Claims Processing

By Mike Miliard 10:52 am October 15, 2014
ABILITY Network, which develops workflow technology for hospitals, home health agencies and other care settings, will acquire MD On-Line, maker of electronic data interchange and revenue cycle tools for payers and providers, for an undisclosed sum.
By Mike Miliard 10:46 am September 30, 2014
Optum, the health IT division of UnitedHealth, will acquire MedSynergies -- which makes practice management, revenue cycle, physician referral management and other ambulatory-focused technology -- for an undisclosed sum.
Growing money
By Bernie Monegain 10:41 am August 27, 2014
A Mississippi health system and three hospitals in Texas, Indiana and Alabama are illustrating how hospitals can thrive, even in a tough economic environment. One hospital increased its revenue by $8.2 million after improving clinical documentation. Another changed the way it collected for services and boosted revenue by $6.1 million.
data code
By Erin McCann 10:23 pm August 08, 2014
By mining state Medicaid data and utilizing a population health platform, the Wyoming Department of Health was able to slash its Medicaid-related emergency room visits by 20 percent in a one-year period.
By Mike Miliard 10:24 pm August 01, 2014
The revised compliance date for providers, payers and clearinghouses to transition to ICD-10 has been finalized by the Department of Health and Human Services. It's Oct. 1, 2015 -- just 14 months from today.
Car speeding down road
By Mike Miliard 10:49 am June 27, 2014
Even if the ICD-10 compliance date is farther away than it once was, it will arrive eventually. (For real, this time. We think.) And while you'd be forgiven for taking a foot off the proverbial gas, this is time that should be spent pushing ahead with preparedness plans.
By Stephanie Bouchard 10:25 am June 18, 2014
When it comes to revenue cycle management, a recent poll of hospital chief financial officers shows 86 percent of respondents saying the "needs" of CFOs are currently more important than most clinical and patient care "wants."
Money illustration
By Mike Miliard 10:54 am June 12, 2014
Simply put, most revenue cycle management systems aren't suited for a future where providers are paid for quality, not volume. That, coupled with increasing hospital consolidation and the fact that the "the average system out there is quite old," means the entire concept of RCM is due for a shakeup.
By Bernie Monegain 06:48 am May 30, 2014
The annual PayerView Report from health IT company athenahealth, released today, reveals the healthcare payer that has the best relationship with providers and the one that has the most problems.
Stethoscope on computer chip
By Benjamin Harris 09:54 am May 09, 2014
The long and short of it is this: Old code deteriorates over time. It begs to be transported to new platforms. With that, though, comes challenges.

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