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Oran Lopez Reed
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Founding GTM
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Join date: Nov 20, 2024
Overview
Posts (4)
May 20, 2025 ∙ 6 min
Inpatient vs. Observation: How AI Enhances Utilization Review Processes
Nearly 15% of all healthcare claims submitted to payers for reimbursement are initially denied, with more than half eventually overturned...
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May 20, 2025 ∙ 12 min
What Are Medical Necessity Denials? A Comprehensive Guide for Hospital RCM Administrators
Nearly three in four healthcare providers report that insurance claim denials have increased between 2022 and 2024, with approximately...
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May 9, 2025 ∙ 10 min
How Case Mix Index Affects Contract Negotiations: A Comprehensive Guide for Hospital Administrators
Healthcare providers are experiencing increasing financial pressure, with PwC projecting an 8% year-on-year medical cost trend in 2025...
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