The Centers for Medicare & Medicaid Services has released a request for information seeking input on replacing its Medicare ...

As CMS moves to replace four legacy Medicare claims platforms, it is seeking a vendor to design one platform that would assume all the systems’ responsibilities.  In a Jan. 8 request for information, ...

Markel Nederland has successfully completed a massive digital transformation, replacing its core systems in just eight months ...

UnitedHealth Group (NYSE:UNH) is piloting a new AI-powered medical claims processing system, according to a Bloomberg report. The system, called Optum Real, translates complex health plan rules into ...

Add Yahoo as a preferred source to see more of our stories on Google. UnitedHealth Group is reporting progress on restoring systems impacted by a cyberattack last month that snarled pharmacies and ...

In a disturbing sign of the times, Medicare this week implemented a change to its claims-processing system that adds two extra digits to money amounts, expanding the fields from eight digits to 10.

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 ...

The city’s public hospital system will ramp up the rollout of its partnership with a new company to facilitate insurance payments in the wake of the ongoing Change Healthcare outage. New York City ...

The Centers for Medicare and Medicaid Services plans to modernize the claims system that contractors use to process and perform payment for hospitals that provide inpatient and outpatient services to ...

UnitedHealth Group is reporting progress on restoring systems affected by a cyberattack last month that snarled pharmacies and blocked claims processing at hospitals and clinics nationwide. The ...

After almost a month of strife for pharmacists and their patients, Vermont’s Medicaid pharmacy claims processing system is up and running again as of March 18. The outage occurred on Feb. 21 after a ...

The employee retention credit (ERC) has been a thorn in the IRS’ side for some time. Enacted during the COVID-19 pandemic, Congress originally designed the ERC as a means to funnel much needed money ...