Claims Processing

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.

Bundles would cover a screening mammogram and other later diagnostic breast imaging services.

More than half of hospitals are not currently using revenue cycle vendors claims denials management tools, according to a new survey from Healthcare IT News sister company HIMSS Analytics, and that reality presents a large opportunity for providers to get more expedient payment.

CMS said the initiative is part of a broader effort to improve care and spend money more wisely by making use of available data.

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.