Claims Processing
The American Association of Homecare says the competitive bidding process initiated for Medicare patients at the start of 2011 is not working.
Kronos, Inc., a Chelmsford, Mass.-based provider of workforce management solutions, has acquired API Healthcare, a Hartford, Wis.-based developer of software management solutions focused on staffing and scheduling, patient classification, human resources, recruiting, payroll and staffing agencies.
CMS has apparently determined that facilities with DRG payments in excess of $100 million during the last fiscal year have the ability to address a larger number of RAC additional documentation requests.
Phreesia, which specializes in patient check-in technology, showcased its new Payment Scheduler at HIMSS11 on Wednesday. It will enable physician practices to offer payment plans for patients at check-in and check-out, helping ensure that doctors get paid on time and in full.
New efforts are needed to develop and refine quality-of-care and other performance measures that can assure new payment models will improve medical care without harming patients, according to a new RAND Corporation study.
The TriZetto Group, Inc., announced Tuesday that it has signed an agreement to acquire privately held Gateway EDI, a St. Louis-based healthcare revenue cycle management (RCM) company. Officials said the combination of the companies' platforms will benefit both payers and providers by delivering integrated end-to-end real-time payment information.
BancTec, a Dallas-based company specializing in business solutions, business process outsourcing and infrastructure services, is showcasing its Healthcare Remittance Automation product during the HIMSS11 conference taking place this week in Orlando.
Complicated ICD-10 conversion will affect all areas of Orlando Health, but officials said the organization is on track for meeting the Oct. 1., 2013, deadline.
In an effort to increase efficiency and improve cash recovery on commercial bills, eligibility efforts and patient-pay accounts, the Regional Medical Center at Memphis, known as the MED, will be using Connance Agency Manager and Scoring with PARO charity care analytics.
Preferred Care Partners has entered the Medicaid market with the launch of CareFlorida, a new health plan serving Medicaid recipients in Miami-Dade and Broward counties. Preferred Care Partners is one of the largest private Medicare-Advantage plans in Florida.