Resources & Insights | Page 2 of 3

Healthcare Credentialing Documents Checklist

To save time in the medical credentialing process, review this list of the documents which are typically requested by most insurance plans.

Provider Enrollment & Credentialing

Medical Credentialing Software vs Outsourcing Credentialing

Moving to medical credentialing software or outsourcing credentialing will save time, effort, and improve the accuracy of your credentialing.

Provider Enrollment & Credentialing

What is Physician Credentialing?

Physician Credentialing organizes and verifies a doctor's professional records, a vital safeguard for patient safety and risk management.

Medical Billing

What Is an NPI Number, and Why Do You Need One?

An NPI number is a unique ID issued to each healthcare provider in the U.S. It's required by CMS and every health plan for correspondence and to pay claims.

Medical Billing

The Benefits of Outsourcing RCM

By outsourcing their Revenue Cycle Management (RCM), hospitals can focus on spending more time on treating patients instead of correcting claims.

Provider Enrollment & Credentialing

Applying for Hospital Privileges: What Physicians Need to Know

Before a physician’s hospital privileges are granted, medical credentialing must occur. Both are lengthy and complicated processes.

Revenue Cycle Management

Robotic Process Automation in Healthcare – An Introduction

Robotic Process Automation (RPA) improves the efficiency, accuracy, and speed of billing and reimbursement (Revenue Cycle Management).

Denial Management

8 Most Common Reasons Claims Get Denied

Eighteen percent of in-network claims are typically denied by payers. The good news is, most denials can be avoided through best practices.

Revenue Cycle Management

Automating RCM Reporting with AI-RPA

In part 1 of this series, Robotic Process Automation Revolutionizes the Healthcare Revenue Cycle, we examined how Advantum’s Robotic Process Automation (RPA) achieved...

Denial Management

Robotic Process Automation Revolutionizes the Healthcare Revenue Cycle

The application of Robotic Process Automation (RPA) improves the efficiency of revenue cycle management (RCM) for healthcare organizations.

Denial Management

The True Cost of Denial Management in Hospital RCM

Nationally, denial management costs hospitals roughly $262 billion per year, creating significant cash-flow issues with their revenue cycle management.

Revenue Cycle Management

Revenue Cycle Management: Patient Payments vs Insurance Reimbursements

Carefully managed patient payments and insurance reimbursements are the keystones of a successful healthcare organization's revenue cycle management.