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Claims Processing

By Susan Morse | 12:20 pm | March 21, 2024
Congress should address statutory constraints that prevent CMS from helping providers impacted by the Change cyberattack, says AHA.
By Susan Morse | 06:17 pm | March 08, 2024
The time line means significant financial disruption for physician practices that will extend past 26 days, AMA says. 
By Susan Morse | 11:54 am | March 06, 2024
UnitedHealth Group says the pharmacy network could be back online as soon as today.
By Susan Morse | 12:16 pm | March 04, 2024
UHG's Temporary Funding Assistance Program, as well as contractual terms, are unacceptable, AHA says in letter.
By Susan Morse | 04:59 pm | February 02, 2024
Technology, including AI, should serve data as the foundation for the optimal patient experience, says Noyo National Practice Leader Gary Davis.
By Susan Morse | 12:31 pm | January 19, 2024
Virtual cards are embedded within health tech platforms that use API connectivity between payers and providers. 
By Susan Morse | 12:39 pm | December 26, 2023
In exchange for the unearned billings, the physicians reportedly continued to funnel patients to ChristianaCare.
By Susan Morse | 12:02 pm | December 19, 2023
The Federal IDR process is used when plans and providers cannot agree on the payment amount for out-of-network items and services.
By Susan Morse | 12:04 pm | December 13, 2023
CentraCare Health has denials sitting out there for 300 days, creating administrative and financial burden, says rev cycle director.
By Susan Morse | 11:53 am | November 16, 2023
Changes would increase incentives to engage the American Indian and Alaska Native population, whose communities have been underserved.