Availity Blog

Availity Blog

Actionable insights for medical business professionals

In its second annual report on the state of provider directories, the Centers for Medicare and Medicaid Services (CMS) found that 46 percent of all directory entries reviewed contained at least one error that makes it difficult for patients to find doctors in their networks.

Recently, three trends have aligned to signal highly favorable conditions in the independent radiology space for the coming year. These trends are: (i) a resurgence of the patient steerage debate; (ii) an increase in patient consumerism; and (iii) advances in pre-service technology that could significantly improve practice efficiency. Independent radiology centers that take steps now to prepare will be in an enviable position next year and better able to capitalize on these trends.

Your health plan has enough claims to process without adding ones that don’t belong to your organization. But that’s what happens when claims with invalid member or provider IDs enter your adjudication system. Internal resources can spend significant time working these before the error is discovered, which means higher staffing and administrative costs.

Availity understands that if you want to drive provider engagement, you need to find new ways to automate healthcare transactions. That’s why we are introducing two new automated workflows within our Provider Engagement Portal: appeals and overpayments.

Join us Friday, 11/10 at 1pm ET for our tweetchat, Confidence Through Compliance, featuring our favorite HIPAA lawyer, Matt Fisher (@Matt_R_Fisher), and our Availity compliance guru, Erika Ables (@Erika_Ethics), as we discuss how compliance can enhance everything in healthcare from cybersecurity to patient interactions.

In this edition of Availity Access, Mark Martin, product line director for provider data, discusses why addressing credentialing is the next logical step in Availity’s work to simplify data verification and improve the quality of provider data throughout the health care data ecosystem.

Working in healthcare guarantees you’ll be interrupted multiple times a day, whether it’s by staff, patients, physicians, or health plans. Fortunately, there are some tasks that can be completed on your timeline. Even better, when you get ahead of them you can greatly reduce the number of interruptions you face.

Availity recently commissioned an independent research company to survey providers—physicians and non-medical staff, in practices and facilities—about their credentialing process. No one should be surprised that providers are not happy with how it’s conducted.

“If you see this text, then your files are no longer accessible because they have been encrypted.” This is the on-screen message many organizations and individuals saw Tuesday, June 27 when a massive cyber-attack froze thousands of computers, especially in Ukraine, Russia, and the U.S. The message went on to demand $300 in Bitcoin as ransom, promising to employ a decryption service upon payment. The attack, originating in Ukraine, affected a number of large companies—and at least one U.S. hospital—resulting in millions of dollars in lost revenue and disruption.

Join us Friday, 10/13 at 1pm ET for our tweetchat, Healthcare Credentialing: The Good, the Bad, and the Scary, featuring Michelle Barry, our expert of health plan provider data management, Don Lee, president of Glide Health IT, and Shahid Shah, The Healthcare IT Guy, as we discuss what processes and tech can remove the dread that looms around healthcare credentialing.