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Humana Partners with Sunrise to Expand Digital Sleep Apnea Diagnostics

Humana Partners with Sunrise to Expand Digital Sleep Apnea Diagnostics

May 29, 2025May 29, 2025
SoundHound AI and Allina Health Launch AI Agent to Redefine Patient Engagement

SoundHound AI and Allina Health Launch AI Agent to Redefine Patient Engagement

May 29, 2025May 29, 2025
Omada Health aims for $1.1B valuation with IPO

Omada Health aims for $1.1B valuation with IPO

May 29, 2025May 29, 2025
EPtalk by Dr. Jayne 5/29/25

EPtalk by Dr. Jayne 5/29/25

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Tag: Healthcare Claims

Enhancing Payment Integrity in Healthcare through Pre-Payment Reviews | Healthcare IT Today

Enhancing Payment Integrity in Healthcare through Pre-Payment Reviews | Healthcare IT Today

February 2, 2024February 2, 2024Healthcare IT Today

The following is a guest article by Tom Magnotta, COO & President at Apixio
Albert Einstein famously said, “Whoever is careless with the truth in small matters cannot be trusted with important matters.” This quote lies…

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Claims Software Can Ease Manual Processes Related to Treating Medical Tourists from Outside the U.S. | Healthcare IT Today

Claims Software Can Ease Manual Processes Related to Treating Medical Tourists from Outside the U.S. | Healthcare IT Today

January 15, 2024January 15, 2024Healthcare IT Today

The following is a guest article by Rob Stuart, Founder and President at Claim.MD
Medical tourism is big business for leading hospitals and health centers around the world. In the United States, the overwhelming perception…

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Athelas + Commure: Merging to Create a $6B Healthcare Infrastructure Company | Healthcare IT Today

Athelas + Commure: Merging to Create a $6B Healthcare Infrastructure Company | Healthcare IT Today

October 23, 2023October 23, 2023Healthcare IT Today

Press release written by Tanay Tandon, CEO at Athelas
We are beyond excited to share that Athelas and Commure – a leading provider of enterprise healthcare software – are merging, and I am taking over…

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VA Awards Acentra Health $52.3M Contract for Claims Adjudication

VA Awards Acentra Health $52.3M Contract for Claims Adjudication

October 4, 2023October 4, 2023HIT Consultant

Acentra Health

What You Should Know: 

– The U.S. Department of Veterans Affairs (VA) has awarded Acentra Health (formerly CNSI) a three-year, $52.3M contract to support claims adjudication, provider access, data analytics, and visualization for its…

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60% of Ground Ambulance Rides Were Out of Network in 2022

60% of Ground Ambulance Rides Were Out of Network in 2022

September 15, 2023September 15, 2023HIT Consultant

What You Should Know:

– Out-of-network ground ambulance rides accounted for a larger percentage of ground ambulance claim lines1 than in-network rides from 2018 to 2022. In 2022, out-of-network transport accounted for 59.4% of all ground ambulance…

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Google Empowers AI Solutions for Global Health Challenges

Google Empowers AI Solutions for Global Health Challenges

September 14, 2023September 14, 2023DistilINFO Hospital IT

Google has allocated funding and support for 15 AI projects, with a focus on eight digital health initiatives. These projects aim to improve healthcare globally through AI-powered solutions. Notable endeavors include AI-driven patient triage,…

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Asynchronous Telemental Healthcare Claims Rise, Doubling in Midwest

Asynchronous Telemental Healthcare Claims Rise, Doubling in Midwest

September 13, 2023September 13, 2023mHealth Intelligence

By Anuja Vaidya

September 13, 2023 – The percentage of asynchronous telehealth claim lines for mental health conditions increased nationwide, with a particularly sharp rise in the Midwest, where it doubled between May and June, according…

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Vendor Notebook: Next-Generation AI Tools for Provider Operations

Vendor Notebook: Next-Generation AI Tools for Provider Operations

June 8, 2023June 10, 2023DistilINFO Hospital IT

Healthcare technology companies LeanTaaS, Carbon Health, and Clarify Health have introduced new AI tools to improve provider operations. LeanTaaS launched a generative AI autopilot prototype called iQueue Autopilot, which offers real-time staffing and capacity…

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A Data Network to Tackle Real-Time Eligibility and Claims Along with Many Other Health Data Problems | Healthcare IT Today

A Data Network to Tackle Real-Time Eligibility and Claims Along with Many Other Health Data Problems | Healthcare IT Today

June 1, 2023June 2, 2023Healthcare IT Today

Two of the biggest billing problems in U.S. healthcare involve coverage, eligibility and claims. First of all, will the insurer pay for the treatment the doctor requests? Second, how much is covered and how…

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Amino Health Secures $80M for Navigation Platform - MedCity News

Amino Health Secures $80M for Navigation Platform – MedCity News

May 16, 2023May 16, 2023MedCity News

Amino Health utilizes a database of more than 26 billion healthcare claims to recommend patients to physical and mental healthcare within their network.
Healthcare guidance company Amino Health raised $80 million in debt and equity…

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The vaccine rollout process is a classic case study for successful projects requiring "people, process and technology." In this equation, the technology infrastructure of an electronic health record and network connectivity seem to be sufficient at most health systems and communities to support the cause. As a result, the most crucial elements to enable success is the project leadership and teamwork amongst all segments of the healthcare delivery system (people and process).

Michael Restuccia

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