Claims Processing

"The work of this new office will be targeted to help reduce unnecessary burden, increase efficiencies, continue administrative simplification, increase the use of health informatics and improve the beneficiary experience," said CMS Administrator Seema Verma.

By Mike Miliard 11:13 am June 24, 2020
In addition to reducing the hours and costs clinicians and providers incur for CMS-mandated compliance, the office will also focus on how health data can be harnessed for more efficient healthcare and improved patient experience.
Tech optimization: Boosting revenue cycle management
By Bill Siwicki 02:08 pm June 22, 2020
Healthcare IT News lines up five RCM experts in this special report to discuss best practices for optimizing this key financial technology.
By Mike Miliard 02:49 pm June 19, 2020
The collaboration with Health Care Service Corporation, billed as Epic's first such project with a payer organization, will help health plans more easily review data for managing claims and prior authorization.

(Keith Kissel, Flickr)

By Kat Jercich 01:54 pm June 12, 2020
The bipartisan HEALTH Act would make permanent Medicare payments for telehealth services at federally qualified health centers and rural health clinics.
Patient with one medical professional in an office and another on-screen
By Mike Miliard 04:39 pm June 05, 2020
More than three-dozen HEDIS measures have been adjusted to reflect new telemedicine services in response to COVID-19 and better align with the realities of virtual care delivery.
By Mike Miliard 01:10 pm May 12, 2020
The tools could help payers manage the demands of standards-based interoperability challenges, and also offer security, identity management and consent management.
Doctors in Hazmat suits treating patient.
By Susan Morse 01:28 pm March 31, 2020
CMS is also allowing ERs to use drive-through testing and telehealth, and for tests to be done at home for stay-at-home residents.

CMS Administrator Seema Verma

By Mike Miliard 02:57 pm March 17, 2020
CMS says the move to reimburse physicians will enable beneficiaries to get telehealth services in physician's offices, hospitals, nursing homes, rural health clinics – and their homes.
By Fred Bazzoli 11:15 am March 17, 2020
Health plans will be responsible for data sharing and patient access in a way they're not used to. "A lot will have to go into meeting that deadline," one expert says.
By Mike Miliard 03:30 pm February 10, 2020
AI and blockchain also continue to feature in its new technologies, as the revenue cycle and data exchange company works to help modernize the claims process and digitize more transactions.