Claims Processing

The National Council for Prescription Drug Programs chose the company for its prescriber database because of "its national coverage, profile depth, flexibility and integrity," the council's president and CEO said.

The integration could help providers and payers that use the TriZetto platform to enhance revenue growth and streamline claims management, while improved interoperability elevates care quality.

 CMS has released a proposed rule to speed up prior authorization approval.

There's been a softening of healthcare organizations' confidence in the vendor, researchers say, with customers expressing concerns about a post-acquisition roadmap and dissatisfaction with communication around the RevElate RCM platform.

What does 2023 hold in store for managing and improving electronic health records – and what's next for what appears to be a market landscape that's quickly consolidating?

Doximity's AI-powered chatbot tool could reduce the time doctors spend on administrative burdens. Cofounder Dr. Nate Gross says the bar in healthcare is high and requires a prudent approach to generative AI. 

Trina Histon, vice president of clinical product strategy at Woebot Health, discusses incorporating digital health tools into the provider workflow.

Oklahoma Cancer Specialists and Research Institute offers a case study in selecting and implementing information technology for the Radiation Oncology Alternative Payment Model.

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.

The No Surprises Act and the Transparency in Coverage Rule have brought new requirements for insurers. Deadlines for compliance are fast approaching, but we have the support and guidance you need.