Claims Processing

By Nathan Eddy 08:57 am March 29, 2019
IaaS and SaaS offerings are enabling payers to run analytics against claims and other data in new ways that enable them to operate more efficiently.

"For the first time, we are proposing that all health plans doing business in Medicare, Medicaid, and through the federal exchanges share health claims data and other important information electronically with their patients," said CMS Administrator Seema Verma at HIMSS19.

By Mike Miliard 12:59 pm March 27, 2019
The insurance group says it's supportive of more data sharing, but says CMS' timeline for API-enabled access is too aggressive.
Telemedicine consultation.
By Jeff Lagasse 11:14 am March 19, 2019
Until November, reimbursement for remote patient monitoring services was a gray area for providers, but the picture is becoming clear.
cloud
By Nathan Eddy 09:16 am March 19, 2019
IDC and Ponemon experts highlight the advantages of storing insurance claims information in a could and offer advice about security and data control.

Screengrab of the Community Health Assist Scheme (CHAS)'s official website.

By Dean Koh 09:18 am February 16, 2019
Due to an error in the software administered by NCS Pte Ltd., about 7,700 individuals received inaccurate healthcare and intermediate and long term subsidies, said the Ministry of Health (MOH) on Feb. 16, 2019.
Change HIMSS booth
By Tom Sullivan 10:58 am February 12, 2019
The new Claims Lifecycle Artificial Intelligence works with Change's Intelligent Healthcare Network to improve the revenue cycle, the company says.
CareFirst breach Maryland
By Jessica Davis 01:56 pm April 02, 2018
The Maryland insurer is already involved in a lawsuit stemming from a 2014 breach of about 1.1 million members.
Blockchain in healthcare
By Mike Miliard 01:19 pm January 08, 2018
The retooled Intelligent Healthcare Network platform allows for improved transparency and efficiency of claims management.
Epic EHR stories of 2017
By Bernie Monegain 01:13 pm December 26, 2017
The biggest electronic health record company made plenty of big news this past year, beginning with the scoop that it would develop new technology aimed at smaller hospitals.
VA awards $44 million contract to CNSI for claims processing technology
By Mike Miliard 02:54 pm November 30, 2017
As the department work to finalize its EHR modernization contract with Cerner, it extends a smaller deal for centralized claims management.

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