Claims Processing

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.

These key performance indicators reveal a lot about whether turning to a third party will prove to be a worthwhile investment and yield an adequate return.

A deposition reveals former medical director never looked at patient medical records, but Aetna says correct guidelines were followed.

While MVA and workers' compensation claims are only a small percentage of a healthcare organization's total claims, they can amount to millions of dollars in annual revenue for many hospitals and secure higher reimbursement rates than commercial insurance.