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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Change Healthcare And Pegasystems Connect Claims Payment Systems

Change Healthcare and Pegasystems Connect Claims Payment Systems

  • August 1, 2017

Change Healthcare announced today that its ClaimsXten and ClaimsXten Select now interoperate with Pegasystems Claims Processing, helping payers ensure fast, accurate payment in compliance with internal and CMS medical policies and guidelines—all within their familiar Pegasystems workflows. Read the news release

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Simple Tips To Rein In Rising Consumer Collection Costs

Simple tips to rein in rising consumer collection costs

  • July 25, 2017

As rising patient collections efforts place greater demands on existing revenue cycle resources, physicians need to rethink their collections processes. One area worth focusing on is ensuring strategies are in place to capture payments more efficiently. In a new piece on ModernMedicine.com, Stuart Hanson, Senior VP and GM of Consumer Payment Solutions at Change Healthcare, shares thoughts on adopting a communication strategy tailored to patients’ needs. Read the article

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Bundles In A Bind? Cardiac Care Models Expected To Prevail

Bundles in a Bind? Cardiac Care Models Expected to Prevail

  • June 30, 2017

Cardiovascular Business reports the Centers for Medicare & Medicaid Services has delayed the launch of a new episode payment model affecting three types of cardiac care, from July 1 to the beginning of 2018. But that doesn’t mean providers and hospitals should ease back on bundles’ preparations. Read the article

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Reinventing Claims Payment For A Value-Based World

Reinventing Claims Payment for a Value-Based World

  • June 8, 2017

The health care industry’s claims payment system is frustrating, inefficient, and prone to errors, according to a new Op-Ed in Morning Consult. But Amy Larsson says one way to overcome these challenges is to start automating disparate payment systems to reduce manual interventions and thus the errors they might introduce. Read the article

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Reinventing Claims Payment For A Value-Based World

Reinventing Claims Payment for a Value-Based World

  • June 6, 2017

By Amy Larsson RN, BSN, MBA The U.S. healthcare industry’s claims-payment system is frustrating to providers, payers, and patients alike. Inefficiency and a systemwide tendency for error wastes precious resources, worsens miscommunication and mistrust among all stakeholders, and inhibits the ability to transition to value-based approaches that achieve better outcomes. We need to rethink our industry’s disjointed and siloed approach in order to solve a very integrated problem. Despite billions invested in achieving efficient claims payment, more than 7% of claims are not paid correctly the first time, the second time, and sometimes even the third time¹. The remediation process…

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McKesson Entity Now Change Healthcare

McKesson Entity Now Change Healthcare

  • May 6, 2017

McKesson Technology Solutions and Change Healthcare have merged to create a new healthcare information technology company. The new Change Healthcare includes all of Change Healthcare's businesses and the majority of McKesson Technology Solutions, and will employ about 15,000 people. Read the article

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From Pay Kiosks To Data Analytics: 4 Experts Talk RCM Strategies

From pay kiosks to data analytics: 4 experts talk RCM strategies

  • May 5, 2017

Revenue cycle management is top-of-mind among healthcare professionals in today’s fast-moving environment, as a recent round table discussion covered by Becker’s Hospital CFO revealed. Reporter Mackenzie Bean noted some of the highlights of the discussion, including the struggles of hospitals getting proper reimbursement for rendered care, and how analytics can play a bigger role in the overall revenue cycle. Read the article

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From Silos To Services For Value-Based Care

From Silos to Services for Value-Based Care

  • September 19, 2016

A bundled payment program built by hand 25 years ago is still delivering lessons for HIT today By Amy Larsson The evolution of healthcare IT systems seen by industry visionaries sounds great. Siloed clinical and insurance systems get connected and can work as one. Information-rich processes flow smoothly and securely over connected services that span care settings, providers, and payers. We gain leaps in efficiency, quality, and accuracy of care coordination, delivery, and payment systems. And as healthcare evolves in its journey to value, we snap clinical and payment services together like the related pieces of the healthcare puzzle that…

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