Claims Processing

Hand holding judge's gavel
By Andrea Fox 11:27 am November 21, 2022
The agency's first coordinated action against individuals using business email compromise and money laundering schemes to target healthcare payers uncovered $11.1 million diverted from Medicare, Medicaid programs, private health insurers and others.
Remote patient monitoring for acute care at home
By Mike Miliard 10:50 am November 08, 2022
It's the latest health system to embrace the idea that patients with "certain acute conditions can be treated in the comfort of their home with the same level of care and monitoring they would receive within the walls of our hospitals."
Patient watching telehealth video
By Andrea Fox 10:14 am September 20, 2022
The online educational events taking place during Telehealth Awareness Week explore strategies and tactics that improve access to quality telemedicine services.
A UnitedHealth building
By Jeff Lagasse 12:02 pm September 09, 2022
The collaboration will start in 2023 with 15 Walmart Health locations in Florida and Georgia, and will expand into new geographies over time.
CVS
By Andrea Fox 10:43 am September 06, 2022
By adding in-home medical care and a value-based platform for providers, CVS continues its push to expand its primary care offerings and extend that care outside provider settings.
By Andrea Fox 03:41 pm September 02, 2022
The collaboration will use the FHIR Accelerator CodeX to enable automation between payers and providers, with the goal of improving access to radiation treatment for cancer patients.  
A doctor helping a patient set up a smartwatch and app.
By Emily Olsen 10:44 am August 15, 2022
Researchers found remote patient monitoring use among Medicare beneficiaries increased from 91 claims per 100,000 enrollees in February 2020 to 594 claims per 100,000 enrollees in September 2021.
By Mike Miliard 10:08 am July 26, 2022
With a House bill that would extend Medicare telehealth flexibilities through 2024 set to be debated this week, the American Telemedicine Association is asking policymakers to safeguard two other key provisions.
Healthcare workers walking in hallway
By Jeff Lagasse 10:09 am July 08, 2022
The proposed rule seeks to expand behavioral healthcare access, Accountable Care Organizations, cancer screenings and dental care.
By Mike Miliard 10:38 am July 01, 2022
The transaction, meant to bolster Evolent's value-based specialty care offerings, could eventually be worth an extra $87 million, depending on future performance milestones.