Reducing costs in supplementary healthcare is an extremely relevant and impactful topic for health plan operators, healthcare professionals and patients. The search for ways
Prevention campaigns aim to encourage people to undergo disease detection tests, in addition to keeping everyone informed about the risks and symptoms. According to the World Organization
Having supplementary health indicators to monitor and evaluate the quality of services provided by operators is one of the advantages of auditing medical bills. It is a
If you want to significantly reduce medical disallowances from your health plan operator, carefully read this article with infallible tips and success stories with up to 95% of
You probably already know the medical inflation calculated by the Institute for Supplementary Health Studies (IESS) called VCMH. This index, which means Hospital Medical Cost Variation, expresses the
In March 2020, the National Supplementary Health Agency (ANS) presented Normative Resolution 452, known as RN 452. The new parameters came to replace Normative Resolution 277, an old document
INTERVIEW with Pedro Batista – Director of Prevent Senior. Check out the exciting story of Prevent Senior and the vision of Pedro Batista, its director, in the face of the challenges faced by operators
The medical bill auditor must have practical knowledge and focus not only on costs and revenues, but also on the quality of care provided. The importance of auditing accounts
Initially, it is worth mentioning that the Own Pharmacy modality has been gaining prominence among the most influential healthcare operators in the market. The program aims to bring beneficiaries and companies closer together,
Controlling disallowances is, without a doubt, a central step in the management of health plan operators. If done improperly, it can result in undue charges to the insurance company.
