Resources & Insights | Advantum Health

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 Patient Access

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.

Blog

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.

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

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...

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.

Case Studies Medical Coding

Coding Backlog Case Study: 60-Day Turnaround | Advantum Health

How Advantum Health cleared a Fortune 500 provider's two-month coding backlog in 60 days, reaching 97 percent accuracy and zero coding-related denials.

Nephrology Billing: The Monthly Rhythm That Protects Your Revenue

Nephrology billing runs on a monthly MCP rhythm. See how ESRD codes, the 30-month coordination period and bundling affect revenue, plus a billing checklist.