Transitioning to PDPM models significantly shifted the healthcare industry. By replacing the RUG system, healthcare providers cut waste and more accurately reflect the care each patient received.
The operational benefits of automated eligibility and payment workflows are clear, but its impact on people — both patients and staff — may be even more profound.
FASENRA® (benralizumab) injection, for subcutaneous use, 30 mg is indicated for the treatment of adult patients with eosinophilic granulomatosis with polyangiitis (EGPA). FASENRA provides a treatment option for HCPs to consider when managing this challenging disease.
With these tools, therapists can reclaim their time, focus on their patients, and deliver the high-quality care that every individual deserves — all while maintaining the financial stability to thrive in their practices.
Despite the evidence of their positive impact, pharmacists today lack the ability to reliably bill for clinical services as healthcare providers. It is important that payers provision pharmacists, include them in networks, and enable reimbursement through traditional billing models.
Cedar recently launched a new set of features to bring the disconnected ecosystem of healthcare entities together and make billing easier to understand for patients. Pittsburgh-based payer Highmark Health and its health system, Allegheny Health Network, are the first customers to implement the product, which Cedar dubbed its “payer intelligence layer."
By improving billing and payment systems, healthcare providers can help ease what is a common, anxiety-inducing burden for many patients.
See how Quantum Health is providing the steps to help their members tackle the cost of specialty medications and other drugs.
We’re past the point of technology being a Band-Aid to get practices through a pandemic. Investing in the right digital tools can help practices attract new business, get them paid faster and provide better patient care.
The revenue cycle is incredibly complex due to shifting payer requirements, continuous regulatory compliance and coding updates, and emerging and evolving payment models. That complexity increases the administrative burden and drives up cost for providers.
The companies will build their claims processing platform on Google Cloud's infrastructure, leveraging artificial intelligence and machine learning capabilities. The goal of the collaboration is to improve patient and provider experience and reduce spending on administrative processes.
The lawsuit alleges that UPMC and the chair of its cardiothoracic surgery department knowing submitted false claims for concurrent surgeries that violated regulations. But, according to UPMC, there is no regulation that prohibits overlapping surgeries or billing for them.
Outsourcing your medical coding can help ensure a healthy revenue cycle. Discover the best medical coding outsourcing companies and find the right one for you.
Amazon has announced its first customer for its Amazon Care telehealth business aimed at employers. While who the customer is not particularly notable, Amazon's billing structure is - the ecommerce behemoth is moving away from the usual per-member per-month payment structure that many vendors still use.
Centene has rebutted the accusations made in a sealed lawsuit filed by the Ohio attorney general that accused the insurer of over-billing the state's Medicaid department. The lawsuit is based on a misunderstanding of how Medicaid billing operates and should be unsealed, Centene said.
Medical payments platform Inbox Health raised $15 million in series A funding. The company works with third-party billing companies to better communicate with patients and make bills clearer.
A new survey from healthcare revenue cycle firm Waystar shows that most patients find their medical bills confusing and delay payment because of financial constraints. But there are steps hospitals can take to improve the billing experience for patients.
Change Healthcare, a Nashville-based company that makes billing and analytics software, is rolling a new software that allows patients to order healthcare services in an ecommerce-like setting. The software allows patients to book, schedule and pay for healthcare services in advance.