Claims Processing

Female doctor reviews information on a tablet in a hallway
By Andrea Fox 10:43 am October 16, 2024
Also, athenahealth intros athenaOne for Behavioral Health, and Clarify Health empowers payers with AI-driven cost containment tools and quality improvement analytics.
Laptop on a table showing the parties in a video meeting
By Andrea Fox 10:29 am October 02, 2024
It's already happening: CFOs are getting Teams calls from their "CEO" asking for reports on financial transactions, says ChristianaCare CISO Anahi Santiago ahead of her appearance at the 2024 HIMSS Healthcare Cybersecurity Forum.
Man's hands show on bible and gavel at a table
By Andrea Fox 04:00 pm September 23, 2024
Despite a greater ability for healthcare entities to challenge regulatory decrees in court, increased litigation could result in unfavorable court decisions that are harder to fix, healthcare attorneys say.
Worker using laptop with external monitor
By Jeff Lagasse 12:21 pm September 19, 2024
Beginning this month, Cigna members can connect for urgent care from board-certified doctors without phone or video.
Doctor reviews information on a tablet
By Andrea Fox 11:35 am September 11, 2024
Out-of-the-box generative artificial intelligence capabilities on Health Cloud, specific to provider operations, will be available in October through a new AI use case library.
Two men in suits shake hands
By Andrea Fox 10:48 am September 04, 2024
Also: PatientPay partners to reduce rev cycle friction, two radiology IT rivals join forces and Check Point acquires an AI-powered risk management company.
Sen. Mark Warner
By Andrea Fox 10:55 am July 15, 2024
Writing to the health secretary and the deputy national security advisor, the lawmaker cited recent cyber hygiene failures by healthcare organizations and asked the agency to propose mandatory minimum cyber standards already under consideration.
Yvonne Dooley of Harmony Park Family Medicine on electronic prior authorization
By Bill Siwicki 01:36 pm July 12, 2024
Harmony Park Family Medicine also saw turnaround times decrease significantly, with more than half of monthly determinations requiring no authorization – and 70% of prior auth requests sent to Humana being approved instantly.
Clinician works with tablet computer
By Andrea Fox 10:55 am July 11, 2024
In its new HTI-2 proposed rule, the Office of the National Coordinator is hoping FHIR-focused interoperability criteria will ignite payers and public health and others to embrace broader information sharing goals.