Proper Reimbursement Payer Policies [Webinar]
When aiming to ensure proper reimbursement for your hospital or health system, many variables are involved to continually refine payer policies to individual chargemasters. In this webinar recorded in partnership with HFMA Region 9, Deborah Horne, Advent Health Partners’ Vice President of Clinical Operations, discusses the current challenges in receiving reimbursement. She walks through a case […]
DRG Validation and an AI Approach to Sepsis
DRG Predict Video Series | Part Three of Four | DRG Validation In part three of this four-part video series, our Principal Scientist Lance Hahn, Ph.D., and our Machine Learning Engineer, Cam Carver, discuss medical record documentation and technology, including machine learning, natural language processing, artificial intelligence, named-entity recognition, and how these technologies are used […]
91+% Denial Overturn Rate
How We Achieve Our 91+% Denial Overturn Rate In this 1-minute video, you will discover tips on our strategic appeal process for achieving a 91+% denial overturn rate. With this insight and leveraging clinical and payer expertise, you could enhance your overturn rate to ensure maximum appropriate reimbursement from the payer.
Sepsis Diagnosis: The Impact of Age and Comorbidities
DRG Predict Video Series | Part Two of Four | Sepsis Diagnosis In part two of this four-part video series, our Clinical Product Director, Julie Scates, BSN RN, speaks with Clinical Products Specialist Amanda Curran regarding the impacts of age and comorbidity on a sepsis diagnosis. This builds on our discussion in part one about […]
Sepsis-2 vs Sepsis-3 Criteria: Their Impact on Medical Records & Claims
DRG Predict Video Series | Part One of Four | Sepsis and DRG Validations In this first of a four-part video series, join Advent Health Partners’ Clinical Product Director, Julie Scates, BSN RN, and our VP of Clinical, Deborah Horne, as they discuss clinical diagnostic criteria utilized for clinical DRG validations. This presentation will review […]
Denial Management Trends for 2021
Denial Management Trends for 2021 While medical necessity remained the number one type of denials in 2021, our team has seen three additional denial management trends emerge as significant sources of denials. If your hospital or health system is experiencing any of these denials, know that there are answers and ways to prevent them from […]
5 Strategies to Help Interpret Denial Data
Data and data analysis are an integral part of denial management. In some cases, denial management teams need help identifying the important information or the trends they should be looking for. The five strategies below can help teams interpret denial data and best utilize it within the denial appeal process. 1. Analyze your trends for […]
Clinical Expertise Overview [VIDEO]
A Strategic Partner With Clinical Expertise At Advent Health Partners, we consider ourselves a strategic partner that works as an extension of your team to provide client-specific appeal expertise, real-time reporting, and knowledgeable recommendations. What makes us unique is the diverse clinical expertise that makes us successful as subject matter experts: 95% of our nurses […]
3 Considerations for Denial Avoidance
3 Considerations for Denial Avoidance Imagine a scenario where a patient needs a necessary surgery like a prostatectomy due to prostate cancer. When the provider and patient decide to move forward with the surgery, it’s essential to set a precedent by talking to both the patient and the insurance company to find out what the […]
Client Success Strategy [Video]
Our team invests in a strategic partnership with our clients, focused on minimizing denials and ensuring appropriate reimbursement. Advent’s clinical expertise, joined with revenue cycle technology, provides an unparalleled client success strategy. Our objective is to be the partner utilized to bridge current and future gaps within clinical reviews and provide detailed information and best […]