11:04 am May 16, 2016
The collaboration aims to help health plans more easily scale both fee-for-service and value-based models.
Florida Hospital reaps $72.5 million from clinical documentation improvement, achieves ICD-10 compliance
11:06 am May 02, 2016
The health system credits clinical and financial improvements to a CDI initiative that resulted in more accurate coding and greater physician engagement.
09:30 am April 20, 2016
Revenue cycle management has gone from being a "back office" function to an "end-to-end" system that begins at patient intake or even before, claims specialists say. Advanced technologies, in tandem with improved workflows and better data have resulted in RCM systems that encompass the entire healthcare enterprise.
ICD-10: Providers can recoup millions of dollars in lost revenue by analyzing claims denials, data scientist says
10:12 am April 11, 2016
Advanced analytics and machine learning technologies are critical to pinpointing problems in large datasets that could be losing providers money. That’s why some organizations are investigating every single denied claim to better understand trends.
09:41 am April 11, 2016
Hospitals are starting to hire younger, more diverse people to handle the new coding. The shift will likely benefit healthcare organizations in time, but it won’t happen overnight.
08:18 am April 11, 2016
The healthcare industry appears to have successfully withstood the transition from ICD-9 to ICD-10. But are the sighs of relief premature? Is another shoe waiting to drop?
04:42 pm March 31, 2016
The organization’s 2015 Index found that the U.S. is still spending unnecessary but significant sums of money on manual transactions when the technology is available to handle those electronically.
03:08 pm February 18, 2016
All but seven U.S. states have either passed or are working on legislation that would establish a state-sponsored, all-payer claims database – and that’s among the reasons these databases are in the spotlight for their promise to improve the way providers and insurance companies manage patient populations.
10:26 am December 08, 2015
As healthcare and technology professionals gather to share strategies for optimizing revenue cycle management in a challenging and fast-changing reimbursement environment, Healthcare IT News' sister publication Healthcare Finance offers live updates.
09:44 am December 04, 2015
Triple-S Management Corporation has agreed to settle potential HIPAA violations with the U.S. Department of Health and Human services to the tune of $3.5 million, after repeatedly failing to put safeguards in place for its beneficiaries' PHI.