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Claims Processing

By Adam Ang | 09:51 pm | June 22, 2025
Fostering a culture of transparency, accuracy, and respect for patient data may be key to fully realise AI's potential in healthcare, says a healthcare data analyst.
By Andrea Fox | 12:04 pm | June 17, 2025
Sharp Community Medical Group and Sharp Healthcare confirmed that patient data was compromised in an attack on the business association earlier this year and the company is sending breach notification letters to its patients.
By Andrea Fox | 04:01 pm | May 15, 2025
Several new partnerships are deploying artificial intelligence to drive financial performance: filling underutilized OR schedules, pinpointing revenue leakage and improving medical coding accuracy.
By Andrea Fox | 12:08 pm | April 24, 2025
Also: Ambience Healthcare's AI platform is now available in the Microsoft Azure Marketplace.
By Nathan Eddy | 12:39 pm | April 07, 2025
Almost 20% of healthcare workers polled recently said they spend more than 20 hours per month correcting billing errors. Artificial intelligence can help, but adding automation to billing systems is no easy task.
Cybersecurity In Focus
By Mike Miliard | 12:09 pm | February 06, 2025
Even as the number of impacted individuals has been again revised upward, industry leaders say there are silver-lining lessons to learn from the incident about security frameworks, third-party risk and basic cyber hygiene.
By Andrea Fox | 12:08 pm | January 13, 2025
The company says in a 46-page detailed argument that Epic sought to deliberately eliminate its ability to gain payer market share and "brazenly doubles and triples down on knowingly false statements about Particle in its motion."
By Andrea Fox | 12:21 pm | January 08, 2025
A statistical analysis evaluated a refit of the Dementia AlgoRithm, which helps determine patients at risk for cognitive decline, using administrative claims data. It found the new models could be a game-changer for value-based care providers.
By Liz Hyde | 12:57 pm | July 14, 2022
Oklahoma Cancer Specialists and Research Institute offers a case study in selecting and implementing information technology for the Radiation Oncology Alternative Payment Model.
SPONSORED
By Zelis Healthcare | 11:27 am | January 10, 2022
Health insurance companies increasingly face challenges in capturing and collecting revenue. Save time and money and prevent provider conflicts by addressing claim errors before payment.

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