Resources & Insights | Advantum Health

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.

Blog

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.

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.

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.

Blog Patient Access

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.

Blog Revenue Cycle Management

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.

Blog Revenue Cycle Management

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.

Blog Prior Authorization & Eligibility

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.

Blog Medical Billing

Protecting five-figure claims in immunology: biologics, J-codes and the documentation payers expect

Immunology biologics carry five-figure claims. See the revenue cycle steps, J-code accuracy and documentation payers expect that keep specialty-drug claims clean.

Denial Management

Your Denials Are Not Random. Here Is How to Read the Patterns and Recover the Revenue.

Most claim denials are not random. Learn how to read your denial patterns, recover appealable revenue and prevent repeat denials with Advantum Health's denial management approach.

Revenue Cycle Management

AI in the Revenue Cycle: It’s Already There. Govern It.

Artificial intelligence is already operating inside your revenue cycle. It is in your clearinghouse’s claim edits. It is in your...

Blog Medical Billing

The Revenue Is Already Earned. Intelligent Automation Is How We Collect It Faster.

The practices that pull ahead aren’t billing more than anyone else. They’re collecting faster, cleaner and with far less manual...