Claims Processing

CarePayment Technologies, Inc., a Portland, Ore.-based provider of financial and patient advocacy services for healthcare providers, has acquired San Francisco-based Vitality Financial, which provides hospital payment solutions to medical providers and patients.

Connolly Healthcare posted approvals Friday for the review of medical necessity for the same 29 MS-DRGs already cited earlier this month by two other Recovery Audit Contractors (RACs).

American CareSource Holdings, Inc., based in Dallas, has added three clients to its portfolio: Caprock HealthPlans, Inc., a Lubbock, Texas-based third party administrator, GreenTree Administrators, Inc., a Beaumont, Texas-based regional third party administrator, and Community Claims Administration, an Orange, Calif.-based third party administrator.

Emory Healthcare, the largest healthcare system in Georgia, is boosting eligibility services at its metro Atlanta facilities to help its growing self-pay patient population obtain healthcare coverage.

For those healthcare organizations that don't yet have a picture of the advantages ICD-10 will bring, the Centers for Medicare and Medicaid Services (CMS) has outlined some of the most important ones.

We recently penned a post, "Should You Outsource Your Medical Billing," which compared outsourcing the revenue cycle management process to managing that function in-house with medical billing systems. Assuming you go for the former option - outsourcing - this post will help you make the right choice of medical billing service companies.

If you were hoping that the transition to HIPAA 5010 and ICD10 would be easy, think again.

2009 was a dismal year, economically speaking - unless you were a health insurer.

Connolly Healthcare, the RAC for Region C, has posted 19 new approved issues for Complex Review on their RAC Issues page.

Providers in Florida have gotten used to all the jokes about our fine state, and in particular the one about the city of Miami being the epicenter, or ground zero, of Medicare fraud.