While the word "healthcare" can be heard everywhere these days, how exactly do healthcare organizations achieve their goals of improving patient care and ensuring profitability? One of the most ...

Optum has introduced Optum Real, a real-time AI claims system that offers faster reimbursement by connecting payers and providers in real time. Optum Real provides instant coverage validation through ...

Healthcare technology company Hyphen is aiming to bring social-needs-related organizations into the payment ecosystem with its new platform. The company is launching a new Social Care Claims ...

Claim denials are rising due to data inaccuracies, staffing shortages, and outdated technology, with 41% of providers experiencing denial rates of 10% or higher. Economic pressures and declining ...

Optum launched an artificial intelligence-backed system Tuesday that aims to speed and simplify the medical claims and reimbursement process. The tool, called Optum Real, allows providers to message ...

More AI companies are producing tools to help automate the revenue cycle, one of the most expensive and complicated departments of a hospital. These tools have demonstrated promise in collections, but ...

The Veterans Affairs Office of Inspector General reports the Veterans Health Administration’s Chief Business Office violated appropriations laws by using funds dedicated to medical support and ...

Medical providers, including individuals, physician groups, hospitals, surgery centers, health systems and other health care facilities, may be eligible for a portion of a $2.8 billion settlement ...

The Michigan Department of Insurance and Financial Services announced that more Michiganders are appealing health insurance claim denials under the Patient's Right to Independent Review Act. "When a ...