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Modernizing Claims Payment to Improve Member Experience and No Surprises Act Compliance

November 18, 2021

An article at Health Payer Intelligence doesn’t mince words when it comes to the importance of staying technologically up-to-date with healthcare claims processing: Delivering an optimal member experience is key to payer success. Modernizing processes may be what payers need to unlock that door. A recent survey found that payers offering consistent digital member experience services (e.g.,…

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“No Surprise Act” Could Bring Unexpected Transparency, Innovation to Healthcare Payments

November 12, 2021

We’ve been providing updates on the No Surprise Act (NSA) and Transparency in Coverage rule recently issued by the Biden Administration (NSA transparency rules are already in force for providers, and payer rules are going into effect in 2022) and their potential effects on the healthcare payments industry. While the new legislation will create challenges, Amanda…

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Negative Payment Experience: 63% of Patients Willing to Switch Healthcare Provider

November 4, 2021

Anyone who doubts that healthcare expectations have become more and more shaped by mainstream consumer experiences hasn’t been paying attention. PYMNTS.com surveyed 3,546 U.S. adults who have received healthcare services in the last year, and in their report — The Payment Cure: How Improving Billing Experiences Impacts Patient Loyalty — 63% of patients would consider…

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OrboNation Newsletter: Healthcare Payments Edition – October 2021

October 26, 2021

In case you missed it, over the past month, we have published incredible content on our OrboNation Blog and Modernizing RCM with AI. Review the latest OrboNation Newsletter online or via PDF download.

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HHS Proposes More Surprise Billing Compliance Rules, Delay in Advanced EOBs

October 14, 2021

The No Surprise Act continues to make waves ahead of its adoption. We’ve reported updates recently related to the challenges ahead for the healthcare industry in complying with the proposed rules, including advanced EOBS. More specifics of the No Surprise Act are now coming into focus. Revcycle Intelligence reports: The NPRM titled “Reporting Requirements Regarding Air Ambulance Services, Agent and Broker Disclosures, and Provider Enforcement” seeks to codify existing penalties in the Public Health Service (PHS) Act for violations of Part E of title XXVII.

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How to Achieve Interoperability in Healthcare After the Pandemic

October 7, 2021

Daily Host News takes a look at a topic we consider integral to the future of the healthcare industry, and that is INTEROPERABILITY. As important as it was previous to the COVID emergency, interoperability is now absolutely crucial in a pandemic environment. Their definition of INTEROPERABILITY is as follows:

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AKASA Survey: Hospital Revenue Cycle Automation Adoption Sees 12% Increase

September 30, 2021

According to an AKASA-commissioned survey that included 400 chief financial officers and revenue cycle leaders at hospitals and health systems in the United States, with responses collected between May 27 and June 28, 2021, the number of health systems using revenue cycle automation has increased by 12% since last year. RevCycleIntelligence.com reports that the COVID…

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OrboNation Newsletter: Healthcare Payments Edition – September 2021

September 29, 2021

In case you missed it, over the past month, we have published incredible content on our OrboNation Blog and Modernizing RCM with AI. Review the latest OrboNation Newsletter online or via PDF download.

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More Time and More Automation Needed for No Surprises Act Compliance

September 24, 2021

As noted here previously, the No Surprises Act — which is part of the Consolidated Appropriations Act introduced earlier this year — presents some formidable challenges to the healthcare industry. The No Surprises Act is so named because it is designed eliminate some of the surprises that group health plan participants encounter from unexpected charges, which most people will agree is certainly a needed solution. However, as reported at HealthcareDive.com, payers and hospitals are asking for more time to get their “ducks in a row” in preparation to meet the new requirements:

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OrboAccess Enhancements Tackle Correspondence Letter Challenges

September 3, 2021

Over the past year, our R&D team has delivered many enhancements to our OrboAccess and our Healthcare Payments Automation Center (HPAC) technology. One of the major enhancements offers the ability for users/clients to custom categorize correspondence letters — improving the efficiency of working denials.

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