The partnership combines Abridge’s conversational AI platform with Availity’s FHIR-native Intelligent Utilization Management ...
The director of CDI/utilization review at Avera Health reviews two key areas needed to shore up clinical validation denials. Denials management has become a major area of concentration for revenue ...
Health systems and health insurance plans spend enormous sums of money battling over how to be paid fairly — and these battles have only intensified with the growth of Medicare Advantage plans, which ...
A recent opinion from the Commonwealth Court of Pennsylvania has changed the rules for Utilization Review and thrown open the doors to a new class of litigants. In Keystone Rx, LLC v. AmeriHealth (Fee ...
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