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Claims Processing

By Susan Morse | 11:41 am | April 20, 2023
Changes in reimbursement and payment policies are impacting remote patient monitoring.
By Susan Morse | 11:53 am | March 31, 2023
AHIP President and CEO Matt Eyles says he fully expects an appeal.
By Susan Morse | 12:06 pm | March 28, 2023
CMS has released a proposed rule to speed up prior authorization approval.
By Jeff Lagasse | 12:04 pm | March 24, 2023
About 78% prevail in getting disputed charges reduced or removed, survey finds.
By Susan Morse | 04:23 pm | February 05, 2023
The RADV final rule comes after increasingly high profile instances of apparent over coding from Medicare Advantage Organizations.
By HIMSS TV | 06:00 am | November 22, 2022
Availity's senior director of product development, Kristina Hutson, discusses four great advantages of electronic authorization for group practices and hospitals.
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By Consensus | 11:32 am | November 17, 2022
Digital cloud faxing can remove manual processes for greater efficiencies
By Susan Morse | 01:39 pm | September 22, 2022
Centene made no admission of liability and maintained its business practices are lawful. 
By Susan Morse | 11:41 am | September 21, 2022
The groups indicate further court action is coming due to continued problems with the interim and final rules.
By Susan Morse | 07:05 pm | August 19, 2022
The departments say they have received "substantially more" disputed claims than expected.