Claims Processing

blockchain
By Bernie Monegain 08:24 am May 30, 2017
DocChain links health systems, insurers and technology.
Blockchain in healthcare
By Mike Miliard 12:40 pm May 04, 2017
Altarum Institute, Hashed Health believe so, and they are partnering to develop distributed ledger technologies to benefit value-based reimbursement.
Mount Sinai owes OIG $42 million
By Bernie Monegain 11:22 am May 04, 2017
New York hospital owes millions for improperly billed Medicare claims in 2012 and 2013, but the recovery period may have passed.
medication errors linked to healthcare technology
By Bill Siwicki 01:13 pm April 28, 2017
Leapfrog Group says 30 percent of hospitals fully meet the four criteria for bar code medication administration, though 74 percent meet the group’s two CPOE criteria.
secure document exchange FHIR for EMS
By Mike Miliard 02:15 pm April 18, 2017
Emergency teams can connect via DirectTrust, Carequality, FHIR and more.
By John Andrews 01:37 pm March 28, 2017
Real engagement means managing hospital workflow, still-emerging relationships with post-acute practices and a complex customer dynamic for payers and providers alike.

From left: McKesson experts David Dyke, Tammie Phillips and Kamron Lachney.

Sponsored by
By 01:12 pm February 12, 2017
Denials erode the provider organization’s bottom line and require an inordinate amount of administrative work for both payers and providers. But they don’t need to.
Surescripts interoperability
By Bernie Monegain 09:33 am August 16, 2016
The network now conducts more transactions daily than Amazon or Uber, according to CEO Tom Skelton.
McKesson HealthQX value-based payment
By Bill Siwicki 01:11 pm July 12, 2016
McKesson expands its ability to support customers in bundled payment programs with HealthQX’s ClarityQx software.
CMS claims data

CMS Chief data Officer Niall Brennan said the new data will enable caregivers to make smarter clinical decisions.

By Bernie Monegain 10:48 am July 05, 2016
New rules under MACRA mean that qualified providers can share or sell analyses of Medicare and private claims data, which the Centers for Medicare and Medicaid Services could be a boon to better care delivery.

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