Claims Processing

A stylized brain illustration formed with wires, to convey artificial intelligence
By Kat Jercich 02:40 pm May 10, 2021
The AI-as-a-service company will start by optimizing processes in TriHealth's revenue cycle department, but can be rapidly scaled if other needs arise.
A doctor sits at a computer with a headset on
By Kat Jercich 03:56 pm April 26, 2021
A new study linked direct-to-consumer telemedicine visits to more downstream office and urgent care visits.
Epic booth at HIMSS
By Mike Miliard 11:48 am March 25, 2021
Among the project's new advancements will be the automation of prior auths at Ochsner Health, with more codeveloped tools for patients, payers and providers to come.
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.