Payer-provider connectivity progress elusive but possible.
HIPAA's administrative simplification provisions so far have not eased the burden of the healthcare industry's complex payment system. Some organizations have implemented claims management innovations through payer-provider collaborations, e.g., NEHEN, Availity, United Healthcare Online, and AthenaHealth's application suite. The Medicare program needs to change the payment system and make it easier to use electronic claims management.
Goldsmith
Jeff
J
Health Futures, Inc, Charlottesville, Va, USA. hfutures@healthfutures.net
D003299:Cooperative Behavior; D017598:Efficiency, Organizational; D058016:Health Facility Administration; D020408:Health Insurance Portability and Accountability Act; D007343:Insurance Carriers; D007345:Insurance Claim Review / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D007349:Insurance, Health, Reimbursement; D008331:Management Information Systems; D006278:Medicare / Q000331:legislation & jurisprudence / Q000458:organization & administration; D009936:Organizational Innovation; D014481:United States