Change Healthcare and TriZetto proved single-rail clearinghouse strategy is a single point of failure. Here is the business case for a second rail, and what it actually protects.
Change Healthcare and TriZetto proved single-rail clearinghouse strategy is a single point of failure. Here is the business case for a second rail, and what it actually protects.
It has been two years since the Change Healthcare cyberattack. Lawsuits are still being filed. Here is what the industry actually learned about single-rail clearinghouse strategy.
67% of practices believe AI will reduce denials. Only 14% have adopted it. The gap between belief and action is mostly about trust. Here is how to close it responsibly.
Claims Correct from Harris Secure Connect catches the errors that cause denials before claims leave your building. Here is what it does and how early clients are seeing up to 50% denial reductions.
After Change Healthcare and TriZetto, a secondary clearinghouse rail is a risk management requirement. Here is how to add one without disrupting your primary workflow.
In recent years, roughly 80% of breached patient records came from third-party vendors, not from hospital systems. Here is what that pattern means for how you evaluate vendor risk.
EFF is suing CMS over the WISeR AI prior authorization pilot. Here is what the program does, what the lawsuit alleges, and what providers in the six pilot states need to know.
Centene reverses 95.5% of its own prior authorization denials when appealed. Here is why that single number should change how your practice handles denials.
41% of providers now report denial rates above 10%, up sharply from previous years. Here is what is actually driving the increase, and what to do about it.
Up to 16 million Americans may lose Medicaid coverage by 2034. Here is how to build a real-time eligibility workflow that catches coverage changes before they become denials.