Claims Processing
This week's top stories include UnitedHealthcare re-examining a policy that allows it to retroactively deny ER claims, Apple adding new health features and Mount Sinai catering to patients with limited English proficiency.
The AI-as-a-service company will start by optimizing processes in TriHealth's revenue cycle department, but can be rapidly scaled if other needs arise.
A new study linked direct-to-consumer telemedicine visits to more downstream office and urgent care visits.
Among the project's new advancements will be the automation of prior auths at Ochsner Health, with more codeveloped tools for patients, payers and providers to come.
Machine Learning
Its cloud-based natural language processing technology can help health insurers mine unstructured clinical data to track accountable care with HEDIS measures.
Other winners include Galen Healthcare Solutions as the top overall IT services firm, Chartis Group as top overall healthcare management consulting firm and IBM Watson Health's Merge PACS as most improved software product.