Claims Processing
Oklahoma Cancer Specialists and Research Institute offers a case study in selecting and implementing information technology for the Radiation Oncology Alternative Payment Model.
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10:27 am
January 10, 2022
Health insurance companies increasingly face challenges in capturing and collecting revenue. Save time and money and prevent provider conflicts by addressing claim errors before payment.
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09:34 am
January 03, 2022
The No Surprises Act and the Transparency in Coverage Rule have brought new requirements for insurers. Deadlines for compliance are fast approaching, but we have the support and guidance you need.
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08:56 am
December 13, 2021
In the 2022 plan year, new requirements for improving healthcare cost transparency and encouraging consumer engagement will take effect. Here's what you need to know about the new NSA member ID and Advanced EOB requirements.
Payers' involvement in patient care, and their access to clinical data, has remained limited. They have traditionally relied on claims data to build care management applications and cost reduction programs.
For hospitals looking to protect their revenue streams, verifying compliance of financial connectivity software is a good way to start preparing for ICD-10 conversion. But preparation for a successful transition involves more -- including education, testing and process improvement. So, with seven months to go, here are six tips to help with the...
This past week I had the pleasure of traveling, along with MedTech Media Editorial Director Rich Pizzi, to Amelia Island, Fla. for the inaugural HIMSS Leaders & Innovators conference.
Most healthcare organizations have modified or customized their billing applications. While these customizations are fine for their intended purposes, they pose rather large obstacles to the ICD-10 code conversion process.
ICD-10 is a multi-headed beast. As such, there are many faces to the new code sets; some are well known while others, often just as important, are not so understood.
It's no secret that the government mandated dynamic duo - that being HIPAA 5010 and ICD-10 - requires changes enormous in both number and scope. What's not as well understood is all the challenges they present.
