Claims Processing

By Parag Nasikkar 01:38 pm February 24, 2015
Payers' involvement in patient care, and their access to clinical data, has remained limited. They have traditionally relied on claims data to build care management applications and cost reduction programs.
By Joshua Berman 01:12 pm March 10, 2014
For hospitals looking to protect their revenue streams, verifying compliance of financial connectivity software is a good way to start preparing for ICD-10 conversion. But preparation for a successful transition involves more -- including education, testing and process improvement. So, with seven months to go, here are six tips to help with the...
By Mike Miliard 01:19 pm November 22, 2011
This past week I had the pleasure of traveling, along with MedTech Media Editorial Director Rich Pizzi, to Amelia Island, Fla. for the inaugural HIMSS Leaders & Innovators conference.
By Scott Kelly 10:48 am March 01, 2011
Most healthcare organizations have modified or customized their billing applications. While these customizations are fine for their intended purposes, they pose rather large obstacles to the ICD-10 code conversion process.
By Tom Sullivan 08:54 am August 06, 2010
ICD-10 is a multi-headed beast. As such, there are many faces to the new code sets; some are well known while others, often just as important, are not so understood.
By Tom Sullivan 08:17 am April 08, 2010
It's no secret that the government mandated dynamic duo - that being HIPAA 5010 and ICD-10 - requires changes enormous in both number and scope. What's not as well understood is all the challenges they present.
By Chris Thorman 11:25 am February 04, 2010
In this table, we've combined the meaningful use objectives for both eligible professionals and hospitals for the Stage 1 adoption year, the required EHR technology criteria to accomplish those objectives and what criteria the government will use to measure meaningful use.
By John Halamka 09:24 am November 10, 2009
Recently, clinicians have asked me "why should I implement my organization's preferred EHR when I've found a less expensive vendor that promises meaningful use?"
By David Kibbe 09:44 am February 09, 2009
Clinical Groupware is a departure from the client-server and physician-centric EHR technology of the past 25 years, a fixed database technology that never really became popular.

Most Read

The Daily Brief Newsletter