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Claims Processing

By Susan Morse | 11:54 am | May 05, 2017
It's usually best to understand your claims data, update chargemasters, before sitting down at the table.
By Bernie Monegain | 12:31 pm | May 04, 2017
New York hospital owes millions for improperly billed Medicare claims in 2012 and 2013, but the recovery period may have passed.
By Susan Morse | 11:40 am | April 24, 2017
The next big healthcare technology innovation will increase transparency and save money.
By Jeff Lagasse | 12:27 pm | March 15, 2017
The South Central region had the second-highest rate, according to RelayHealth Financial's Revenue Cycle Index.
By Susan Morse | 03:51 pm | February 08, 2017
Judge also ruled that Humble Surgical Hospital in Humble, Texas, was paying 30 percent kickbacks for facility fees to 103 physicians in exchange for referrals.
By Susan Morse | 11:44 am | February 08, 2017
Anthem, Cigna have already ended policy of prior authorization for medication assisted treatment for substance use disorders.
By Susan Morse | 02:09 pm | January 25, 2017
Group says it wants to improve timely access to care and reduce administrative burden.
By Jeff Lagasse | 02:38 pm | January 13, 2017
Providers now spend eight minutes on average, and up to 30 minutes on manual tasks like making phone calls, sending faxes and mailing correspondence.
By Susan Morse | 12:01 pm | December 19, 2016
Tool has helped Bellin Health close its reimbursement gap by about $2.2 million in one year.
By Henry Powderly | 12:29 pm | December 13, 2016
In lieu of fees, healthcare organizations will pay a percentage of the recovered funds to ERI.