Claims Processing

While the past year was relatively tame regarding ICD-10, at least in regard to the mad scramble some expect leading up to October 1, 2014, there were some significant developments.

Administrative errors resulting from adjusting to new policies has led to an increase in the improper payment rate for Medicare, the Department of Health and Human Services disclosed in its annual financial report.

I don't mean to pick on healthcare IT vendors, but they're going to be in for some tough criticism in 2014, according to the results of a Workgroup for Electronic Data Interchange ICD-10 survey.

Deborah Essex of Aspen Valley Hospital explains how incentives led to increased patient collections for the Colorado-based facility.

"This is only a test" is one of those phrases meant to put people at ease. But when it comes to ICD-10 testing, maybe healthcare providers shouldn't be at ease.

If hospitals and health systems do not get buy-in from their physicians, the ICD-10 transition may be hazardous to the health of the organization. Here are five tactics that will help.

One of California's largest health systems is paying $46 million to settle allegations of overcharging payers with obscured anesthesia billing practices. The state's insurance commissioner calls the agreement "groundbreaking."

In the revenue cycle management market, hospitals show high adoption of technology focused on eligibility and scheduling, with much work left to be done around charity screening and propensity to pay, according to a new report from HIMSS Analytics.

Improving care and lowering costs for beneficiaries eligible for both Medicare and Medicaid is the holy grail of the government and health plans alike.

For the most part, the largest U.S. healthcare providers have been very organized and prepared for ICD-10 implementation. Is there anything we can learn from their experience?