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Claims Processing

In-depth

5 tips for attaining real-time claims

5 tips for attaining real-time claims

Real-time claims processing can result in financial benefits, so healthcare technophobes need to get on board.

Medicare claims crisis pits hospitals against feds, auditors

Medicare claims crisis pits hospitals against feds, auditors

The federal government and a number of hospitals may want to transition to a new Medicare…

Whitepapers

September 15th @ 2PM ET -- Capturing the Lost Dollar: Finding Solutions for Uncompensated Care

September 15th @ 2PM ET -- Capturing the Lost Dollar: Finding Solutions for Uncompensated Care

The cost of uncompensated care - the sum of a hospital's bad debt…

News

Biggest healthcare frauds in 2015: Running list

Biggest healthcare frauds in 2015: Running list

Already, 2015 has seen a host of major fraud news involving dozens of individuals and amounting to millions in abuse, often related to Medicare fraud.

Truven names top 15 health systems in America

Truven names top 15 health systems in America

According to Truven, the firm analyzed nine quality metrics to come up with the rankings, which break down by size of the health system.

Map: See where states stand on the Medicaid expansion

Map: See where states stand on the Medicaid expansion

So far, 28 states expanded the program, with most showing a real drop in charity care and bad debt after the adoption.

Whitepapers

Credible, Defensible Estimates

Credible, Defensible Estimates

In healthcare, every interaction with the patient matters. Especially in today’s environment of continuous improvement, efforts have been concentrated on coordination among providers, the patient care experience and quality outcomes – all laudable goals.

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets. The challenge many face is how to turn the data that's already flowing through financial systems into…

Clinical Quality Measures 101

Clinical Quality Measures 101

Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to…

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