Availity Published Literature

Availity Resource Library

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Title Topic Date Type
2016-Aug eGuide

How Digital Tools Make Collecting Risk and Quality Information Easier

Health plans rely on accurate patient data from their providers to complete risk adjustment processes and quality programs required by the government. Learn how digital tools make collecting risk and quality information easier.
2016-Jul Infographic

What Millennials Want from Healthcare Providers

From the rise of the sharing economy to the ubiquitous selfie, trends embraced by millennials are changing our culture in many ways. How might they change healthcare?
2016-Jun White Paper

The Provider Directory Dilemma

This white paper examines five urgent challenges health plans face as they work to improve the quality of their provider data, and offers four steps plans can take to get started on the journey.
2016-Jun Article

Better Provider Data Management Could Save Health Plans Millions per Year

Inaccurate information about providers has long been a problem for the healthcare industry—as many as 50 percent of entries in provider directories are inaccurate. These inaccuracies drive administrative costs up, but health plans don’t realize how much of their costs are associated with bad provider data.
2016-Jun Article

Assessing Provider Data Within Your Health Plan

The challenge health plans face with capturing and maintaining accurate provider data is that it’s both complex and dynamic. Assessing the people, processes, and technology involved in capturing and maintaining provider data will provide perspective on which areas you should focus on first.
2016-Jun Infographic

Who Cares About Provider Data?

This infographic provides a snapshot of how inaccurate provider data affects everyone in the healthcare system.
2016-Jun eGuide

A Day In The Life of VP Claims Operations

Processing claims isn’t the most glamorous job. Multiple times each day, some the same issues might pass by your desk. See how one claims VP identified a realistic, cost-effective solution to claims errors for her health plan, reducing administrative costs and saving the day.
Product 2016-May eBook

Method to the Madness - 10 Payment Collection Strategies That Work

With more of the financial responsibility of care shifting to the patient, savvy healthcare professionals are working to fine-tune their patient collections strategies. This e-book provides best-practice guidance from our team of Availity experts as well as lessons learned from our most successful customers.
2016-Apr Research Study

Provider Outlook on Value-Based Payment Models

This study, sponsored by Availity, was conducted to obtain current feedback on the challenges, experiences, and attitudes of providers related to payment reform initiatives. A follow up from a 2013 report, this study includes key findings and provider viewpoints around the shift to value-based payments.
2016-Apr Research Study

Health Plan Outlook on Value-Based Payment Models

This study, sponsored by Availity, was conducted to obtain current feedback on the challenges, experiences, and attitudes of health plans related to payment reform initiatives. A follow up from a 2013 report, this study includes key findings and health plans viewpoints around the shift to value-based payments.
2016-Apr Research Study

Provider and Health Plan Outlook on Value-based Payments

The shift to value-based payment models has broad support and is growing. In fact, Availity research indicates 2018 could be a tipping point where over half of health plan revenue comes from value-based contracts.
2016-Apr eBook

7 Strategies to Transform Your Revenue Cycle

When change happens quickly, it can be difficult to assess whether or not existing processes are working. This is the case for many hospitals and physician practices trying to adapt to value-based payment models, high-deductible health plans, and shrinking payer reimbursements.
2016-Apr Article

Generation Healthcare: Millennials

There’s a demographic shift happening in the U.S. as last year the millennial generation overtook Generation X to become the largest segment of the U.S. workforce. In response, companies are redesigning products and services to better meet the needs of millennials. Find out what this means for healthcare providers.
2016-Mar White Paper

Risk Adjustment: A Roadmap to Success

“Big data” holds tremendous promise for the healthcare industry as it transitions to value-based care. With technology advancements and the increased volume of healthcare data collected, many believe we are close to finding better ways to measure value and assess risk.
Product 2016-Mar Case Studies

Enhanced Patient Collections: Anderson Regional Case Study

Faced with increasing accounts receivable and decreasing patient collections, Anderson Medical Center knew they needed a better way to capture patient collections upfront. Find out how they increased opportunities to collect the patient responsibility by 60–70 percent.
2015-Dec Webinar

Managing Provider Data: Much Deeper than Directories

As the volume and variety of health insurance products increase to accommodate an expanding market, so do concerns about the accuracy of provider network information. This webinar includes the CMS guidance concerning provider directories and data elements most critical to effective provider data management.
2015-Sep Infographic

I’m Not Ready for ICD-10 – Help!

Not ready for ICD-10? This infographic provides a number of resources for a variety of readiness scenarios facing providers and health plans.

2015-Aug Case Studies

Special Report: Revenue Cycle Best Practices During an Epic Installation

Implementing an EHR requires a substantial commitment of resources, so it’s important to get it right. With EHR-giant Epic, Availity offers one of the most integrated Revenue Cycle Management (RCM) solutions on the market.
2015-Jun Special Report

Special Report: ADT Notifications and Authorization Requests

It’s no secret that for years, hospitals have struggled for an easy way to share information about patient admissions, discharges, and transfers with health plans, and that health plans have struggled equally to obtain this information on a timely basis. Digitizing ADT notifications and treatment authorizations offer great opportunities to achieve better quality care, lower costs, and improved outcomes.
2015-Apr Special Report

Year in Review: Update on 2013 WEDI Report & Roadmap for the Future of Healthcare Exchanges

In follow-up to the first roadmap for healthcare information exchange produced by WEDI in 1993, the 2013 report provided a framework for the next generation of healthcare information exchange that would lower healthcare costs, improve healthcare delivery, and achieve better healthcare outcomes.
Product 2015-Mar Research Study

The Impact of Consumerism on Provider Revenues

From declining Medicare reimbursements and growing numbers of high-deductible health plans, to the introduction of value-based payment models, managing financial performance has become trickier than ever for providers.
Partners 2013-Nov White Paper

Technology Companies

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2013-Nov Case Studies

Carolinas Healthcare System: Exceeds Goal to Reduce Claim Edit Backlog, Recovers Millions in Revenue

A growing family of physicians with 600 providers in practices spanning 11 counties, Carolinas HealthCare System faced rising claim error rates, which peaked at 7.5 percent. To bring the claim edit backlog to zero in less than a year, they turned to Availity.
2013-Nov Case Studies

Asheville Anesthesia Associates Achieves Dramatic Improvements in Time-To-Payment Goals

Asheville Anesthesia Associates faced a growing accounts receivable file and a payment collection process that was too slow. See how Availity helped them to improve practice efficiencies and their overall financial position.
2013-Nov Case Studies

Short-Cycling the Pain of Change: Multiple Billing Offices Use a Common Tool to Drive Revenue, Improve Workflow

See how Adventist Health System, a faith-based, not-for-profit hospital organization whose sheer growth and geographical spread made conditions ripe for inconsistent billing practices and disparate systems across its multiple billing offices, looked to Availity to standardize processes, reduce claim denials, and strengthen health plan connectivity.
2013-Nov Case Studies

American Health Network: Reduces Denial Management Time by 75%, Realizes ROI of 200%

As claim volumes surpassed more than $300 million in annual billings, American Health Network found itself facing one of the most vexing problems in healthcare—claim denials. A five-year Availity clearinghouse customer already impressed with Availity’s expertise and guidance with claims management, AHN looked to Availity to help manage denials.
2013-Oct White Paper

Availity EDI Companion Guides

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