Claims Processing
MedeAnalytics, a provider of healthcare performance management solutions such as on-demand analytics, announced Wednesday the launch of its new accountable care organization solution, alongside an ACO resource center for provider and payer organizations.
As it seeks to expand its suite of clinical solutions for unified patient information management (UPIM), NaviNet, the biggest healthcare communications network in the country, has acquired Prematics, a provider of mobile care management solutions.
A pilot program being conducted by the Department of Veterans Affairs (VA) will use a private contractor and the Internet to speed claims decisions and cut down the time it takes to receive healthcare records from private physicians.
The TriZetto Group has announced plans to enhance its care management and value-based solutions for health plan members and their providers through a strategic partnership with clinical analytics developer MEDai.
The 120 network hospitals and 30-plus physician groups participating in Blue Shield of California's (BSC) claims transparency program continue to reap shorter claims cycle times and fewer denials, resulting in significant savings.
Nuance Communications announced Wednesday that the Institute for Clinical Systems Improvement (ICSI), a nonprofit organization made up of 60 medical groups and six health plans throughout Minnesota and surrounding states, has licensed its RadPort decision support technology to help ensure patients only receive medically appropriate diagnostic imaging tests.
Epocrates, Inc., announced Thursday a partnership with Covisint, a Compuware Company, that aims at helping doctors get paid for quality reporting.
IBM has created a new Federal Community Cloud designed to help government organizations, such as the Department of Health & Human Services, respond to technology requirements more quickly and at lower cost.
A-Life Medical, the San Diego-based computer-assisted coding company, is the newest firm to be brought into the Ingenix fold. The acquisition follows a strategic alliance formed between the two companies last year.
Perhaps the biggest problem with antiquated claims processing methods is the wondering: Did the claim go through? Was it complete? Is there a hang-up somewhere? Where exactly is the claim? Will it be paid or will be it be rejected? All of these questions arise when the financial operations staff doesn't have a window into revenue cycle machinations.