Insights from Advent Health Partners

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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How to Evaluate Medical Necessity With More Accuracy

Medical necessity continues to be one of the most common reasons that claims are denied by Medicare and other payers. While your organization may also note other areas...

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What Payers and Providers Should Know About Medical Record Analytics

Providing exceptional healthcare involves a multitude of moving parts. Admissions, clinicians, labs and imagers, pharmaceuticals, payers, regulators, billing and...

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How Technology Can Process Unstructured Data

Commercial and government healthcare payers encounter huge numbers of "dirty" claims each year. Those they receive with missing or incorrect demographics or obvious...

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6 Claim Denial Headaches For Insurance Payers

A rather popular myth circulates among healthcare providers that says insurance payers deny or reject claims for arbitrary reasons. What they seldom consider is the fact...

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Why Going Paperless is Essential for Healthcare Providers

While implementation of healthcare technology can mean high initial costs, the potential boosts to ROI for hospitals and other healthcare providers often more than offsets...

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5 Fun Orlando Activities for HIMSS Conference Attendees

It can be an exciting time to learn and to gather with other like-minded industry professionals while in Orlando for the HIMSS conference. Even though your schedule will...

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