Claims Processing

Revenue cycle departments still plagued by denials
Nov 16 | Jeff Lagasse
Hospitals wrote off 90 percent more denials than six years ago, The Advisory Board found, a difference of $3.5…
Nov 13 | Change Healthcare
The following are 10 ways providers can improve self-pay collection and communication at all three stages of patient contact: pre-service,…
Insurance Checker app
Oct 25 | Bill Siwicki
Its new Insurance Checker feature seeks to ease a common pain-point: deciphering, understanding and verifying health insurance.
Anthem starts its own PMB
Oct 20 | Susan Morse
Anthem, CVS Health sign 5-year deal for new pharmacy benefits manager, IngenioRx, dealing a blow to Express Scripts.
Oct 17 | Liz Szabo, Kaiser Health News
Total costs of Kymriah and 21 similar drugs in development - CAR T-cell therapies - will reach $1 million or more per…
heart device failure
Oct 02 | Kaiser Health News
Officials said the $1.5 billion lost from 2005 through 2014 was a "conservative estimate" while patients paid $140…
St. Francis Hospital web-bots to help payers
Oct 02 | Bill Siwicki
St. Francis Hospital used web-bots to replace manual queries to payers, yielding instant transactions that…
Change Healthcare blockchain
Sep 25 | Tom Sullivan
Using the Linux Foundation's open source HyperLedger Fabric will enable Change's customers to work on…
blockchain in healthcare payer and providers
Sep 18 | Mike Miliard
By giving patients control over their data, the technology could enable better privacy protections, more efficiency and easier…
health data exchange
Sep 08 | Mike Miliard
Mackinac enables easier collaboration, expedited document sharing between providers and payers, Hyland says.