claims

Five ways payers can improve member engagementHere are five ways payers could help their members become more engaged in their health and provider-recommended treatment plan.
Strategies to manage the claim denial processDenials may evoke dismay, frustration and even resentment for your business office, but they can actually be harnessed to improve the performance of your practice. It all starts with identifying the specific denial and the reasons for it.
(WEBINAR) ICD-10: Expert Views on PreparationThe ICD-10 transition represents a major update to how providers get paid, impacting almost every aspect of service delivery, billing, claims processing and reimbursement.
Medicare billing problems: Coding mistakes to watch out forThe Centers for Medicare and Medicaid Services created the Comprehensive Error Rate Testing review program to measure billing problems and improper payments, and identify common problems.
CMS will conduct end-to-end testing for Medicare claims using ICD-10 codesThe Centers for Medicare and Medicaid Services has announced that it will conduct end-to-end testing for Medicare claims submitted using the ICD-10 code set.
Seven lessons for transaction system replacementsThe healthcare industry faces transformational change, and the claims systems of the recent past cannot keep up
Preparing physicians for ICD-10: Split claims, CMS testing, and more solutions
Preparing physicians for ICD-10: Split claims, CMS testing, and more solutionsAre you confused about when to start using ICD-10 codes or how to prepare for the CMS claims testing week? Our coding expert, Renee Stantz, has the answers.
7 ways to reduce administrative costsPlans will see the most cost reductions on the medical side of the ledger, but there are still opportunities to reduce administrative waste
Billing process continues to improveAccording to AHIP, more claims are being received by payers in electronic formats, and payers are processing those claims at a faster rate than before.