Claims Processing
Emdeon, a Nashville-based provider of healthcare revenue and payment cycle management solutions, announced this week the acquisition of Chapin Revenue Cycle Management of Tampa, Fla., a leading provider of hospital-based revenue cycle services, including accounts receivable management, medical denials, appeals and collection improvement initiatives.
Soon after implementing an emergency department information system (EDIS) from Addison, Texas-based MEDHOST, Beaufort Memorial Hospital began achieving significant financial returns and seeing operational improvements.
CaroMont Health, Sg2 and GE Healthcare will work together on several initiatives aimed at tackling the rising costs of delivering healthcare. The first - a bundled payment pilot designed to provide quality care at competitive pricing, improve care coordination, and align hospitals and physicians on cost savings incentives - is slated to begin by the end of the year.
SearchAmerica, a Minneapolis-based provider of financial clearing services for healthcare providers, has launched Collection Performance Advisor, an analytics-driven software platform that not only guides each account to the appropriate collection team or agency, but also monitors the performance of all collection resources and analyzes the hospital-wide results.
Health plans and insurers, who have endured the brunt of criticism for soaring healthcare costs, are bracing for change as the nation moves toward reform.
Florida is famous for its sunshine, but it's infamous for its Medicaid fraud. With the fourth largest program in the country, covering more than 2.1 million people, the state loses as much as $3.2 billion in fraudulent claims each year.
Blue Cross and Blue Shield-initiated anti-fraud investigations have recovered or saved more than $510 million in 2009, according to the Blue Cross and Blue Shield Association, which credits the success in part to technology dedicated to anti-fraud efforts.
Health insurers, on average, are paying physicians seven days faster and denying 12 to 18 percent fewer claims than last year, according to the fifth annual PayerView Rankings athenahealth and Physicians Practice released Wednesday. The findings show the potential of increased automation and transparency to reduce administrative costs and increase the speed of reimbursements.
A Health and Human Services Department panel will debut next month to advise the National Health IT Coordinator David Blumenthal, MD, on the best way to determine the eligibility of applicants for a range of state and federal programs, including insurance plans set up under the new health reform law.
The White House has begun developing a strategy for securing online transactions and stemming identity fraud that pays particular heed to the importance of building a trusted arena for electronic healthcare transactions.