-- Approximately 5,500 Autoimmune PAP Patients in the U.S. Identified in the Updated Analysis that Leveraged a More Recent and Comprehensive Claims Data Source -- -- New England Journal of Medicine ...

Healthcare CFOs making underpayment analysis a top priority use AI tools to recover millions amid rising Medicare and commercial claim denials.

Background Out-of-hours primary care (OOH-PC) services are complex clinical environments where suboptimal care may occur.

Claim denials can be a huge headache for healthcare providers. In fact, one survey found that private payers initially deny 15 percent of medical claims. Worse? Providers end up spending almost $20 ...

Insurance companies operating in Texas closed almost half the claims filed by homeowners last year without paying anything, part of a rising trend that is shifting more costs onto property owners, ...

GPP patients have a nearly 5-fold increased mortality risk at 1 year and a 4-fold increased risk over long-term follow-up compared with the general population. The study underscores the need for ...

A new analysis by Change Healthcare released at the 2017 Healthcare Financial Management Association's ANI revealed compelling statistics about claims denials and their financial impact on hospitals.

Access to pharmacy and medical claims data is among the most fundamental needs for evaluating a health plan's costs and the services its members may need. Unfortunately, many entrenched traditional ...