Claims Processing

Dr. Mehmet Oz
By Susan Morse 01:20 pm November 20, 2024
Oz will cut waste and fraud within the country's most expensive government agency, Trump says.
Stethoscope on tablet
By Susan Morse 01:19 pm November 01, 2024
The intent of prior authorization - to make efficient use of health resources - has not worked, says Peter Ax of UpScriptHealth.
Doctor looks at a desktop computer screen in a medical office
By Andrea Fox 12:26 pm October 31, 2024
Also: SmarterDX launches tools to help hospitals overturn denials in minutes and recover lost revenue.
Female doctor reviews information on a tablet in a hallway
By Andrea Fox 10:43 am October 16, 2024
Also, athenahealth intros athenaOne for Behavioral Health, and Clarify Health empowers payers with AI-driven cost containment tools and quality improvement analytics.
Laptop on a table showing the parties in a video meeting
By Andrea Fox 10:29 am October 02, 2024
It's already happening: CFOs are getting Teams calls from their "CEO" asking for reports on financial transactions, says ChristianaCare CISO Anahi Santiago ahead of her appearance at the 2024 HIMSS Healthcare Cybersecurity Forum.
Man's hands show on bible and gavel at a table
By Andrea Fox 04:00 pm September 23, 2024
Despite a greater ability for healthcare entities to challenge regulatory decrees in court, increased litigation could result in unfavorable court decisions that are harder to fix, healthcare attorneys say.
Worker using laptop with external monitor
By Jeff Lagasse 12:21 pm September 19, 2024
Beginning this month, Cigna members can connect for urgent care from board-certified doctors without phone or video.
Doctor reviews information on a tablet
By Andrea Fox 11:35 am September 11, 2024
Out-of-the-box generative artificial intelligence capabilities on Health Cloud, specific to provider operations, will be available in October through a new AI use case library.
Two men in suits shake hands
By Andrea Fox 10:48 am September 04, 2024
Also: PatientPay partners to reduce rev cycle friction, two radiology IT rivals join forces and Check Point acquires an AI-powered risk management company.