Study: Automation for Medicare Reimbursement Needs Work | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Study: Automation for Medicare Reimbursement Needs Work

February 7, 2012
by Gabriel Perna
| Reprints

IVANS, Inc. a national health information exchange based out of Stamford, Conn., announced results from a study that showed automating claims processes play a critical role in making the Medicare reimbursement process faster. According to the study, 39 percent of providers still use paper to submit claims to commercial payers, but less than one percent use paper for Medicare claims and only 11 percent still use paper for Medicaid claims.

Most providers would like to share healthcare claims electronically, but 39 percent said this information is currently being handled by paper, phone or fax. Other processes they would like to see become electronic are enrollment information and lab results. Most providers, the study indicated would like to upgrade their technology but many either do not have the money or are unsure on how to do it.

One-third of providers surveyed said that budgetary concerns are the biggest challenges preventing them from sharing information electronically, while 21 percent said it was technology requirements which keep changing.

“With the projected increase in new patients as a result of mandated health insurance, combined with having to manage tight budgets and even tighter resources, all payers – both government and commercial – need to make certain they offer automated solutions for processing claims that will accelerate cash flow, lower the rate of uncompensated care and reduce paperwork,” Michael Schramm, IVANS president of healthcare services, said in a statement.

Get the latest information on Health IT and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More

Topics

News

MGMA: Physician Compensation Data Illustrates Nationwide PCP Shortage

Primary care physicians’ compensation rose by more than 10 percent over the past five years, representing an increase which is nearly double that of specialty physicians’ compensation over the same period, according to the Medical Group Management Association (MGMA).

Circulation, Buoy Health Collaborate on Integrated Platform for Patient Transportation

Boston-based startup Circulation Health, a ride-ordering exchange that coordinates medical transportation logistics using Lyft and other transportation partners, is partnering with Buoy Health, also based in Boston, to integrate their platforms to provide patients with an end-to-end healthcare experience.

HITRUST Provides NIST Cybersecurity Framework Certification

The Health Information Trust Alliance (HITRUST), security and privacy standards development and accreditation organization, announced this week a certification program for the National Institute of Standards and Technology's (NIST) Cybersecurity Framework (Framework).

Report: Interoperability in NHS England Faces Similar Barriers as U.S. Healthcare

Electronic patient record interoperability in NHS England is benefiting patient care, but interoperability efforts are facing barriers, including limited data sharing and cumbersome processes falling outside of the clinician workflow, according to a KLAS Research report.

Geisinger National Precision Health Hires Illumina Exec to Lead Business Development

Integrated health system Geisinger has hired a high-profile genetic counselor to head up business development for Geisinger National Precision Health, which was created to extend the Geisinger model on the national scene.

$30M VC Fund Launched to Spur Innovation in Cardiovascular Care

The American Heart Association, together with Philips and UPMC, has announced the launch of Cardeation Capital, a $30 million collaborative venture capital fund designed to spur healthcare innovation in heart disease and stroke care.