On September 24, Ensemble announced it would embed Penelope Health's payer policy platform into the revenue cycle work it does for hospitals nationwide. The draw is coverage rules as structured data, spanning more than 200 million Americans, surfaced before care is delivered rather than after the denial. Ensemble frames that sequencing as fewer denials, faster authorizations and stronger appeals.
OIG did not pick Methodist Hospital at random: computer matching and data mining flagged its heavy concentration of claims in known billing-error risk areas. Auditors pulled 100 inpatient and outpatie
CMS has selected H1 to supply the ground-truth data work behind its National Provider Directory, the federal attempt at one trusted, reconciled source of provider information. H1 will source and licen
If no deal lands by September 30, USA Health's two Mobile hospitals go out of network for UnitedHealthcare commercial and Medicare Advantage members on October 1. The grievance is seven years of flat
Comments