Claims Processing

Bad code, bureaucracy prove a toxic combo for
By Chris Nerney 09:58 am October 25, 2013
The problems plaguing the insurance exchange site can be blamed on poor coding and political pressures, according to three technology experts interviewed by Healthcare IT News. While all three identified inadequate pre-launch testing as a big source of its technical woes, they disagreed on whether the Obama administration's call for outside help...
By Anthony Brino 10:58 am October 22, 2013
Flanked by a number of Americans who have successfully enrolled for coverage on, President Barack Obama vigorously defended the benefits of the Affordable Care Act on Monday, even as the rollout of the federal insurance marketplace website has been riddled with errors that could take weeks to fix.
Obama calls IT support for ailing site
By Mike Miliard 11:06 am October 21, 2013
Three weeks after the disastrous launch of its health insurance marketplace, the Obama administration has vowed to redouble its efforts to fix its many glitches, promising a 'tech surge' to iron out its problems and improve the customer experience.
revenue cycle management tools
By Bernie Monegain 09:52 am October 21, 2013
In the revenue cycle management market, hospitals show high adoption of technology focused on eligibility and scheduling, with much work left to be done around charity screening and propensity to pay, according to a new report from HIMSS Analytics.
By Erin McCann 01:40 am October 08, 2013
Who would have thought that something so simple as copy and paste could have such serious consequences? Diana Warner, director at AHIMA, confirmed the seriousness of inappropriately using copy and paste functions in electronic health records. And the government agrees -- it's no laughing matter.
By Diana Manos 10:52 am October 02, 2013
Continua Health Alliance officials on Wednesday praised the Texas Health and Human Service Commission for the approval of rules allowing Texas Medicaid to begin reimbursing for telemonitoring services and setup, effective October 1.
Stage 2 meaningful use
By Diana Manos 10:50 am September 25, 2013
The start date for Stage 2 of the meaningful use incentive program, expected to begin Oct. 1, 2013 for hospitals and Jan. 1, 2014 for eligible providers is once again up for discussion.
Doug Brown
By Bernie Monegain 10:37 am September 23, 2013
The $2.4 billion hospital RCM software and services industry expects double digit increases in 2014 because of business shifts, reimbursement and payment reforms, accountable care participation, ICD-10 coding challenges, physician practice acquisitions, collection issues, and overall declining margins.
American College of Physician Executives public Medicare data
By Diana Manos 10:57 am August 30, 2013
A new poll by the American College of Physician Executives was prompted by a federal court judge's decision to overturn a longstanding injunction that prevented CMS from releasing information about payments to individual physicians.
revenue cycle management
By Kevin Fuller 10:22 am August 28, 2013
Lisa Burdue, accounts receivable manager with Internal Medicine Specialists, a gastroenterology and nephrology clinic in Central Florida, has seen firsthand how state-of-the-art revenue cycle technologies can boost reimbursement.

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