Insights from Advent Health Partners

How Payers Can Utilize the Potential of Unstructured Data

Healthcare providers and payers amass huge troves of patient data every day, year in and year out. Health information technology (HIT) regularly manipulates and transmits...

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6 Common Reasons for Hospital Claim Denials

Since 2008, the AMA has taken the lead to bring reform to the medical billing/payment system, according to a 2014 article in Medical Economics. While healthcare...

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The Impact of Paperless Billing on the Healthcare Industry

It's clear that paperless billing offers a dramatic improvement to the revenue cycle management for most healthcare organizations. Leading sources, such as HFMA, point out...

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How to Stop Medicare Claim Denials Due to Medical Necessity

With the shift towards value-based care coupled with the ICD-10 coding requirements, Medicare claim denials for medical necessity will most likely continue to plague your...

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5 Common Struggles in Healthcare Denial Management

Claims management is among the primary RCM hurdles faced by providers and can also pose challenges for payers. Becker's Hospital CFO reports that hospitals lose anywhere...

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5 Ways Providers Can Reduce Denials In Medical Billing

Medical claims are an unavoidable part of life for physicians and healthcare providers. Unfortunately, it often seems like claim denials are equally as unavoidable,...

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Utilization Management Tips From Seasoned Experts

While utilization management (UM) is often used interchangeably with utilization review, UM’s role oversees the entire spectrum of a facility’s health services, including...

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What Makes Healthcare Denial Management Services Excel?

Denial has such a negative connotation. However, with an effective technique, it's possible to turn a denied claim into a paid claim. It just sometimes requires effort and...

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Can Healthcare Search Capabilities Change Claim Reviews?

As technology grows and changes, so does much of the healthcare field. First and foremost, treatments are becoming more advanced. What patients see aren't the only aspects...

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Data Sources That Could 10x the Efficiency of Your High-Cost Reviews

As a hospital, the claim denial review process is a huge headache. It takes a great deal of time to analyze and process each claim, and these high-cost reviews can...

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