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UnitedHealth Group hopes to restore Change Healthcare’s electronic payments systems by March 15 and its medical claims platform the week of March 18. The company says that e-prescribing and pharmacy claims and payments…
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RapidClaims Launches from Stealth with $3.1M Funding to Tackle the Core Issues Behind Claims Denial
Healthcare organizations are turning to automation with “revenue cycle management” to protect operating margins and the increasing claim denials from…
Health insurers are beginning to adopt AI to support prior authorization decisions. But is this a good thing? Experts weighed in during a panel discussion held by KFF on Thursday.
One panelist said she has…
Don Rucker, MD – Chief Strategy Officer, 1upHealth
CMS and Medicare are trying to change the dynamics of American healthcare. No need to rehash the well-known issues but what is new is the change in…
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New Funding Propels Cohere’s Expansion of Intelligent Prior Authorization Platform to Drive Better Payer-Provider Collaboration, Following CMS Interoperability and Prior Authorization Final Rule
Cohere Health, a recognized leader in clinical intelligence and prior authorization automation,…
The decisions health insurance executives make reverberate across the healthcare industry. Reimbursement policies, billing practices, the decisions that govern which technologies to adopt affect members, physician practices, hospitals and health systems. The Biden administration…
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Seattle-based Outbound AI, a company offering AI-powered virtual agents that perform administrative tasks, announced it was selected to participate in Microsoft’s invite-only Pegasus Program. Outbound AI is a conversational AI tool for healthcare with 24/7…
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The relationship between payers and providers has been historically contentious, with prior authorization being one of the biggest pain points. The process remains a heavily manual and costly burden for both physicians and health…
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The following is a guest article by Dr. Steve Kim, Co-Founder and CEO at Valer
Prior authorization automation is an essential consideration for healthcare organizations seeking to streamline their processes in the coming year. Automating…
What You Should Know:
The Biden-Harris Administration has finalized a new rule that streamlines the prior authorization process and improves health data exchange across the healthcare system. The CMS Interoperability and Prior Authorization Final Rule…
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