Social Media Ideas for Healthcare Claims

Latest updates for Healthcare Claims

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magellan-solutions.com /1 day ago

Why Healthcare Payers Are Accelerating Transformation Through Automated Insurance Claims Processing

Healthcare payers protect patients from high medical expenses, enabling them to receive the best care without financial hardship. Aside from […] Magellan Solutions - Call Center |...

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magellan-solutions.com /1 month ago

Insurance Claims Processing Hospital Workflows That Help Providers Avoid Revenue Loss

Magellan Solutions - Call Center | BPO | KPO | Outsourcing

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healthcareittoday.com /1 month ago

The Difference Between a Correctly Coded Claim and a Payable One

The following is a guest article by Dr. Jenakan Dev, Co-Founder and CEO at Grelin Health Every revenue cycle leader knows denial rates are increasing industry-wide, in part due to...

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insurancebusinessmag.com /2 weeks ago

The $906 million wound care fraud the federal government caught

What about the claims your health plan already paid?

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medcitynews.com /1 week ago

Why the Office of Personnel Management Needs Access to Government Employee Health Plan Claims Data

Without knowledge of the exact amount providers billed and middlemen charged in fees, OPM can’t fix payment discrepancies. The post Why the Office of Personnel Management Needs Ac...

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insurancebusinessmag.com /1 month ago

Medical emergencies dominate travel insurance claims, data reveals

Medical claims top 43% as travel insurance payouts hit record highs

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valueresearchonline.com /3 weeks ago

Does this fix India's claim-rejection mess?

Insurers reject one in 12 claims and pay 71 paise per rupee claimed. The managed care model promises to fix that. Here is what it solves and what it quietly relocates.

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executivebiz.com /1 month ago

HealthEdge, Peraton Secure $2B in CMS ClaimsCore Modernization Contracts

CMS has awarded nearly $2 billion in contracts for Medicare claims modernization effort HealthEdge and Peraton were selected to help replace legacy fee-for-service processing syste...

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insurancebusinessmag.com /1 month ago

Marsh and Kirontech target healthcare claims leakage as costs surge

Private medical insurance spending has jumped 50% since the pandemic, pushing brokers and employers to seek new ways to tackle waste, fraud and rising clinical costs

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savingadvice.com /5 days ago

How to Check Your Medicare Claim Status Online

Waiting for a Medicare claim to process can be frustrating, especially if you’re wondering whether a doctor’s visit, hospital stay, or medical test has been...

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fiercehealthcare.com /1 month ago

Industry Voices—From claims to compassion: Reclaiming patient advocacy in revenue cycle

Working with payers to ensure every patient is covered at the appropriate level of care isn't a back-office function—it's the place where revenue cycle managers can show up for pat...

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insurancejournal.com /1 month ago

California Company Paying $3.3M to Resolve False Claims Allegations

California medical providers and their medical director have agreed to pay $3.3 million to settle allegations they submitted claims to healthcare programs and commercial insurers f...

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newswire.com /1 month ago

Health System Clients Rate EnableComp #1 in Complex Claims and AR Recovery Services for Third Consecutive Year in Black...

2026 Hospital and Health System Client Scores Recognize EnableComp for Complex Claims Recovery, Payer-Friction Response, Specialty Reimbursement Workflows, AR Resolution and Techno...

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healthcareittoday.com /1 month ago

The Payment Integrity Reckoning

The following is a guest article by Mark Noel, SVP and GM of ClaimInsight at AMPS Why transparency and defensibility have become non-negotiable for health plans — and what it takes...

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learn.g2.com /1 month ago

8 Best Healthcare Analytics Software I Recommend

I’ve seen that delayed insight and inconsistent visibility into claims and cost data are compounding risk too quickly. This is happening across revenue integrity, care management,...

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medcitynews.com /1 month ago

The 72-Hour Hurdle: Faster Prior Authorization is Exposing Healthcare’s Broken Billing Cycle

The healthcare ecosystem is fixing how quickly decisions get made, without fixing how quickly money actually moves. This isn’t a failure of reform. It’s evidence that reform is wor...

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insurancebusinessmag.com /1 month ago

Drug spend now eats a third of employer claims

New claims data reveals which costs are climbing fastest and which clients need the most guidance

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natlawreview.com /1 month ago

DOJ Seizes $2 Million in Data-Driven Medicare Fraud Action: Key Insights for Health Care Providers

On April 28, 2026, the U.S. Department of Justice (DOJ) announced the seizure of more than $2 million from Expert Wound Care PC, a Pasadena-based wound care clinic accused of defra...

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healthcareittoday.com /3 weeks ago

Approved but Underpaid: How Payers are Quietly Redrawing the Rules of Hospital Reimbursement

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...

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wikifinancepedia.com /1 month ago

Before Filing a Mediclaim: A Step-By-Step Walkthrough of What to Prepare and Expect

Filing a mediclaim becomes easier when you know what to prepare before treatment, during hospitalisation and after discharge. Many claim delays happen because families miss documen...

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medcitynews.com /1 month ago

Massachusetts Attorney General Sues UnitedHealthcare, Alleges $100M MassHealth Fraud

The Massachusetts attorney general sued UnitedHealthcare, alleging the insurer improperly inflated MassHealth members’ health risk scores to secure at least $100 million in excess...

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insurancebusinessmag.com /1 month ago

Triple-I challenges 'misleading' framing of unpaid claims data

The trade body says deductibles, duplicate filings and coverage determinations, not bad faith, account for many claims closed without payment

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natlawreview.com /3 weeks ago

New Connecticut Law Expedites Claim Disputes Between Health Care Providers and Insurers

On May 27, 2026, Connecticut Governor Ned Lamont signed “An Act Concerning Return of Health Care Provider Payments” (PA 26-56). As of January 1, 2027, PA 26-56 shortens the time pe...

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drugs.com /3 weeks ago

UnitedHealth, Humana And CVS Denied Post-Hospital Care At Some Of The Highest Rates

WEDNESDAY, June 24, 2026 — The three largest Medicare Advantage insurers turned down requests for post-hospital care at some of the highest rates among major plans, a federal watch...

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