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Adi Tantravahi
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Join date: Nov 19, 2024
Posts (17)
Aug 13, 2025 ∙ 3 min
Aetna's Policy Shift: How "Approved" Inpatient Claims Could Cost You Millions
Aetna's new Medicare Advantage policy will approve inpatient admissions but pay many at observation rates with no appeal rights. Revenue cycle leaders need immediate strategies.
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Jul 23, 2025 ∙ 6 min
Establishing a Robust Payer Policy Database: A Strategic Guide for Hospital Administrators
Healthcare claim denials reached an alarming 15% of all claims submitted to private payers in 2024, with providers spending an estimated...
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Jul 23, 2025 ∙ 6 min
Denial Workflows: What Denials Management Teams Can Learn from CDI Teams
Healthcare organizations are facing an unprecedented surge in claim denials, with 77% of providers reporting increased denial rates from...
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