McKesson And TriZetto To Integrate ClaimsXten And QNXT Systems

McKesson and TriZetto to Integrate ClaimsXten and QNXT Systems

  • May 16, 2016

Today McKesson Health Solutions announced an agreement with TriZetto to integrate McKesson's ClaimsXten and ClaimsXten Select with TriZetto’s QNXT. The integration will help health plans automate payment and medical policy, and scale mixed fee-for-service and value-based models to operational levels. Read the news release

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McKesson, TriZetto Sign Product Integration Agreement

McKesson, TriZetto Sign Product Integration Agreement

  • May 16, 2016

McKesson Health Solutions and TriZetto will integrate their claims auditing and administration platforms. By combining McKesson's ClaimsXten and ClaimsXten Select with TriZetto's ZNXT,  the companies hope to help payers manage their increasingly complex clinical and reimbursement policies. Read the article

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RelayHealth Financial Reports Claim Denial Trends

RelayHealth Financial Reports Claim Denial Trends

  • March 29, 2016

RelayHealth Financial released surprising findings about claim denials since ICD-10 codes went into effect. Read the good news and the bad news about the results, and why healthcare providers should ramp up their broader denial prevention and management efforts. Read the article

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RelayAssurance EDI Unlocks The Clearinghouse “Black Box” With Real-Time Claim Submission & Editing

RelayAssurance EDI Unlocks the Clearinghouse “Black Box” with Real-Time Claim Submission & Editing

  • March 1, 2016

Today RelayHealth Financial introduced new features in RelayAssurance EDI that bring real-time claim submission and editing capabilities for claims processing businesses. Now these organizations can integrate these functions directly into their solutions through APIs or RelayHealth's ConnectCenter portal, helping to give their provider clients on-demand visibility into claim status, streamlined submission, error correction, and faster reimbursement. Read the news release

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Weighing The Financial Impact Of MIPS Vs. APM

Weighing the Financial Impact of MIPS vs. APM

  • January 18, 2016

Columnist Ed Rabinowitz needed to sort out the financial implications of Merit-Based Incentive Payment System (MIPS), and alternative payment models (APM) for Physician’s Money Digest. He sat down with McKesson’s Dr. Andrei Gonzales who shared some pros and cons of both payment models and offers some practical insights for physician practices who will soon face this decision. Read the article

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Getting In Front Of The Problem: How Can Hospitals Empower Denial Prevention And Management?

Getting in Front of the Problem: How Can Hospitals Empower Denial Prevention and Management?

  • November 22, 2015

Claim denials are a significant financial drain, costing healthcare organizations roughly 3% of their net revenue stream. The white paper, Getting in Front of the Problem: How Can Hospitals Empower Denial Prevention and Management? delves into three key strategies for reducing denials -- and how hospitals have used them effectively. Learn how to take steps to prevent denials on the front-end, manage denials through efficient workflows and processes, and analyze data for common causes of denials. Read now or download and read later

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ICD-10 October Recap: Claims Billed, But Will Denials Spike?

ICD-10 October Recap: Claims Billed, But Will Denials Spike?

  • November 4, 2015

Jacqueline DiChiara at RevCycleIntelligence tracked down our resident ICD-10 expert, Josh Berman of RelayHealth Financial, for his take what's largely been a smooth transition to ICD-10. Or has it? Find out what the early ICD-10 numbers really mean in DiChiara's probing piece. Read the interview

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RelayHealth ICD-10 Transaction News Commands Post-Deadline Headlines

RelayHealth ICD-10 Transaction News Commands Post-Deadline Headlines

  • October 26, 2015

The first two weeks of post-deadline ICD-10 media coverage were dominated by a slew of "no news is good news" stories and the inevitable comparisons to Y2K. Then RelayHealth Financial revealed that, in the first two weeks following the deadline, it had processed some 13 million claims worth more than $25 billion. The weight of this news was not lost on the industry trade press -- with stories appearing in Modern Healthcare, Healthcare Finance News, Healthcare IT News, Becker's, and other outlets.  Here are some of the initial 17 stories: Becker's Hospital CFO: 4 RCM company notes Becker's Hospital CFO:…

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