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Reimbursement

Reimbursement

Care1st Health Plan experienced a 20,000-member increase as a result of county expansion and the potential for even more members as the new third-party administrator for Arizona's...
Scott & White Health Plan and Insurance Company foresaw increased manual data-entry processes required to accommodate an influx of new members under the Affordable Care Act. The...
A major integrated health system in the Northeast was growing rapidly and in need of a payment solution to reduce the amount of paper and checks processed and help bring efficiencies to...
The Accounts Payable team of El Camino Hospital was looking for a robust and reliable technology that could provide greater benefits and growth opportunities than their existing payment...
In the coming months, payers will assume risk as a predicted seven million previously uninsured Americans enter the healthcare system. Terri Bellmore offers commentary on the important and...
The ICD-10 Financial Risk Guide provides the steps that an organization can take to avoid ICD-10's negative impact to revenues, cash flow, and operational costs.
This paper describes a new system for quality and compliance analysis that leverages the combined power of dictation technologies, CLU, data mining and visualization tools, to provide an...
This paper describes a new system for clinical documentation and clinical documentation improvement that leverages the combined power of Clinical Language Understanding (CLU) and CDI...
The ICD-10-CM/PCS Transition: Planning and Preparation Checklist was prepared to guide healthcare organizations in effectively planning and managing the ICD-10 transition. The checklist...
This Toolkit provides many of the necessary tools and documents needed for successfully implementing ICD-10-CM/PCS. The tools provided will help organizations assess the impact, form an...

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