Category: billing

Blue Shield of California, Google Cloud to develop real-time claims processing platform

AI, Artificial Intelligence, billing, Blue Shield of California, claims processing, clinical notes, Daily, data, EMRs, google cloud, Health Tech, News, Payers, payment, platform, SYN, Top Story / October 19, 2021 October 19, 2021

The companies will build its claims processing platform on Google Cloud’s infrastructure, leveraging artificial intelligence and machine learning capabilities. The goal of the collaboration is to improve patient and provider experience and reduce spending on administrative processes.

Feds slap UPMC, cardiothoracic surgery chair with billing fraud suit

billing, cardiothoracic surgery, chair, concurrent, Daily, false claims, hospitals, Justice Department, lawsuit, Legal, News, surgeries, SYN, Top Story, UPMC / September 3, 2021 September 3, 2021

The lawsuit alleges that UPMC and the chair of its cardiothoracic surgery department knowing submitted false claims for concurrent surgeries that violated regulations. But, according to UPMC, there is no regulation that prohibits overlapping surgeries or billing for them.

Amazon eschews per-employee fees with new telehealth business

Amazon Care, billing, Daily, Health Tech, Healthcare, SYN, Teladoc, Telehealth, Telemedicine, Top Story / May 11, 2021 May 11, 2021

Amazon may be a big fish, but its first customer for its new telehealth business is a bit smaller. Notably, Amazon is moving away from the usual per-member per-month payment structure that many telehealth companies still use.

Centene refutes Ohio AG’s lawsuit, says it reflects misunderstanding of Medicaid billing

billing, Centene, Daily, lawsuit, Legal, managed care organizations, Medicaid, News, Ohio, Payers, pharmacy benefit managers, Response, SYN, Top Story / April 7, 2021 April 7, 2021

Centene has rebutted the accusations made in a sealed lawsuit filed by the Ohio attorney general that accused the insurer of over-billing the state’s Medicaid department. The lawsuit is based on a misunderstanding of how Medicaid billing operates and should be unsealed, Centene said.

Billing software startup Inbox Health raises $15M

billing, Connecticut, Daily, Health Tech, Inbox Health, Software, startup, Startups, SYN, Top Story / April 5, 2021 April 5, 2021

Medical payments platform Inbox Health raised $15 million in series A funding. The company works with third-party billing companies to better communicate with patients and make bills clearer.

Simpler bills, more payment options can improve hospital billing experience

billing, collections, costs, Daily, hospitals, News, Patient, Patient Engagement, payments, Surprise Bills, SYN, Top Story, Waystar / November 20, 2020 November 20, 2020

A new survey from healthcare revenue cycle firm Waystar shows that most patients find their medical bills confusing and delay payment because of financial constraints. But there are steps hospitals can take to improve the billing experience for patients.