Claims Processing
IT team says they save time, money and aggravation
MEDecision, a developer of health management and decision support technology, and Health Language, Inc. (HLI), which specializes in medical terminology management, have joined forces, allowing MEDecision to help payers and providers comply with and capitalize on forthcoming ICD-10 requirements.
The American Medical Association is calling on the business community to help it fight administrative waste in healthcare. A root cause of the $200 billion a year problem, says AMA President Cecil B. Wilson, MD, is lack of standardization.
Accenture and Plexis have launched a solution designed to optimize the efficiency, cost and reliability of Medicaid Management Information Systems. Accenture’s Public Health Platform introduces a new MMIS option designed to enable states to better adapt to the evolving Medicaid landscape.
The government's healthcare fraud prevention and enforcement efforts recovered more than $4 billion in taxpayer dollars for the Medicare, Medicaid and Children's Health Insurance Program (CHIP) in 2010, the largest sum ever recovered in a single year, according to findings published in the government's Health Care Fraud and Abuse Control Program (HCFAC) report.
Sen. Charles Grassley (R-Iowa), ranking member of the Senate Finance Committee, is pressuring President Barack Obama's administration to defend how it has spent money fighting Medicare fraud, including the addition of new fraud-fighting IT.
The Centers for Medicare and Medicaid Services, the largest healthcare payer in the country, has released a plan for upgrading its computer and data systems with the aim of providing better care. The Patient Protection and Affordable Care Act mandates the overhaul.
MedAssurant, a provider of data-driven healthcare technology, has been enlisted by Medicaid Health Plans of America (MHPA) to provide advanced analytics to help establish priorities and inform best practices in healthcare delivery for Medicaid patients.
The Centers for Medicare and Medicaid Services will acquire cutting edge analytic technology to predict and prevent potentially fraudulent payments in Medicare, Medicaid and the Children's Health Insurance Program.
CMS will be outfitted with new state-of-the-art fraud fighting analytic tools to prevent wasteful and fraudulent payments in Medicare, Medicaid and the Children's Health Insurance Program, HHS Secretary Kathleen Sebelius and Attorney General Eric Holder announced Thursday.