Claims Processing
New claims processing systems cost up to $300 million, so insurers are looking to outsource instead.
Automation is helping, but what is really needed is a standard approach.
It's usually best to understand your claims data, update chargemasters, before sitting down at the table.
New York hospital owes millions for improperly billed Medicare claims in 2012 and 2013, but the recovery period may have passed.
The next big healthcare technology innovation will increase transparency and save money.
Tool has helped Bellin Health close its reimbursement gap by about $2.2 million in one year.
In lieu of fees, healthcare organizations will pay a percentage of the recovered funds to ERI.
Staffing and productivity issues remain, and with grace periods over, that could spell trouble.
Hospitals that perform joint replacements on older, sicker patients under the program will suffer under reconciliation payment reductions, research suggested.
Coding quality is more important than ever, but other analytics tools are helping hospitals bridge the gap.