Patty Enrado

WASHINGTON – Blue Cross Blue Shield of North Carolina and Blue Cross Blue Shield of Tennessee are the latest payers to achieve certification for the process of verifying health insurance coverag...

TARRYTOWN, NY – As the chosen pilot site, Hudson Health Plan implemented the Case Management Society of America’s guidelines and Web-based tracker in June 2006. A year lat...

When the landmark 1999 Institute of Medicine report To Err is Human revealed that tens of thousands of people die each year from medical errors, the news was not a surprise to the profession, said Elizabeth Summy, executive director of the American Society of Healthcare Risk Management (ASHRM).

AUSTIN, TX – A Texas mandate that workers’ compensation carriers accept e-billing from healthcare providers goes into effect on January 1, 2008. Other states are paying cl...

COLUMBIA, SC – The number of health plans offering real-time claims adjudication at the point of service for their network providers is on the rise. While Blue Cross Blue Shield...

PHOENIX, – Arizona’s Medicaid program, the Arizona Health Care Cost Containment System, is implementing an IT platform to manage its healthcare transactions. “The purpo...

PHILADELPHIA – When Keystone Mercy Health Plan deployed its EHR pilot to a group of providers and hospital systems with high-volume emergency departments, it wanted to reduce redundant testing a...

BLOOMSFIELD, CT – Cigna HealthCare is deploying SAS business intelligence so its informatics group can provide in-depth analysis and reporting to its customers, consultants and brokers....

CLEVELAND – In this era of consumer healthcare and a competitive provider landscape, having a patient portal is a priority for hospitals, according to Deborah Kohn, principal of Dak Systems Cons...

WASHINGTON – Advocacy groups are applauding Rep. Pete Stark’s (D-Calif.) proposal to protect Medicare beneficiaries from marketing practices that he deems “propaganda.”...