Claims Processing

US Capitol
By Tom Sullivan 09:05 am April 27, 2015
Healthcare providers are going to be penalized after the ICD-10 compliance deadline. Not because they are filing claims wrong, but simply "because the system has changed," says one U.S. Senator.
Andy Slavitt
By Mike Miliard 11:08 am April 17, 2015
Speaking at HIMSS15 on Thursday, Andy Slavitt, acting administrator for the Centers for Medicare & Medicaid Services, said providers will need to evolve in order to benefit from value-based reimbursement, and "will need technology to help them get there."
detective
By Erin McCann 11:08 am April 01, 2015
The Office of Inspector General is once again calling out CMS for failing to adequately address fraud vulnerabilities in electronic health records.
Cut cost
By Chris Nerney 07:49 am April 01, 2015
Predictive analytics has helped some revenue cycle departments identify problem claims before they're denied.
Computer hack
By Mike Miliard 09:52 am March 18, 2015
In what looks like it might be becoming a trend, another health plan has been targeted with a "sophisticated cyberattack," with hackers gaining access to the financial and medical information of 11 million members.
Data servers
By Mike Miliard 10:06 am March 09, 2015
Centers for Medicare & Medicaid Services' first Chief Data Officer Niall Brennan talks about his first few months as CDO, and offers advice for providers looking to tap into their own data to drive efficiency and improve care.
Frustrated doctor
By Mike Miliard 10:51 am March 06, 2015
In a letter this week to the Centers for Medicare & Medicaid Services, more than 100 medical societies aired "a number of concerns that do not appear to be addressed" as the ICD-10 deadline looms.
King v. Burwell debate photo from Twitter user SEUI.
By Neil Versel 09:50 am March 05, 2015
The oral arguments the U.S. Supreme Court heard Wednesday in King vs. Burwell did not address any health IT provisions of the Affordable Care Act, but the ruling could have far-reaching effects on the future of American healthcare.
Supreme Court
By Healthcare IT News 10:49 am March 04, 2015
Oral arguments begin today in yet another Supreme Court case that could threaten the existence of the Affordable Care Act, challenging the legality of one of its key components.
Calculator and spreadsheet
By Mike Miliard 08:22 am March 03, 2015
After Mike Simms, vice president of revenue cycle for Greensboro, N.C.-based Cone Health, signed on with one RCM vendor, he quickly found himself wishing he'd followed his hunch the first time around.

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