HealthCare Insight (Sandy, Utah) has formed a strategic alliance with MZI (Valencia, Calif.) in an effort to help benefit administrators improve payment accuracy and prevent losses associated with fraudulent claims.
The partnership combines MZI's EZâ€‘CAP, a benefit and claims adjudication software that provides access to data, with HealthCare Insight's clinical review and fraud analysis services which identifies outliers, decreases overpayments, and detects potential fraud schemes, says the company.
According to HealthCare Insight, a provider of health plan administration software, it combines Code Validator Pro and Fraud Finder Pro software systems that analyze suspect claims, including a review of patient and provider historical information, national databases, and peer-provider comparisons.
Grand Prairie, Texas-based Rainbow Children's Clinic was the victim of a ransomware attack on its IT systems in August, affecting more than 33,000 patients, according to multiple news media reports this week.
Healthcare organizations are once again urging U.S. Senate and House leaders to protect the Department of Health and Human Services’ Agency for Healthcare Research and Quality (AHRQ) from more budget cuts for 2017.
Accenture Federal Services (AFS) has announced two pilot demonstrations with the Office of the National Coordinator for Health Information Technology (ONC) to determine how patient-generated health data can be used by care teams and researchers.
Several researchers from the University of Pennsylvania addressed the ethics of behavioral health IT as it relates to “frequent flyer” icons and the potential for implicit bias in an article published in JAMA.
St. Joseph Health (SJH) has agreed to settle potential violations of the HIPAA privacy and security rules following reports that files containing sensitive health data were publicly accessible through Internet search engines from 2011 to 2012.