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The leading provider of health IT news, insight, and analysis. As part of the Healthcare Scene media network, our mission is to share practical innovations and the best uses of technology in healthcare.
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News
The Denial Economy is Asymmetric — and That's the Opening
1+ mon, 1+ week ago (695+ words) The following is a guest article by John Beene, Founder of Soupy AuditOn RAC Extrapolation, Surgical Capacity, and the Math Nobody on the Provider Side is DoingTalk to anyone who has spent a year inside a hospital revenue cycle, and…...
Approved but Underpaid: How Payers are Quietly Redrawing the Rules of Hospital Reimbursement
2+ mon, 3+ week ago (437+ words) The following is a guest article by Missy Harbert, Senior Solution Advisor at Revecore For years, hospitals have built denial management programs around a predictable premise: when a payer disputes a claim, it sends a denial. There is a code,…...
Healthcare's Multi-Billion Dollar Fraud Problem Starts at the Front Door - And FaceTec is Closing It
5+ mon, 1+ week ago (442+ words) Healthcare has an identity crisis. Literally, not figuratively. The system bleeds billions in fraud every year. Duplicate records sit in databases like ticking time bombs. We treat patient matching as a back-office headache. It is actually a clinical imperative. The…...
Why America Needs a Healthcare Clearing Corporation
7+ mon, 1+ week ago (579+ words) The following is a guest article by Stuart Z. Goldstein What if the healthcare industry didn’t have to support multiple disparate technology connections between health insurers and hospital providers? What if you could connect to one “super highway” of technology linking…...