Claims Processing
It's no secret successful healthcare only works with well-engaged patients. But, whether it's a lack of usable technology or unproven theories, recent research has shown patients are still simply not interested in managing their care. Steve Krupa outlines four reasons patients aren't managing their care.
A national survey of physicians finds that doctors believe their patients' unmet social needs, such as access to reliable transportation and adequate housing, lead directly to worse health.
A new set of eight MAP keys was recently released by the HFMA, and when used correctly, aids hospitals, health systems and physician practices in tracking performance over time. Here are the eight new MAP keys for physician practice management.
Diversified Service Options (DSO), a wholly-owned subsidiary of Blue Cross and Blue Shield of Florida Inc. and the holding company for First Coast Service Options (FCSO), has reached an agreement to acquire Highmark Medicare Services (HMS), a subsidiary of Pittsburgh-based Highmark Inc.
CMS will analyze enrollment and medical claims to keep bad actors out of Medicare, share information with Medicaid and thwart fraudulent payment.
HMS Holdings Corp. announced Monday that it will acquire HealthDataInsights, the Medicare recovery audit contractor for Region D, for approximately $400 million.
Nearly half of healthcare providers plan to replace their current revenue cycle management (RCM) system in the next five years, according to a new survey from market researcher KLAS.
Prescription drugs are more expensive in the United States than in any other developed nation. What are some of the reasons behind the astronomical cost of pharmaceuticals, and are there any steps the government could take to make drugs cheaper to US buyers? Check out this interesting graphic and give us your opinion.
The deadline for HIPAA 5010 compliance is knocking at the door but there is confusion, even at this late date, about what "readiness" means, says the Healthcare Billing & Management Association (HBMA).
I recently had some physical therapy for a minor injury. Since the office forgot to charge my co-pay the first time I went in I received a so-called EOB from my insurance carrier, BlueCross BlueShield of Massachusetts. EOBs are a holdover from the mainframe era: arcane, inflexible reports that are hard to interpret.