What if you could lower denials for good?
Until now, capturing accurate benefit information has been a manual, resource-intensive process that involves calling payers and combing payer websites to find the right information. Even when found, there’s no guarantee the information is correct. This inability of payers and providers to share coverage information is caused by complex data exchange processes. In other words, payer and provider systems don’t speak to each other. They lack the flexibility and specificity to accurately and fully communicate benefit information.
Avaneer Health recently launched its solution, Coverage Direct, which enables payers and providers to share coverage data directly without having to create or maintain multiple connections or use third parties. I’ve worked at various healthcare technology organizations and I see this approach to solving the problem as being very unique and impactful to payers, providers and patients. Connecting directly to update coverage information is more efficient, accurate, and timely. Features include:?
Building on this new capability, we’re working on expanding Coverage Direct to include eligibility verification and patient estimation. With insight into the full benefit picture, we expect even more denials can be prevented, patient collections will be more streamlined, and the patient experience will be improved. In addition to our new eligibility and estimation solution, we are working on several other projects that we believe can reinvent some of healthcare’s most costly, inefficient administrative processes.
Stay tuned for more exciting news from Avaneer Health as we work to simplify the business of healthcare.
Matthew Blake
Senior Project Manager, Avaneer Health
From the Avaneer Health Podcast
The Spark: Transforming your IT infrastructure from a cost center to a strategic revenue contributor by focusing on patient-centric digital tools
With the advent of consumerism, patients are now the primary driver of a healthcare organization’s revenues. In this insightful podcast, Michael Archuleta , CIO at Mount San Raphael Hospital Trinidad, Colorado, explains how any hospital can transform its IT infrastructure from a cost center to a strategic revenue contributor by building asynchronous digital tools that benefit patients both inside and outside the organization.
The Spark: Envisioning a more connected, collaborative future
In this podcast, Seth Joseph , founder and managing director of Summit Health Advisors and contributor at Forbes, explains why he believes companies like Slack, Airbnb, and Uber hold the answer to solving some of healthcare’s most pressing challenges. He also shares why government mandates often get in the way of healthcare innovation by driving a focus on regulatory compliance instead of on solving specific clinical and administrative problems.
The 5 pillars of healthcare innovation
Ryan Howells , principal at Leavitt Partners and Program Manager at CARIN Alliance, and Jason Sherwin , senior director of Healthcare Business Development at CLEAR, discuss what healthcare will look like in the coming decade. They also share the five pillars of healthcare innovation and the three essential technologies that will drive equity, accessibility, and “micro experiences” for patients and providers.
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Hospitals continue struggling with labor shortages and historically low operating margins. Healthcare Financial Management Association and Eliciting Insights recently surveyed more than 130 health system CFOs about their greatest challenges. Eighty-four percent said lower payer reimbursement rates—driven by increased denials—are the top cause of their struggling operating margins. Learn what hospital leaders are doing to address denials and create financial viability.
What ‘Digital Transformation’ Means to 3 Health System Execs
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During the recent HIMSS conference, three health leaders shared their thoughts on the value of digital transformation and how they’re employing AI to drive the transformation in their organizations. Learn about their challenges and the strategies they’re implementing in this insightful blog.
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