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4 Quick Tips for Getting COVID-19 Claims Paid Promptly

by Lillian Phelps, Sr. Director of Product Management, Availity 01/07/2021 Leave a Comment

4 Quick Tips for Getting COVID-19 Claims Paid Promptly

Lillian Phelps, Sr. Director of Product Management, Availity As the COVID-19 pandemic has gripped the world, many providers have adopted an all-hands-on-deck approach and mentality for treating COVID-19 patients, stretching their resources to the breaking point.  We have heard about the frontline heroes who have sacrificed their own health and safety to treat patients and, in less-fortunate scenarios, comfort patients in their last moments as they were quarantined from loved
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Open APIs in Healthcare: The Future of Data Integration Report

by Fred Pennic 07/28/2020 Leave a Comment

Open APIs in Healthcare: The Future of Data Integration Report

What You Should Know: - The latest Chilmark Research report examines how data-oriented APIs are contributing to development and integration efforts across healthcare from the perspective of the developer. - Reeling from the impact of the COVID-19 pandemic and seeking more effective ways to implement new functionality, healthcare enterprises of all kinds are looking to alternatives for prevailing development and integration practices. Unlocking value from the data scattered across
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Why Outsourcing is the Best Approach to Prior Authorizations

by Mohammed Ahmed, VP, Authorizations and Sales Enablement at Availity 05/11/2020 Leave a Comment

Why outsourcing is the best approach to prior authorizations

Mohammed Ahmed, VP, Authorizations and Sales Enablement at Availity Doctors didn’t attend medical school to spend their waking hours managing or waiting for prior authorizations (PA), but these days it feels like that’s all they are doing. A recent American Medical Association survey found that 90 percent of responding physicians believe that the “administrative burden related to PA requests has risen in the last five years, with most saying it has ‘increased significantly.’” As healthcare
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Social Distancing: Addiction Recovery Programs Go Virtual for COVID-19

by Varun Goyal, Co-Founder and CEO of Illuminate Health 04/07/2020 Leave a Comment

Let’s Not Lose Sight of an Ongoing Crisis for the Pandemic

Varun Goyal, Co-Founder and CEO of Illuminate Health We have been following the social distancing guidelines for two weeks now with more weeks to go. One population that truly needs and is literally prescribed social interaction is that of Substance Use Disorder (SUD). In fact, the 12 step (recovery approach) community, relies on being social wherein attending group meetings to share experience, strength, and hope is a part of the proven philosophy. Turns out, social distancing while
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How Multi-Payer Portals Incent Providers to Better Manage Their Data

by Mark Martin, Director of Payer solutions, Provider Data management for Availity 01/14/2020 Leave a Comment

Prior Authorizations: A Single Source of Truth for Provider Data Management

Mark Martin, Director of Payer Solutions for Availity Value-based healthcare demands meaningful payer-provider collaboration. However, burdensome administrative processes and inefficient solutions stunt the ability of payers and providers to share data, manage risk, validate credentials, process claims, control costs and optimize the consumer experience. These information bottlenecks are most acute in the area of provider data management (PDM). Each year, payers and providers spend more than
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Holon Solutions Appoints Jon Zimmerman As New CEO

by Jasmine Pennic 11/11/2019 Leave a Comment

Holon Solutions Appoints Jon Zimmerman As New CEO

Jon Zimmerman, CEO of Holon Solutions - Healthcare IT leader Jon Zimmerman has been named CEO of Holon Solutions to accelerate their transition to value-based care through the adoption of purpose-built technology that solves their biggest challenges. - Value-based care executive selected for his nearly 30 years’ experience in enhancing healthcare interoperability and proven track record in scaling growth-stage companies. Holon Solutions, an Atlanta-based healthcare IT company that liberates
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Facing the Revenue Cycle’s Biggest Challenges in 2019

by Scott Herbst, Senior VP & GM of Provider Solutions at Availity 01/22/2019 Leave a Comment

Facing the Revenue Cycle’s Biggest Challenges in 2019

Hospital revenue cycle departments have gained greater visibility in recent years as a significant driver of revenue streams. Yet many of these departments continue to face serious challenges in several areas, including workforce, interoperability, and EHR optimization.Taking revenue cycle management to the next level by harnessing technology and data analytics can help hospitals and health systems track costs and identify opportunities for cost savings, gain efficiencies, and optimize financial
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3 Key Areas An Automated Prior Authorization Solution Must Address

by Our Thought Leaders 12/18/2017 Leave a Comment

3 Key Areas An Automated Prior Authorization Solution Must Address

Editor's Note: Co-written by Scott Herbst, Senior Vice President and General Manager of Provider Solutions and Ryan Miller, Senior Vice President of Strategy & Corporate Development at Availity.Prior authorizations may be as popular among providers as ants at a picnic, but they have become a common and necessary part of the reimbursement process. As a result, being able to manage prior authorizations efficiently is critical to maintaining a healthy revenue cycle and avoiding issues such as
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Availity Raises $200M to Fund Future M&A, Strategic Opportunities

by HITC Staff 07/18/2017 Leave a Comment

Availity

Availity, provider of health information networks has closed a five year $200 million senior secured revolving credit facility, which allows for an additional $100 million of capacity when exercised. The debt financing will be used to fund future M&A and other strategic opportunities. “Over the past 18 months we have evaluated or observed a significant number of strategic opportunities and we do not expect this trend to abate in the foreseeable future.  We now have increased flexibility to
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