, 2024
Also: The ALPHV BlackCat ransomware group may have faked a second government takedown, while the extent of the protected-data leak is still unknown.