Claims Processing

Altarum Institute, Hashed Health believe so, and they are partnering to develop distributed ledger technologies to benefit value-based reimbursement.

New York hospital owes millions for improperly billed Medicare claims in 2012 and 2013, but the recovery period may have passed.

Leapfrog Group says 30 percent of hospitals fully meet the four criteria for bar code medication administration, though 74 percent meet the group’s two CPOE criteria.

Emergency teams can connect via DirectTrust, Carequality, FHIR and more.

Real engagement means managing hospital workflow, still-emerging relationships with post-acute practices and a complex customer dynamic for payers and providers alike.

Denials erode the provider organization’s bottom line and require an inordinate amount of administrative work for both payers and providers. But they don’t need to.

By analyzing data from payer claims and its own referral-management tracking system, Lawrence General Hospital was able to engage clinicians in strategies for improving care retention.

The scope of changes under MACRA has healthcare organizations concerned they may not be prepared once implementation begins.

The network now conducts more transactions daily than Amazon or Uber, according to CEO Tom Skelton.

Katrina Miller and Esther Lee of L.A. Care Health Plan discuss the challenges of comparing the data from those who fall into the newer Medicaid expansion population against other sets, and the importance of top level support in getting big data initiatives off the ground.