Of the $2.5 trillion spent annually on health care in the United States, nearly $800 billion is attributed to wasteful and redundant practices. As the industry continues to feel the pressures of mounting costs, Medical Loss Ratio mandates, lingering economic uncertainties and complex reimbursement rules, finding efficiencies and reducing expenses remains critical. Fortunately, the current healthcare system offers many opportunities to do so, particularly within the claims reimbursement process.
To find out how some leading payers and providers are reducing expenses, download Emdeon’s newest white paper, The Future of Provider Payment Optimization, available at http://www.emdeon.com/resourcepdfs/EMDA1010391.pdf.
The Future of Provider Payment Optimization
Emdeon Launches Emdeon EDGE™ to Help Customers Combat Fraud, Waste & Abuse
Overpayments due to Fraud, Waste & Abuse are estimated to be a staggering $700 billion a year. To help customers solve the FWA challenges, Emdeon launched Emdeon EDGE™ in October 2012. This comprehensive solution brings together four industry leaders – EquiClaim, TC3 Health, the Sentinel Group, and Emdeon – to offer an end-to-end payment integrity solution. Learn more.
Payers and Providers Talk About Accountable Care Organizations
HTMS, an Emdeon company, recently published a whitepaper that reports on the thoughts and opinions about Accountable Care Organizations (ACOs) from both health care payers and providers. The whitepaper defines the ACO model and addresses the important relationships that exist between high quality care and the efficient (and lower cost) delivery of care – a topic both payers and providers grapple with as they consider transitioning to an ACO model.
To read the whitepaper in its entirety, visit: http://www.htms.com/pdfs/HTMS1040021.pdf
Emdeon Awarded Health and Human Services Contract to Define Process for Electronic Healthcare Transaction
On February 4, the Centers for Medicare and Medicaid (CMS) awarded Emdeon a contract to define the processes and tools needed to move electronic healthcare transaction standards to a new version. The process Emdeon develops will include analytical methodology that CMS will use to estimate the industry impact of moving to a new version of electronic transaction standards.
For more details, please read the news release about the project.
Emdeon ICD-10 Update Webinar
Emdeon recently hosted an ICD-10 Update webinar for our payer clients. We want to help you be ready for ICD-10 compliance when the clock strikes in October 2014!
View the recording here
On this call we will take you step by step through:
• Readiness & Planning
• ICD Code Utilization
• Cross-Walking Position
• Clearinghouse Edits
• Trading Partner Contingency Planning
• Customer Impact
• External Testing Approach
Visit Emdeon At These Upcoming Conferences and Events
Emdeon stays on top of all the latest national health care trends by attending and participating at many industry trade shows and conferences each month. View Emdeon’s complete upcoming conference and trade show calendar at http://www.emdeon.com/tradeshows/.
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