Anna Solano

Anna Solano's articles

The Importance of Analytics in Health Insurance: What You Must Know

Insurance claim data help insurers find the most relevant and accurate information about customer claims. These insurance claims data solutions can be used for many purposes, such as helping insurers identify fraudulent or exaggerated claims, enabling them to verify the accuracy of claims, and guiding adjusters through the claim process. Health Insurance claim analytics solutions […]

Why is Medical Coding Important in Healthcare?

Medical coding is converting data regarding diseases, therapies, treatments, drugs, and technology into alphanumeric codes. Documents, medical records, digital data, laboratory reports such as blood test results, urine, pathology, and radiographic evaluations are among this information.   These codes are transferred from the sources to custom medical coding solutions documentation systems and medical records by […]

Why is Medical Coding Important in Healthcare?

Medical coding is converting data regarding diseases, therapies, treatments, drugs, and technology into alphanumeric codes. Documents, medical records, digital data, laboratory reports such as blood test results, urine, pathology, and radiographic evaluations are among this information.   These codes are transferred from the sources to medical coding software documentation systems and medical records by medical […]

Overpowering Challenges for Denial Management to Eradicate Payer Denials

Supporting denial management process has evolved into a daunting task in today's era. If claims are denied, it could generate a substantial effect on hospitals and healthcare experts. For every patient, there are some different challenges they ought to meet. Claim denial management markets with unpaid claims and is deemed an important part of revenue […]

Credentialing in Medical Billing: Everything You Need to Know

  Credentialing in medical billing is mandatory, and insurers require health practitioners. It is so that health providers can serve insurers’ customers after verifying themselves.   Credentialing in medical billing is the process that all healthcare service providers perform to become enlisted with insurance companies. Only trusted, vetted, and verified insurance companies include healthcare providers to […]

A 2022 Guide for Value-based Reimbursement in Healthcare

The current practice management systems in hospitals and clinics deploy technology and tools to automate workflow, reduce costs and provide the best quality of care. Medical leaders are developing tools including patient engagement systems, healthcare reimbursement models, and more to improve quality of service and boost ROI. Even a myriad of health plans and standards […]

How is Healthcare Payer Analytics Beneficial for Healthcare Sector?

Healthcare payers determine the areas of improvement in inpatient care in the US healthcare era and are helping to implement innovative strategies to engage high-risk patients. Some of the advanced data visualization techniques enable healthcare-related administrators to make intelligent business decisions that significantly impact the organization's performance and revenue basis. The main drivers behind the […]

The Key to Success in Healthcare Industry With Help of Revenue Cycle Management

Revenue Cycle System (RCM) is an economic process that connects a healthcare organization's clinical delivery and financial aspects by handling, collecting, and maximizing money earned by patient services delivered. Revenue cycle management software solutions is a care delivery process that connects doctors and patients with payers, while payers serve as engines and driving forces. The […]

The Key to Success in Healthcare Industry With Help of Revenue Cycle Management

Revenue Cycle System (RCM) is an economic process that connects a healthcare organization's clinical delivery and financial aspects by handling, collecting, and maximizing money earned by patient services delivered. Revenue cycle management software solutions is a care delivery process that connects doctors and patients with payers, while payers serve as engines and driving forces. The […]

The Importance of Analytics in Health Insurance: What You Must Know

Insurance claim data help insurers find the most relevant and accurate information about customer claims. These health insurance analytics solutions can be used for many purposes, such as helping insurers identify fraudulent or exaggerated claims, enabling them to verify the accuracy of claims, and guiding adjusters through the claim process. Health Insurance claim analytics solutions […]

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 information management 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 […]

The Challenging Future of Healthcare Interoperability for better Patient Convenience

In the modern healthcare era, we can see many data inconsistencies where critical patient information is shared across the healthcare providers, payers, and the patients, which is often fragmented, lost, or in some cases are duplicated. There is also a reduction of data security where several staff members manage patient information, making it susceptible to […]

Overcoming Challenges for Denial Management to Eliminate Payer Denials

Maintaining Denial Management  has become a daunting task in today's era. If claims are denied, it could cause a significant impact on hospitals and healthcare professionals. For every patient, there are some other challenges he/she needs to face. Claims denial management deals with unpaid claims and is considered an essential aspect of revenue cycle management. […]

What is the Medical Coding System & Its Benefits?

