Claims Processing

By Bill Siwicki 01:21 pm November 26, 2019
At Integris Health, billing and analytics technology is responsible for measurable rises in patients' perceptions of the financial experience – helping them set up payment plans, make payments, register for self-service and sign up for text alerts.
By Mike Miliard 04:05 pm October 21, 2019
eHI's collaborative includes Humana, United HealthCare, American Hospital Association and others who are working to encourage use of existing ICD-10-CM Z codes and develop new ones.
Cerner, partners with Simplee on price transparency
By Nathan Eddy 12:30 pm September 23, 2019
Cerner will add Simplee's financial engagement platform to its revenue cycle portfolio and incorporate its billing tools into its consumer-facing technology
NTT Data, Google Cloud co-developing new healthcare AI tools
By Mike Miliard 12:54 pm August 27, 2019
The companies plan to create new cloud-based applications focused on patient engagement, pop health, customer relationship management, claims processing and more.
IPA, insurer launch innovative new partnership to manage social determinants of health
By Mike Miliard 03:19 pm August 07, 2019
Healthy Alliance IPA, led by former ONC deputy Dr. Jacob Reider, will work with MVP Health Care to connect social services and healthcare providers via the Unite Us technology platform. The aim: strengthening community organizations, boosting pop health and reducing costs.
John Muir Health outsources IT, revenue cycle, analytics and more to Optum
By Mike Miliard 10:41 am July 19, 2019
As part of the deal, which involves nonclinical technologies, about 540 health system staff will become Optum employees.
By Mike Miliard 03:41 pm July 18, 2019
The list of healthcare jobs the AHIMA Foundation program can help fill and upskill is long and varied, including clinical documentation improvement specialists, data analysts, medical and clinical lab techs, privacy and security officers and more.
Waystar snaps up prior authorization platform developer Digitize.AI
By Nathan Eddy 11:30 am July 12, 2019
Digitize.AI's Lia technology uses real-time analytics and machine learning to automatically check for new cases and securely submit them directly to payers.
By Mike Miliard 03:44 pm June 28, 2019
The CEO says cash raised by the stock offering will help broaden the analytics and data capabilities it can offer its payer and provider customers – and drive innovations in AI, blockchain, robotics and more.
By Mike Miliard 12:34 pm June 24, 2019
The tool can help health systems optimize submissions and better predict potential issues with claims, the company says, giving recommendations to help mitigate denials before they're submitted.

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