Anna Solano

Anna Solano's articles

  1. Science / Technology

Understanding the concept of Healthcare Payer Analytics Healthcare Payer Data Analytics

Healthcare organizations can benefit from healthcare payer analytics to improve patient experience, promote better population health, improve clinician experience and reduce care cost. In simple terms, Provider analytical tools is a powerful tool for healthcare payers in the healthcare era to gain greater insight and improve the quality of care provided to patients. It is […]
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  1. Science / Technology

Understanding the impact of Technology on Medical Billing and Coding.

Since 2019, we’ve observed a significant shift in healthcare providers’ caregiving techniques, owing to the Novel Coronavirus and technological advancements, and it has also affected medical billing technology. Many people couldn’t envision the potential of medical billing and claims settlement in the realm of artificial intelligence (AI). Previously, identifying and treating patients was a time-consuming […]
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  1. Science / Technology

Understanding the concept of Healthcare Payer Analytics Healthcare Payer Data Analytics

Healthcare organizations can benefit from healthcare payer analytics to improve patient experience, promote better population health, improve clinician experience and reduce care cost. In simple terms, Provider analytical tools is a powerful tool for healthcare payers in the healthcare era to gain greater insight and improve the quality of care provided to patients. It is […]
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  1. Science / Technology

Healthcare Management for Smart Patient Care Delivery

Healthcare organizations are striving hard to provide better efficiency and quality of care. To reach such goals, they need to implement technology for innovative healthcare outcomes. Healthcare management systems refers to the healthcare facility as a whole, including healthy patient outcomes, control cost for patients with complex conditions, and increased patient engagement. It is an […]
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  1. Science / Technology

Cost Containment: Meaning and its Implementation in Healthcare

As a strategic tactic, cost containment lowers expenses in a firm or restricts expenditures to a reasonable amount. Rather than waiting for expenses or profits to become an issue, this Strategy serves to maintain expenses within budget as a habit. Cost containment does not merely entail selecting the most miniature expensive items, services, and materials […]
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  1. Science / Technology

A step-by-step guide for understanding the claims management process.

The technique used by insurance companies to analyze medical claims management systems for appropriate information, authentication, validity, and accuracy are referred to as the Medical Claims Management Process.    With the help of this procedure, the insurance company may reimburse the healthcare provider in whole or in part. If the claim request is determined to […]
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  1. Science / Technology

Top 5 Best Practices to deal with Denial Management in Healthcare.

A claim denial is the failure of an insurance company or provider to accept a request by a person or their payer to pay for health care services acquired from a healthcare professional. Healthcare organizations are hired to prioritize and not deal with insurance providers and figure out why they have been denied reimbursement.   […]
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  1. Science / Technology

A step-by-step guide for understanding the claims management process.

The technique used by insurance companies to analyze medical claims management systems for appropriate information, authentication, validity, and accuracy are referred to as the Medical Claims Management Process.    With the help of this procedure, the insurance company may reimburse the healthcare provider in whole or in part. If the claim request is determined to […]
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  1. Science / Technology

Top 5 Features of an efficient Pharmacy Management Solution.

Imagine having a systematic process for every medical procedure you go through or offer. Still, finally, the one element that requires the most structured framework is entirely disorganized and absent from the hierarchy. It is, after all, the pharmaceutical management process. Whether you’re a provider or a patient, you’ll need to adjust to the new […]
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  1. Science / Technology

Top 5 Challenges in implementing Cloud Computing in Healthcare.

Cloud computing is not a novel phenomenon in the healthcare sector. Healthcare cloud technology usage has been evolving at a rapid pace in recent years.  According to a study conducted, the worldwide market for healthcare cloud solutions in the healthcare business is anticipated to increase by USD 25.54 billion between 2020 and 2024. The COVID-19 […]
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  1. Science / Technology

5 Ways to Improvise the Challenges faced by RCM Systems.

In the healthcare sector, revenue cycle management (RCM) manages claims, processing payments, and producing income.  It begins when a patient schedules an appointment and continues until his account balance hits zero. The caregiving organization can modify their business side by generating appropriate revenue per case, conveniently and seamlessly, processed using Healthcare revenue cycle. Although revenue […]
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  1. Science / Technology

5 Ways Big Data Analytics can help improve Insurance Claims Data

Big data is a massive volume of data that includes organized and unorganized data that a business receives on a large scale. It can be mined for knowledge and insight that will lead to improved judgments and smart business-related decisions. A health insurance policy jumps in the scenario when the insured gets hospitalized and incurs […]
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