Blogs

Understanding Medicare Advantage Plans & AI’s Role in Compliance

Understanding Medicare Advantage Plan & AI’s Role in Compliance  Table of Content Tl;DR Understanding Medicare Advantage Plan Types of Medicare...

How to Write an Effective Insurance Appeal Letter?

Denial claims are one of the biggest challenges in the healthcare industry. RCM professionals consider them the worst nightmares. They can disrupt...

How can Gen AI help win more Appealing Insurance Denial claims for healthcare providers?

U.S. healthcare staff have to write effective appeals daily. The major struggle is not writing them but winning them. As, appealing insurance denial...

4 Best Analytics Tools to Reduce Healthcare Denials by 30-50%

Healthcare denials are a significant issue for providers that directly affects their revenue stream. How? Each time providers resubmit a claim, they...

AI Agents for Healthcare: Future of Healthsystems with Real Time Policy Updates

Introduction The time has passed when AI was a mere concept, now it is taking the world by storm. In 2023, the global generative AI market size was...

Denials Management Platform: The Impact of Integrated AI Platform Into Healthcare System

Introduction   The important aspect and the aim of healthcare organizations should be to deliver excellent patient care. Nevertheless, hospitals are...

Revolutionizing Healthcare Revenue Cycle Management with Predictive Analytics

Introduction  Claim denials cause a significant challenge in healthcare. It can lead to financial losses, operational inefficiencies and disruptions...

How AI in Denials Management Reduce Revenue Loss for Healthcare Systems?

Introduction  The healthcare industry faces claim denials daily. It is a refusal of reimbursement by an insurance company to pay for a patient’s...

Denials 360 vs. Manual Processes: A Digital Transformation Case for Healthcare Providers

Denied! The State of Claims in 2024  Experian Health’s survey of 210 patients and providers shows that claim denials are still a big problem in 2024...