Five ways payers can improve member engagement November 23, 2015 By By Jim Dalen Here 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 process Denials 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 Preparation November 11, 2014 The 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 for April 08, 2014 By Renee Stantz The 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 codes February 26, 2014 By Alison Ritchie The 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 replacements January 28, 2014 By Bill Jollie The 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 January 23, 2014 By Renee Stantz Are 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 costs April 01, 2013 By Jill Sederstrom Plans 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 improve February 26, 2013 By Julie Miller According to AHIP, more claims are being received by payers in electronic formats, and payers are processing those claims at a faster rate than before.