Claims Processing

Aug 21, 2017 | Change Healthcare
Here's what you need to know about taking claims management to a higher level.
Aug 10, 2017 | Susan Morse
Just 11 percent of members age 60-plus in the J.D. Power survey said they had received communication from…
blockchain in healthcare payer and providers
Aug 02, 2017 | Mike Miliard
Payers are sizing up the ledger technology for payments and claims processing, but one big area of growth could be next-generation…
Jun 27, 2017 | Beth Jones Sanborn
Recovery effort came with a price tag of roughly $118 per claim, or…
May 10, 2017 | Susan Morse
Entering the healthcare services market might just be the answer to offset risk-laden…
Payers test risk contracts with big pharma
May 08, 2017 | Susan Morse
As analytics programs look for population data, some contracts are shifting accountability to drugmakers.
New claims processing systems for insurers
May 08, 2017 | Susan Morse
New claims processing systems cost up to $300 million, so insurers are looking to outsource instead.
Claims processing
May 08, 2017 | Susan Morse
Automation is helping, but what is really needed is a standard approach.
Payer contract negotiations
May 05, 2017 | Susan Morse
It's usually best to understand your claims data, update chargemasters, before sitting down at the table.
Mount Sinai owes OIG $42 million
May 04, 2017 | Bernie Monegain
New York hospital owes millions for improperly billed Medicare claims in 2012 and 2013, but the recovery period…