Emdeon and Beyond

Here’s some interesting data from Emdeon chief executive George Lazenby on adoption of electronic healthcare transactions.  Lazenby, who spoke at the annual UBS healthcare conference, said less than half of Emdeon’s transactions are done electronically — broken down as follows:

Claims: 80-85% electronic (essentially all batch)

Eligibility checks: 34% to 40% electronic (real-time and batch)

Claims status and payment authorization: 15% (real-time and batch)

Remittance: 10%

He described the process of printing and mailing provider payment checks after receiving an electronic claim (essentially converting from electronic to paper) as “ridiculous.”  Lazenby said Emdeon is the market share leader in physician revenue cycle management and is number two in hospital RCM.

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