Claims Processing

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.

The scope of changes under MACRA has healthcare organizations concerned they may not be prepared once implementation begins.

Katrina Miller and Esther Lee of L.A. Care Health Plan discuss the challenges of comparing the data from those who fall into the newer Medicaid expansion population against other sets, and the importance of top level support in getting big data initiatives off the ground.  

Lee Powe, CIO of Hugh Chatham Memorial Hospital in Elkin, North Carolina, talks about some of the toughest challenges the small community hospital faces, emphasizing the increased costs associated with readmission rates and RAC audits.

Jonathan Bush, CEO of athenahealth, treated the audience to an energetic keynote at Healthcare Datapalooza IV, offering up a great deal of humor and perspective on the state of data exchange, policy and the healthcare system at large.

Deborah Essex of Aspen Valley Hospital explains how incentives led to increased patient collections for the Colorado-based facility.

Franco Rizzolo of the Suburban Orthopaedic Medical Center explains how integrating an EMR with a patient payments system has reduced front-end work and increased accuracy.