Availity Blog

Availity Blog

Actionable insights for medical business professionals

Whether you’re new to healthcare or a seasoned veteran, understanding the revenue cycle is tough—not to mention staying up-to-date with myriad legislative and policy changes that can impact your revenue cycle over time.

With more patients enrolled in high-deductible health plans, front-desk employees are facing difficult questions from patients about their healthcare coverage, but many lack the skills and training necessary to answer them. Here are 3 steps to help patient access staff provide better answers to difficult questions.

In this episode of Availity Access we discuss solutions that can streamline data sharing processes and reduce manual workflows for payers and providers.

In this episode of Availity Access we discuss how automation has affected the claims submission and processing activities for payers and providers.

Availity Access provides a glimpse into the people behind our products. It features commentary on challenges facing the healthcare industry and how Availity can help providers and health plans better share patient information. In this episode we discuss big data and the challenges it presents for risk adjustment.

Risk adjustment is used to calculate the underlying health status of a health plan’s population. For Medicare Advantage, it is the most significant factor in determining a health plan’s reimbursement. For exchange plans established under the Affordable Care Act (ACA), it determines whether the plan will receive additional funds or be asked to pay additional money at the end of the year.