News
In a move that heralds sweeping change in how medical bills are coded, the Department of Health and Human Services has announced a proposed regulation to change the ICD-9 code sets with ICD-10 code se...
RelayHealth, based in Atlanta, has announced that Regence, the largest health insurer in the Northwest/Intermountain region, will implement the company's ProPBM software to support the management of p...
As part of a multi-year contract with San Ramon, Ca.-based Keane, Inc., The Johns Hopkins Hospital plans to implement a full admission, discharge and transfer solution and make upgrades to its back-en...
Horizon Blue Cross Blue Shield of New Jersey is considering converting to a for-profit company.The not-for-profit health service corporation filed an application for conversion with the state...
As Medicare's Part D prescription drug program enters its fourth year, government officials say the program has been a success. "Measured by enrollment, lower costs than originally expec...
The Amerigroup Corporation, a Virginia Beach, Va.-based health insurer, will pay $225 million to settle fraud allegations against the Illinois Medicaid program.Amerigroup and its Illinois sub...
An electronic exchange specializing in healthcare and a provider of payment processing solutions and services say they are teaming up in efforts to speed the invoice-to-payment process for hospitals....
The Health Care Service Corporation (HCSC), an independent licensee of the Blue Cross and Blue Shield Association, announced Friday the completion of its merger with MEDecision, a Wayne, pa.-based pro...
As information is digitized in healthcare, there's greater risk in the transmission and storage of confidential medical and financial information.To cover these risks, Premier Insurance Manag...
URAC has approved revisions to nine of its healthcare management accreditation programs. The standards require the use of national quality measures and stress greater efficiency in the healthcare syst...