Claims Processing

In the 2022 plan year, new requirements for improving healthcare cost transparency and encouraging consumer engagement will take effect. Here's what you need to know about the new NSA member ID and Advanced EOB requirements.

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.

By connecting provider and payer access points, the deal aims to make care more available, boost care coordination and improve online patient experience, says Kyruus CEO Graham Gardner.

Two groups applied the Framework for Cross-Organizational Patient Identity Management, first developed with Intermountain in 2016, to payers – and found a high matching accuracy rate across 36 different organizations.

In addition to reducing the hours and costs clinicians and providers incur for CMS-mandated compliance, the office will also focus on how health data can be harnessed for more efficient healthcare and improved patient experience.

Availity CEO Russ Thomas says his company ensures providers have the information they need to treat and bill COVID-19 encounters.

Healthcare IT News lines up five RCM experts in this special report to discuss best practices for optimizing this key financial technology.

The collaboration with Health Care Service Corporation, billed as Epic's first such project with a payer organization, will help health plans more easily review data for managing claims and prior authorization.