Claims Processing

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.
By Mike Miliard 10:49 am April 28, 2014
Truven Health Analytics has acquired Fortel Analytics, whose fraud detection technology will be deployed to comb data for suspicious patterns in healthcare insurance claims.
By Mike Miliard 09:42 am April 16, 2014
The American Health Information Management Association has called for the Department of Health and Human Services to announce Oct. 1, 2015, as the new implementation date for ICD-10 as soon as possible.
By Mike Miliard 10:31 am April 15, 2014
In yet another record quarter for venture capital, health information technology companies raked in $858 million since January, across 163 deals -- a 154 percent increase compared to Q4 2013.
By Anthony Brino 11:05 am April 14, 2014
Medicare's release this past week of physician reimbursement data may be, as U.S. CTO Todd Park puts it, an "unprecedented" opportunity for transparency. But what will researchers -- and ultimately seniors and taxpayers -- be able to actually learn from it?
Data sheets
By Mike Miliard 11:17 am April 10, 2014
Like most CIOs of three-hospital health systems, Karen Bowling has plenty keeping her busy these days. Now there's even more to do. With the mission of meeting a slew of federal mandates pretty much well in hand, it's time to help steer toward a future of accountable care.

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