Despite claims processing being at the heart of the what insurers do, there is no standard format, legacy systems abound and some claims still arrive by mail. Yet, up to to 80 percent of all premiums ...

Claim scrubbing is the process of verifying that a medical claim's codes are accurate. Learn how code scrubbing works and ...

Secretary of Veterans Affairs Doug Collins testifies before his Senate Veterans Affairs committee confirmation hearing on Capitol Hill in Washington, DC on January 21. On Tuesday, Collins reported the ...

With rising claim denial rates posing a continuous threat to the financial stability of medical practices, the need for efficient claim processing has never been more critical. According to a poll ...

The IRS will take several aggressive steps against fraudulent claims for the employee retention credit (ERC), including an immediate moratorium on the processing of new ERC claims; allowing taxpayers ...

The U.S. insurance industry’s top compliance shortcomings relate to claims handling noncompliance, including timeliness, required disclosures, payments and grievance and appeal processes—as well as ...

Healthcare claims processing is rife with inefficiencies and financial strains marked by operational bottlenecks, rising denial rates and increasing administrative burdens faced by providers, ...

Doctors have increased the amount of electronic claims they submit by almost 50 percent in the last 10 years. In 2002, only 44 percent of claims were filed electronically; in 2011, 94 percent of the ...