Claims Processing

Heritage Foundation photo via Right Web
By Tom Sullivan 02:18 pm May 19, 2015
The list of organizations lining up against ICD-10 is growing -- as is the ferocity of their tone, as the latest in the fray is a conservative think tank that's calling on Congress to abandon the code set transition.
Paperwork and stethoscope
By Tom Sullivan 05:27 pm May 14, 2015
One thing about ICD-10 is becoming crystal clear: The compliance deadline is not going to arrive without Congressional resistance. A new GOP-sponsored House bill calls for an 18-month transition period to ensure the conversion goes smoothly.
U.S. Capitol
By Tom Sullivan 07:29 pm May 11, 2015
Now that the actual proposed legislation for the new Cutting Costly Codes Act of 2015 is available, here's what we know about Republican Texas Rep. Ted Poe's latest attempt to scuttle ICD-10.
horse-and-buggy
By Bernie Monegain 01:14 pm May 08, 2015
The U.S. healthcare industry's billing and payment system is a horse-and-buggy in a world contemplating driverless cars, a new report from PwC asserts and calls for going to digital options stat.
US Capitol
By Tom Sullivan 01:05 pm 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 03:08 pm 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 03:08 pm 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 11:49 am April 01, 2015
Predictive analytics has helped some revenue cycle departments identify problem claims before they're denied.
Computer hack
By Mike Miliard 01:52 pm 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 02:06 pm 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.

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