Claims Processing
A surgeon at OrthoCarolina tells the story of implementation of just such a system at his practice, integrated with their Epic EHR – and points the way where artificial intelligence can help, not replace, professional coders.
Patient and plan members' information was reportedly shared through tracking codes on its websites and apps.
Also, Reperio Health partners with Uber to bring preventive care screening kits to homes and workplaces.
Wendell Primus, a Brookings Institution Visiting Fellow, has a plan to help low-income Medicare beneficiaries.
Senators Hawley and Blumenthal asked UnitedHealth Group how Change Healthcare's systems were breached, why the clearinghouse suffered "such an egregious and unexplained outage" and the extent of data compromised in the ransomware attack.
The agency says threat actors are targeting organizations' IT help desks with phone calls from a local area code claiming to be revenue cycle or administrator employees. After gaining access, they divert legitimate payments.
First Choice works with providers that are interested in working directly with employers.
Washington, Maryland and New Mexico have leveraged funding opportunities and regulatory tools to ease the burden on providers still struggling to operate with claims payments disrupted.
HHS surveyed payers for data relating to actions they were taking to help providers resolve issues.
Also: Availity clarifies reports that it has cut ties with the clearinghouse and says it "fully expects" to reconnect to Change Healthcare.