What is Medical coding system:-   The clinical coding software solution is defined as a simplified transformation of diagnosis, clinical procedures, treatments, and instrumentation into ICD-10 writing. This medical encoding is nothing but a translation engine that interprets the clinical procedures information into predefined codes.   This process is also known as a Medical coding […]

A Quick Guide to Understand Healthcare Reimbursement Solutions in 2022

Revenue Cycle Management in the U.S healthcare industry has been gaining momentum over the last few years. With the growing popularity mHealth and integrated healthcare systems, providers are concerned about payment delays and denials. The traditional payment and reimbursement system lacked efficiency and had frequent errors. But healthcare reimbursement solutions resolve most of these issues, […]

A Quick Guide to Understand Healthcare Reimbursement Solutions in 2022

Revenue Cycle Management in the U.S healthcare industry has been gaining momentum over the last few years. With the growing popularity mHealth and integrated healthcare systems, providers are concerned about payment delays and denials. The traditional payment and reimbursement system lacked efficiency and had frequent errors. But healthcare reimbursement solutions resolve most of these issues, […]

The Ultimate Physician Credentialing Software Checklist for 2022

What is Physician Credentialing in Healthcare?   Credentialing for physicians is a process that verifies that doctors and other medical professionals are sufficiently trained and have all the necessary certifications to provide the specific healthcare service to patients. This process is integral toward maintaining care standards and ensuring the safety of patients. Additionally, physician credentialing […]

7 In-focus health informatics future trends in 2022 to Learn From

Medical informatics involves the application of information technology to healthcare for solving problems, making informed decisions, and delivering the best quality care services. Advances in health informatics deal with resources, devices, and methods needed for optimizing the acquisition, storage, and use of patient medical records. Health information strategies offer patients, healthcare professionals, and insurance companies […]

How To Achieve Budget-Friendly and Seamless EHR Implementations in Billing

In the last decades, the healthcare industry has seen some breakthroughs, both clinical and technology-wise. From Electronic Health Records to advance telehealth solutions, emerging technologies are paving the way for a better healthcare future.   The current healthcare industry faces a myriad of challenges, and the increasing cost is one of the major issues. Denial […]

The Ultimate 2022 Guide to Healthcare Credentialing Software Development

Healthcare Credentialing is an uphill task. With the growth of technologies like EHR and mHealth, healthcare IT experts have developed various applications to manage and simplify complex healthcare tasks. However, earlier, it was mainly a manual process, but these processes are automated now with technology. Healthcare automation technology and HIPAA security, IT develops created Healthcare […]

The Importance of Healthcare Payer Analytics: Why It Is Critical for Your Organization

Why is Healthcare Payer Analytics Critical? The need for healthcare analytics has never been greater. As a result of developing changes in the healthcare business, the requirement for digitized and structured information is at an all-time high. The good news is that as a health insurance company, our solutions are designed to offer payer analytics […]

The Importance of Healthcare Payer Analytics: Why It Is Critical for Your Organization

Why is Healthcare Payer Analytics Critical? The need for healthcare analytics has never been greater. As a result of developing changes in the healthcare business, the requirement for digitized and structured information is at an all-time high. The good news is that as a health insurance company, our solutions are designed to offer payer analytics […]

The Importance of Healthcare Payer Analytics: Why It Is Critical for Your Organization

Why is Healthcare Payer Analytics Critical? The need for healthcare analytics has never been greater. As a result of developing changes in the healthcare business, the requirement for digitized and structured information is at an all-time high. The good news is that as a health insurance company, our solutions are designed to offer payer analytics […]

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 the revenue cycle solutions. Although […]

The Key to Success in Healthcare Industry With Help of Revenue Cycle Management

Revenue Cycle System (RCM) is an economic process that connects a healthcare organization's clinical delivery and financial aspects by handling, collecting, and maximizing money earned by patient services delivered. Revenue cycle solutions is a care delivery process that connects doctors and patients with payers, while payers serve as engines and driving forces. The following are […]

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 analytics systems is a powerful tool for healthcare payers in the healthcare era to gain greater insight and improve the quality of care provided […]

How Can Strategic Healthcare Management lead us to a better future in Healthcare?

Healthcare management is a collection of managed care actions aimed at improving patient care and reducing the demand for healthcare services. Healthcare database management systems include enhancing care coordination, minimizing redundancy, and assisting patients and healthcare professionals in better use of managed care systems. Caregivers benefit significantly from strategic healthcare management systems. They provide a […]

Understanding the Medical Coding System: How to Categorize and Code Your Medical Expenses.

The innovative process of converting healthcare diagnoses, procedures, medical services, and technology into necessary medical alphanumeric codes is known as medical coding. The investigation and medical billing codes are derived from medical records, such as transcriptions of physicians' notes, laboratory reports, etc. Medical coding specialists ensure that the codes are accurately applied during the medical […]

An overview of cloud computing in the healthcare industry and why it is essential?

One of the most recent innovative telehealth advancements in the market is cloud computing. Cloud computing's usage is fast expanding in everyday life. The adoption of cloud computing is so ubiquitous that it is even being used in the healthcare industry. Despite the brisk expansion of cloud computing in healthcare in current history, we should […]