Welcome to our blog
Your go-to source for insights and updates on the ever-evolving world of medical clearinghouses. As a vital intermediary between healthcare providers and insurance payers, we understand the complexities of claims processing and the importance of seamless data integration. Our blog is dedicated to providing you with the latest trends, best practices, and innovative solutions to optimize your revenue cycle management.
Two Years After Change Healthcare: What the Industry Learned
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.
Why Practices Believe in AI for Denials But Have Not Adopted Yet
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: AI Claim Scrubbing Built for Outcomes
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.
How to Add a Second Clearinghouse Rail Without the Rip and Replace
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.
80% of Stolen Healthcare Records Came From Vendors, Not Hospitals
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.
WISeR Lawsuit: CMS’s AI Prior Authorization Pilot Explained
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.