Hospital admission authorization (AIH) is a highly bureaucratic process for a healthcare provider, due to the need to ensure compliance with regulations, verification of plan coverage
In this article we present the benefits of the SAUDI Medical Follow-up module, also known as Concurrent Audit, Per-Event Audit, Local Audit or Bedside Audit. It is a system that
Supplementary healthcare is a crucial sector for guaranteeing access to quality healthcare beyond the public system. To guarantee the efficiency and quality of services
From material resources to human time and talent, waste in healthcare has a significant impact on the sustainability of the sector. Because it is the most precious and essential resource for well-being
The effective implementation of Business Analytics combined with Artificial Intelligence in the management of chronic diseases offers a new paradigm for the proactive approach to health. By integrating data from
Various types of fraud in supplementary healthcare have been growing steadily in Brazil, affecting both healthcare service providers and plan users. In recent months, more
The largest healthcare providers in Brazil have been automating the entire medical billing process for a long time. This is because they needed to structure themselves to GROW. Imagine a
Assisted reimbursement deserves special attention from medical account managers and analysts at health plan operators. This is because Fenasaúde recently released a warning about sharing
The process of authorizing procedures, medicines and hospital materials represents, in most cases, a major challenge for health plan operators. What many managers
The National Supplementary Health Agency (ANS) opened Public Consultation 99 on July 21, to receive criticism and suggestions regarding the proposed Normative Resolution that changes the
