{"id":11203,"date":"2018-08-15T11:44:31","date_gmt":"2018-08-15T15:44:31","guid":{"rendered":"https:\/\/medicarereport.org\/?p=11203"},"modified":"2018-08-15T11:44:31","modified_gmt":"2018-08-15T15:44:31","slug":"medicaid-plans-are-falling-behind-with-electronic-claims-management-adoption","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=11203","title":{"rendered":"Medicaid plans are falling behind with electronic claims management adoption"},"content":{"rendered":"<p><span style=\"color: #000000; font-family: Calibri;\">According to a new Council for Affordable Quality Healthcare, Inc. (CAQH) report, state Medicaid programs are significantly lagging with the adoption of fully electronic claim submissions, claim reimbursements, prior authorizations, and other claims management processes. The report also found that state agencies and health plans covering just 44 percent of all Medicaid enrollees have reached some level of CORE (CAQH\u2019s Committee on Operating Rules for Information Exchange) certification. <a href=\"https:\/\/revcycleintelligence.com\/news\/medicaid-could-save-4.8b-through-electronic-claims-management\">Read article here\u2026<\/a><\/span><\/p>\n<p><a href=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/08\/dreamstime_m_33628218health-care-medical.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7924\" src=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/08\/dreamstime_m_33628218health-care-medical-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/08\/dreamstime_m_33628218health-care-medical-300x200.jpg 300w, https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/08\/dreamstime_m_33628218health-care-medical-768x512.jpg 768w, https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/08\/dreamstime_m_33628218health-care-medical-1024x683.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<pre>Notice: The link provided above connects readers to the full content of the posted article. The URL (internet address) for this link is valid on the posted date; medicarereport.org cannot guarantee the duration of the link\u2019s validity. Also, the opinions expressed in these postings are the viewpoints of the original source and are not explicitly endorsed by AMAC, Inc.; the AMAC Foundation, Inc.; or medicarereport.org.<\/pre>\n","protected":false},"excerpt":{"rendered":"<p>According to a new Council for Affordable Quality Healthcare, Inc. (CAQH) report, state Medicaid programs are significantly lagging with the<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21,16],"tags":[],"class_list":["post-11203","post","type-post","status-publish","format-standard","hentry","category-health-care-finance","category-medicaid"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/11203","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=11203"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/11203\/revisions"}],"predecessor-version":[{"id":11204,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/11203\/revisions\/11204"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11203"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=11203"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=11203"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}