Skip to main content

Claims Processing

By Kelsey Brimmer | 11:05 am | May 28, 2013
Last week, Parkland Memorial Hospital in Dallas announced an agreement to pay a $1.4 million settlement to the United States Department of Justice over Medicare and Medicaid fraud allegations.
By Kelsey Brimmer | 03:15 pm | May 22, 2013
Hospitals with the highest rates of cardiac arrests tend to have the poorest survival rates for those cases, while hospitals that do the best job of preventing cardiac arrest among their patients tend to be better at saving patients with cardiac arrest, according to new research published in JAMA Internal Medicine.
By Kelsey Brimmer | 11:42 am | May 20, 2013
When President Barack Obama released his fiscal year 2014 budget proposal in April, John Lozier, executive director of the National Health Care for the Homeless Council (NHCHC), became immediately concerned that not enough is being done at the federal level to resolve the on-going homelessness epidemic.
By Carl Natale | 12:12 pm | May 07, 2013
Medical coders have a strong incentive for mastering ICD-10 coding. Physicians not so much.
By Kelsey Brimmer | 11:04 am | May 06, 2013
Getting uninsured Americans covered by insurance is not just a goal of the federal government's. It has also become a goal of the American Hospital Association's and at its annual membership meeting in April, a panel discussion focused on how to reach that goal.
By Kelsey Brimmer | 11:04 am | April 19, 2013
University Hospitals, a healthcare system in northeast Ohio, has joined up with three smaller health systems in the state to create a new purchasing collaborative to save money on supplies and improve the efficiency and effectiveness of care delivery.
By Kelsey Brimmer | 11:14 am | April 17, 2013
Hospitals make more of a profit when surgical patients develop complications finds a new study published Wednesday in JAMA.
By Tammy Worth | 02:32 pm | April 16, 2013
The Federal Bureau of Investigation estimates that healthcare fraud costs are approximately $80 billion annually. To prevent some of the billions from being siphoned from the healthcare system, many organizations are turning toward analytics.
By Mary Mosquera | 05:25 pm | April 15, 2013
In the era of reform, healthcare providers will have to operate more like any other business by using the most efficient methods to deliver and pay for the most effective care, said a panel representing the banking industry and healthcare payers and providers during a business of healthcare session at the 2013 HIMSS Annual Conference & Exhibition last week. Electronic transactions offer an attractive solution.
By Kelsey Brimmer | 04:12 pm | April 15, 2013
Across the country, hospitals and health systems are transitioning to accountable care organizations (ACOs). What does it take to do that?