Claims Processing

Prior authorization requirements have hindered freeing up hospital beds due to delays in getting inpatients to post-acute care.

Hospitals can transfer patients who are COVID-negative to post-acute care facilities without advanced prior authorization approval, AHIP's Board of Directors says.

Health plans will be responsible for data sharing and patient access in a way they're not used to. "A lot will have to go into meeting that deadline," one expert says.

Insurer will cover rapid and ultra-rapid whole genome sequencing done by Rady Children's Institute for Genomic Medicine.

The number of confirmed COVID-19 cases worldwide is more than 60,000, with the 15th known person infected in the United States.

With 75 percent of health orgs implementing or planning to execute an AI strategy, OptumIQ said top benefits are improving patient experience and decreasing per-capita care costs.

Case study: Revised paper statements and new digital patient portal drove a 38% improvement in self-pay collections, a 21% reduction in cost-per-dollar collected and patient satisfaction rose from 28% to more than 50%.

Using embedded codes in blockchain technology, claims process themselves.

What looks like a nightmare for hospital finance executives is also an opportunity to reduce excessive losses typically associated with such claims.

The average expense of repeated medical care because of duplicate records costs a reported average $1,950 per patient for each inpatient stay.