Humans Behind the Tech: Prasanna Balivada
Prasanna Lakshmi Balivada spent years chasing a "Good Job" from a police officer who found fault in everything. Then she overheard what he told his friends.
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Behavioral Health Credentialing and Provider Enrollment: A Guide to Faster Time to Bill
Behavioral health credentialing runs longer than general medical. See the real timelines, why carve-out networks extend them and how to shorten time to bill.
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What Should an AI Agent Be Allowed to Do in the Revenue Cycle?
A practical autonomy framework for revenue cycle AI. Five levels, where the line should sit for coding, appeals and write-offs, and what governance actually requires.
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2027 coding and documentation changes: what practices need to know
CMS proposes new G2211 modifiers and 50 percent same-day payment, and CPT 2027 brings 453 changes. Here is how to prepare your documentation for 2027.
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Out-of-Network Claims and the New Independent Dispute Resolution Fee: What Practices Need to Know
The federal independent dispute resolution fee fell to $15 per party. See what changed, what losing costs and which out-of-network claims are worth pursuing.
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Patient Billing Statements: How Clearer Communication Improves Collections
Uncertainty about a bill contributes to nonpayment alongside affordability. See the five questions your patient billing statement should answer, and what to measure.
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Generative, Predictive and Agentic AI in Revenue Cycle Management
Predictive, generative and agentic AI are not interchangeable. See what each does in revenue cycle management, where adoption really is and how to evaluate claims.
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Humans Behind the Tech: Design for the People Who Live There
Kothur Raju grew up in his father’s interior design business in Hyderabad. He now manages projects at Advantum Health. His father’s rule for a room still runs every decision he makes.
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Humans Behind the Tech: The Elevators at Kendriya Vihar
Meet Siva Sankar, the Advantum Health leader who fixes what sits underneath the problem, from a housing society's elevators to healthcare data security.
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Urology Revenue Cycle Management in 2026: What the New IDR Rules and Site-of-Service Policies Mean
The 2026 federal IDR rule lowers the administrative fee to $15 and sets a 50-item batching limit from Nov. 1. Here is what urology practices should build for.
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Rheumatology Prior Authorization: Protecting the Specialty Drug Claim From Order to Payment
How rheumatology practices protect high-dollar biologic and infusion claims from order to payment, from authorization scope to J-code units.
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Anupam Tripathi: Half a World from the Patients He Serves
Anupam Tripathi never set out to work in healthcare, let alone a healthcare system an ocean away. Nearly two decades...
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