Claims Processing Interoperable

Claims processing interoperable

  • August 2, 2017

Change Healthcare announced that its ClaimsXten™and ClaimsXten™ Select claims auditing solutions are now both interoperable with Pegasystems Claims Processing, McKnight’s reports. Read the article

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Predictive Analytics: A Prescription For A Better Patient Experience

Predictive Analytics: A Prescription for a Better Patient Experience

  • June 30, 2017

Consumer expectations about their “healthcare experience” continue to rise, and providers must raise their game as well if they hope to successfully compete. As Keith Roberts and Lucas Lukasiak of the Change Healthcare Engagement Solutions team note, advanced predictive analytics techniques and artificial intelligence infrastructures are giving savvy industry stakeholders the edge they need to better target patient engagement. Read the article

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Change Healthcare Analysis Shows $262 Billion In Medical Claims Initially Denied, Meaning Billions In Administrative Costs

Change Healthcare analysis shows $262 billion in medical claims initially denied, meaning billions in administrative costs

  • June 27, 2017

A new study by Change Healthcare released at the 2017 HFMA ANI conference in Orlando this week revealed compelling statistics about claims denials and their financial impact on hospitals. Citing the results of the new Change Healthcare Healthy Hospital Revenue Cycle Index, Healthcare Finance reported that out of roughly $3 trillion in medical claims submitted by hospitals in the U.S. last year, around 9% of charges, or $262 billion, were initially denied. Read the article

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Report: Claims Appeals Cost Providers Up To $8.6 Billion Annually

Report: Claims Appeals Cost Providers Up to $8.6 Billion Annually

  • June 27, 2017

Research from Change Healthcare finds the typical health system risks $4.9 million each year due to claim denials, Managed Care reports. The story cites data from the Change Healthcare Healthy Hospital Revenue Cycle Index, which draws it conclusions from a sample of 3.3 billion hospital transactions valued at $1.8 trillion. Read the article

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Insurance Claim Denials Cost Hospitals $262 Billion Annually

Insurance claim denials cost hospitals $262 billion annually

  • June 27, 2017

New data shows that denials cost hospitals $262 billion annually, sparking cash flow issues and increasing recovery costs, Modern Healthcare reports. Reporter Dave Barkholz, citing a national analysis from Change Healthcare, notes that hospitals can try to avoid claim denials by automating their revenue-cycle workflow, and use analytics to pinpoint problems and improve processes to reduce denials. Read the article

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