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Claims Processing

 In a recently announced merger with the larger Intermountain system, CEO Kelby Krabbenhoft was to serve as president emeritus.
Nov 25 | Mallory Hackett
In a recently announced merger with the larger Intermountain system, CEO Kelby Krabbenhoft was to serve as…
Person with stethoscope consults person in a hospital bed
Nov 24 | Mallory Hackett
Risk adjustment data validation ensures payment integrity and accuracy - and it affects what plans are paid.
Benefit design would lessen impact of high-deductible plans, AMA says.
Nov 17 | Susan Morse
Payers, employers, organized medicine and researchers can alter the mounting financial and clinical barriers patients…
The rule seeks to reduce federal regulatory barriers, support adaptability and promote transparency and innovation.
Nov 10 | Mallory Hackett
The rule seeks to reduce federal regulatory barriers, support adaptability and promote transparency and innovation.
Digital graph and hundred-dollar bill
Nov 04 | Mallory Hackett
When health systems have their staff manage revenue cycles, up to 25% of the day can be spent on repetitive tasks…
Telehealth claim lines remained significantly higher in August than previous years
Oct 29 | Mallory Hackett
FAIR Health attributes the increase in telehealth utilization to the pandemic, which forced nonemergency…
UnitedHealth building at twilight
Oct 14 | Susan Morse
When Medicare open enrollment starts tomorrow, 2021 is expected to be the largest enrollment year for…
An executive at a tablet, keyboard and screen
Oct 13 | Susan Morse
Affordable Care Act medical loss ratio rebates in 2021 will likely be exceptionally large…
Advanced loan repayment will now begin one year from the issuance date.
Oct 09 | Jeff Lagasse
Repayment will now begin one year from the issuance date of each provider's or supplier's…
Road sign with the words "Open enrollment ahead"
Sep 30 |
Communication between consumers and payers needs to be seamless, and all need to have access to the…

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