Resources & Insights | Advantum Health

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.

Medical Billing

Aged AR Recovery Case Study: $38.8M Before an EHR Sunset

See how Advantum Health's aged AR recovery resolved $38.8M across 50-plus departments before an academic medical center's EHR sunset, with zero stranded revenue.

Case Studies Medical Coding

Laboratory Revenue Cycle Case Study: $5.82M Recovered From a $54M AR Backlog

How Advantum Health helped a national laboratory group recover $5.82 million from a $54 million AR backlog and grow monthly collections 514 percent in five months.

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.

The 2026 Orthopedic Revenue Report: Shoulder Volume, Post-Op Modifiers, and the E/M Downcoding Problem

Orthopedic revenue is being squeezed from several directions at once. Clinical practice is shifting toward higher-acuity procedures, the rules around...

Resources Medical Coding & Billing

Orthopedic Revenue Cycle Report Q3 2026 | Advantum Health

Ortho Revenue Report — Q3 2026 (Styled Preview) 01 · Clinical Trend The rise of shoulder replacement Not long ago,...

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...