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Claims Processing

Jan 08 | Change Healthcare
While MVA and workers' compensation claims are only a small percentage of a healthcare organization's total claims,…
Clinical analytics market
Dec 29, 2017 | Mike Miliard
While American providers need it for value-based care, hospitals abroad want the tools for their own quality initiatives, but the high…
Dec 05, 2017 | Susan Morse
Revenue cycle collections has as much to do with insurer inconsistencies as with internal operations, report says.
employee-subsidized genetic testing
Nov 22, 2017 | Mike Miliard
Some would pay as much as $1,000 for genomic sequencing offered through employer health plans.
Revenue cycle departments still plagued by denials
Nov 16, 2017 | Jeff Lagasse
Hospitals wrote off 90 percent more denials than six years ago, The Advisory Board found, a difference of $3.5…
Nov 13, 2017 | 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, 2017 | 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, 2017 | Susan Morse
Anthem, CVS Health sign 5-year deal for new pharmacy benefits manager, IngenioRx, dealing a blow to Express Scripts.
Oct 17, 2017 | 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, 2017 | Kaiser Health News
Officials said the $1.5 billion lost from 2005 through 2014 was a "conservative estimate" while patients paid $140…

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