AHIP Report
There are many contributing factors to the ebb and flow of insurance premiums, especially in the commercial market. The economy, the pulse of the country, and the slightest change in
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There are many contributing factors to the ebb and flow of insurance premiums, especially in the commercial market. The economy, the pulse of the country, and the slightest change in
Hunger in the US is a largely hidden issue that is far more widespread than most know. The pandemic compounded this, and left many families struggling to meet their basic
If there is anything positive to take away from the Covid-19 era it would be how it forced health plans and providers to work together and face the tidal wave
Every year, thousands (yes, thousands) of Medicare, Medicaid, and CHIP (Children’s Health Insurance Program) payments are paid in error. Whether that is through overpayment on a claim, underpayment, duplicate payments,
It’s not as complicated as you might think If there’s one thing that’s been brought to the forefront post-2020, it’s the turnover rate in administrative healthcare positions like claims processors.
At its core, Value-Based Care seems like a no-brainer for the healthcare industry. Simply put, this model rewards providers with incentives based on the quality of the care they provide
In many ways, ICD-10-CM is quite similar to ICD-9-CM. The guidelines, conventions, and rules are very similar. The organization of the codes is also very similar. Anyone who is qualified
No Surprises Act H.R. 133-Consolidated Appropriations Act What is the No Surprises Act? The No Surprises Act provides consumers federal protections against surprise medical billing and limits out-of-network cost sharing
We are pleased to announce the release of SymKey 4.0 for EZ-CAP and PCM with an upgraded Batch Manager interface designed for ease of use. The new functionality provides deeper
By Margaret Cerna, Senior ConsultantHealthCare Information Management, Inc. Responding to COVID-19 requirements Claims processing decision makers are faced with unprecedented challenges and may be evaluating and putting their processes to
Giving back to the communities where we live and work is a cornerstone of the HCIM Culture. During our recent visit to Tampa, Colleagues spent the afternoon at A Kid’s
Robotic Process Automation (RPA) is the technology that allows the software to mimic human actions or interactions and execute business processes. Organizations are facing increased demands on resources, pressuring them