Claims Processing
A leader of a prescription fraud scheme has been sentenced to six years in prison for healthcare fraud, HIPAA violations and aggravated identity theft.
An annual review of the nation's health insurers by athenahealth and Physicians Practices has placed Hartford, Conn.-based Aetna at the top of the list.
The Huron Consulting Group's healthcare practice is offering a new product that aims to help healthcare providers steer a straight path through the revenue cycle management maze.
California Attorney General Kamala D. Harris has announced a $241 million settlement - the largest recovery in the history of the state's False Claims Act - with Quest Diagnostics to recover illegal overcharges to the state's medical program for the poor.
Progress toward ICD-10 implementation is revving up, according to a survey commissioned by the TriZetto Group, a provider of healthcare IT software and service solutions.
As providers keep hearing over and over-from RACs and their own Medicare contractors, insufficient documentation is frequently the reason for claim denials.
Two healthcare IT companies are joining forces to market an Internet-based personal health record solution to insurance providers looking to cut unnecessary clinical and administrative costs.
Two Florida based healthcare IT companies, one focusing on practice management and the other on electronic medical records, are partnering to help urgent care centers and hospital emergency departments manage their clinical and administrative affairs on one platform.
Business intelligence may sound “techie,” but it really isn’t.
The developer of a national over-the-counter healthcare benefits payment platform now being used for Medicare Advantage members has unveiled a new platform for Medicaid, giving the beleaguered state-run program a means of controlling costs and cutting waste.