Claims Processing
Experian is expanding its healthcare business by purchasing Medical Present Value, a revenue cycle management company headquartered in Austin, Texas, for $185 million.
In a deal with eyes on the future of payment bundling and risk sharing among payers and providers, McKesson has announced an agreement to buy Portico Systems for a reported $90 million.
According to the Centers for Medicare & Medicaid Services, Recovery Auditor Contractors are adjusting claims to align provider payments with Medicare guidelines related to the technical component (TC) of radiology services.
The Healthcare Financial Management Association has named 12 healthcare organizations as winners of the 2011 MAP Award for High Performance in Revenue Cycle. Winners will be recognized at the upcoming ANI: The Healthcare Finance Conference.
The average medical claims error rate in 2010 climbed to 19.3 percent, a two percent increase from the previous year, according to the American Medical Association's fourth annual National Health Insurer Report Card.
Healthcare has a large number of coders fixing claims just before they go out the door. Very often, it is the same types of edits that are being fixed on a daily basis. This is time-consuming and labor intensive. It also increases days in A/R. Yet it is status quo for many in healthcare.
Aetna has agreed to buy the Medicare supplement and related blocks of in-force business of Genworth Financial for $290 million.
A growing number of medical professionals are signing up to accept TRICARE, the healthcare plan for members of the uniformed services, retirees and their families, according to the Department of Defense.
WellPoint Inc. announced today that it entered into an agreement to acquire CareMore Health Group, a Medicare Advantage health plan that also operates 26 clinics in select markets in California, Arizona and Nevada.
In a turnaround from earlier this year when it requested rate increases of more than 59 percent for some policy holders, Blue Shield of California announced yesterday it would limit its net income to no more than 2 percent of revenue.