Claims Processing
New efforts are needed to develop and refine quality-of-care and other performance measures that can assure new payment models will improve medical care without harming patients, according to a new RAND Corporation study.
The TriZetto Group, Inc., announced Tuesday that it has signed an agreement to acquire privately held Gateway EDI, a St. Louis-based healthcare revenue cycle management (RCM) company. Officials said the combination of the companies' platforms will benefit both payers and providers by delivering integrated end-to-end real-time payment information.
BancTec, a Dallas-based company specializing in business solutions, business process outsourcing and infrastructure services, is showcasing its Healthcare Remittance Automation product during the HIMSS11 conference taking place this week in Orlando.
Complicated ICD-10 conversion will affect all areas of Orlando Health, but officials said the organization is on track for meeting the Oct. 1., 2013, deadline.
In an effort to increase efficiency and improve cash recovery on commercial bills, eligibility efforts and patient-pay accounts, the Regional Medical Center at Memphis, known as the MED, will be using Connance Agency Manager and Scoring with PARO charity care analytics.
Preferred Care Partners has entered the Medicaid market with the launch of CareFlorida, a new health plan serving Medicaid recipients in Miami-Dade and Broward counties. Preferred Care Partners is one of the largest private Medicare-Advantage plans in Florida.
Craneware, Inc., a provider of automated revenue integrity solutions for the U.S. healthcare market, has acquired Nashville-based ClaimTrust, Inc., a Software-as-a-Service revenue cycle technology vendor.
HP Enterprise Services and the Oklahoma Health Care Authority have signed a $281 million, seven-year contract aimed at preparing the state for healthcare reform mandates and making more services available to the state's Medicaid program members.
Twenty people, including three doctors, have been charged in Florida for their part in a $200 million fraudulent Medicare billing scheme, the Departments of Justice and Health and Human Services have announced.
Recent deals highlight need to coordinate RCM decisions