Claims Processing
Dr. Traci Granston, medical director at Cohere, describes how information is extracted in real time, speeding the process to approve or to ensure medical necessity is met.
The founder and CEO of Billy, Cody Coonradt, discusses how the company's app, which displays hospital pricing data by location, can help patients and advocates negotiate prices for medical procedures.
Sal Lo, CEO of Jorie AI, discusses the company's policy of offering its automated billing and collections product to rural hospitals at a lower price to help them maximize reimbursements and sustain operations.
Digital tools can provide patients with customized payment plans for unexpected bills and treat them with dignity along their financial journey. Ryne Natzke, chief revenue officer at TrustCommerce, a Sphere company, explains how.
Payers and providers can prevent overwhelming administrative burdens with machine learning strategies that look at patient needs beyond a single transaction, explained Niall O'Connor, chief technology officer at Cohere Health.
This week's top stories include UnitedHealthcare re-examining a policy that allows it to retroactively deny ER claims, Apple adding new health features and Mount Sinai catering to patients with limited English proficiency.
Availity CEO Russ Thomas says his company ensures providers have the information they need to treat and bill COVID-19 encounters.
Zipari CEO and founder Mark Nathan says in last five years, payers have put the focus on consumers by building better transparency and trust.
As patients face increasing financial responsibility, they need to be given a better experience, says Deirdre Ruttle, vice president of strategy at InstaMed.
By analyzing data from payer claims and its own referral-management tracking system, Lawrence General Hospital was able to engage clinicians in strategies for improving care retention.
