Best Practices For Navigating State and Federal Turnaround Time (TAT) Requirements
Explore best practices for managing state and federal Turnaround Time (TAT) requirements effectively. Visit our website to learn more.
10 Ways NCQA Accreditation Consulting Revolutionizes Your Organization
Explore 10 transformative benefits of NCQA accreditation consulting services for healthcare excellence and compliance in our latest insight post.
Payviders and Their Growing Impact on Healthcare
Payviders offer both insurance coverage and healthcare services to patients. This concept is a relatively new development in the healthcare industry, and it has the potential to significantly impact the way that healthcare is delivered and financed.
Prior Authorization AI and the Future
Prior Authorization AI and the Future – The process of prior authorization can be time-consuming and complicated for healthcare providers.
Intelligent Document Processing for Payer Cost Savings
Intelligent Document Processing (IDP) is a technology that uses artificial intelligence (AI) and machine learning to automatically extract and process data from documents such as claims forms, invoices, and medical records. This eliminates the need for manual data entry and speeds up the processing of claims and other documents.
AI Practices of Healthcare Payers
AI Practices: Healthcare payers, such as insurance companies and government agencies, are increasingly turning to artificial intelligence (AI) to improve their operations and provide better services to their members.
Health System Best Practices for Improving Performance
Health System Best Practices: Profitable health systems tend to exhibit certain behaviors and policies that distinguish them from less profitable ones. Here are some of the most common.
Health Plan Headaches Need Long-term Solutions
Health plan headaches begin with several challenges while navigating the rapidly evolving healthcare landscape. These challenges are driven by a combination of factors, including rising healthcare costs, regulatory changes, technological advancements, and shifting consumer expectations.
Medicaid Growth in 2022/23 and the Impact on Underserved Populations
Medicaid growth has been driven by several factors, including changes in federal policy, public pressure, and a greater understanding of the benefits of Medicaid for underserved populations.
Payer Best Practices for Success
Payer Best Practices for Success: The healthcare industry is one of the most critical and rapidly evolving industries in the world. Healthcare payers, such as insurance companies, play an essential role in this industry by providing financial protection to individuals and families in the event of illness or injury.