Claims Processing
Its new Insurance Checker feature seeks to ease a common pain-point: deciphering, understanding and verifying health insurance.
Total costs of Kymriah and 21 similar drugs in development - CAR T-cell therapies - will reach $1 million or more per patient, according to leading cancer experts.
St. Francis Hospital used web-bots to replace manual queries to payers, yielding instant transactions that immediately find information providers need.
Mackinac enables easier collaboration, expedited document sharing between providers and payers, Hyland says.
Engaging with different stakeholders and coaching care teams has helped the health system realize a 40 percent improvement in 30-day readmissions.
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09:12 am |
August 21, 2017
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09:12 am |
August 21, 2017
Here's what you need to know about taking claims management to a higher level.
Recovery effort came with a price tag of roughly $118 per claim, or as much as $8.6 billion in appeals-related administrative costs, Change Healthcare said.
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.