Claims Processing

The new company will be able to offer health plans and providers a comprehensive suite of end-to-end financial and payment solutions and technologies, according to a McKesson statement.

At least this far in, the fears of massive claims rejections, crashing cash flows and full-blown chaos were largely unfounded.

Errors in insurance claims are costing the healthcare industry billions in wasteful spending, and both the payers and the providers are at fault, experts say.

The Centers for Medicare and Medicaid Services has proposed new rules it expects will expand access to analysis and data that helps employers and providers make more informed decisions about care delivery.

Two professional organizations representing emergency doctors warn that a new federal rule could lead to higher out-of-pocket costs for consumers when they need emergency care outside their health plan's network of providers. But consumer advocates and health policy experts say the groups' proposed solution doesn't adequately protect consumers.

As patients face high deductibles, price is a major topic that's put pressure on healthcare providers to offer price transparency, even though what a hospital charges can be far different from what a patient actually owes after their insurance covers some of the costs.

Owners are also charged with wire fraud for allegedly filing fraudulent applications for relief relating to the explosion and fire which occurred on the Deepwater Horizon oil rig in April 2010.

After a fractious price battle with Blue Shield, Sutter Health is offering more patients a direct option through its own health plan.

Revenue cycle upgrades at U.S. hospitals have been pushed aside, in favor of preparation for the October 2015 ICD-10 transition and the chase for incentives tied to electronic health records, according to a Black Book survey of chief financial officers.

Viral hashtag campaigns aren't new, but it's not often you see groundswell campaigns about healthcare management topics.