Jan 22, 2020 | Medical Credentialing
Medical credentialing is a meticulous review process of a health provider’s qualifications, including career history, education, training, residency and licenses, and any specialty certificates. Credentialing is done right before or when a provider is hired and...
Dec 31, 2019 | Revenue Cycle Management Solutions
When you’re running a hospital or healthcare practice, your primary goal is to ensure that your patients are receiving the treatment they need. The truth about it, though, is that in order to keep things running smoothly and to allow the doctors to continue to provide...
Nov 25, 2019 | Revenue Cycle Management Solutions
Robotic Process Automation (RPA) is a term that refers to software that automates manual, rule-based, repetitive tasks normally done by a hospital’s staff. In healthcare, RPA is used to improve the efficiency, accuracy, and speed of billing and reimbursement...
Oct 18, 2019 | Revenue Cycle Management Solutions
According to recent data released by the Kaiser Family Foundation, a non-profit focused on national health issues, 18% of in-network claims were denied by payers in 2017. Denial rates for specific issuers varied around that average from less than 1% to more than 40%....
Sep 3, 2019 | Revenue Cycle Management Solutions
In part 1 of this series, Robotic Process Automation Revolutionizes the Healthcare Revenue Cycle, we examined how Advantum’s Robotic Process Automation (RPA) achieved efficiencies in automating the processes for submitting and following up on claims. In this...
Sep 3, 2019 | Revenue Cycle Management Solutions
Part 1 of 2: Automating No Response claims, payment posting, and charge entry. Artificial Intelligence (AI) has fast become a leading disruptor in the healthcare market and has entered the vernacular of most executives. AI is an umbrella term for a machine’s...
Aug 10, 2019 | Revenue Cycle Management Solutions
Nationally, denial management costs hospitals roughly $262 billion per year, creating significant cash-flow issues with their revenue cycle management. On average, insurance companies initially deny about 9% of hospital claims, which means that hospital staff are...
Jun 10, 2019 | Revenue Cycle Management Solutions
The key drivers of the revenue cycle for most healthcare practices are the reimbursement of covered services from health insurance payers and co-pays, and insurance deductibles from patients. The more efficient the healthcare provider’s revenue cycle management (RCM)...
Mar 22, 2019 | Case Study, Revenue Cycle Management Solutions
Bluegrass Kidney Consultants in Louisville, KY benefited from Advantum Health’s expert billing services and revenue cycle management. Download the success story.
Oct 1, 2018 | Revenue Cycle Management Solutions
Managing denials can sap limited medical practice resources and cash flow. Establishing an effective denial prevention program is crucial to the long-term success of your practice. The good news is through preparation, training, and education, practices can...
