Claims Processing

MD Live screenshot
By Dave Muoio 03:35 pm February 26, 2021
Set to close in Q2, the deal will provide the payer's healthcare services subsidiary with an integrated virtual care offering.
By Mike Miliard 11:21 am February 05, 2021
Its cloud-based natural language processing technology can help health insurers mine unstructured clinical data to track accountable care with HEDIS measures.
KLAS banner at an event booth
By Mike Miliard 01:51 pm February 02, 2021
Other winners include Galen Healthcare Solutions as the top overall IT services firm, Chartis Group as top overall healthcare management consulting firm and IBM Watson Health's Merge PACS as most improved software product.
Elizabeth Richter and Seema Verma.
02:34 pm January 21, 2021
The move is the first sign of future healthcare policy changes, given Biden's promises to reform the industry.
Senior wearing medical monitoring bracelet
By Jeff Lagasse 10:46 am January 13, 2021
The rule is meant to ease undue burden for innovators and speed access to potentially lifesaving technologies.
By Mike Miliard 04:31 pm December 17, 2020
By connecting provider and payer access points, the deal aims to make care more available, boost care coordination and improve online patient experience, says Kyruus CEO Graham Gardner.
Digital graph and hundred-dollar bill
By Mallory Hackett 10:53 am November 25, 2020
When health systems have their staff manage revenue cycles, up to 25% of the day can be spent on repetitive tasks related to the revenue process.
Four hands with puzzle pieces matching
By Mike Miliard 12:41 pm November 20, 2020
Two groups applied the Framework for Cross-Organizational Patient Identity Management, first developed with Intermountain in 2016, to payers – and found a high matching accuracy rate across 36 different organizations.
By Susan Morse 09:25 am August 25, 2020
The majority of health plans say they do not feel ready to meet the new FHIR interoperability standards mandated by CMS.

"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.