How to Reduce Claims?
The claims rate, which represents the proportion of claims (complaints or reimbursement requests) in relation to the total value of premiums received by a health insurance company, is one of the most important factors in the health insurance industry.
How to Detect Epidemiological Risks Early
Detecting epidemiological risks early is a crucial task for global public health. Identifying and responding quickly to potential threats can prevent outbreaks and save lives. This article explores
New Forms of Remuneration in Supplementary Health
Supplementary healthcare in Brazil faces constant challenges, from financial sustainability to the quality of care provided to beneficiaries. Traditionally, the predominant remuneration model is fee-for-service (FFS),
The Importance of Patient Management
The Importance of Patient Management in Access to Health Services: An Approach for Health Operator Managers is the subject of this article, which aims to update professionals on the importance of patient management.
Reduce up to 95% of undue bills in hospital authorizations
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
The Many Benefits of a Concurrent Audit System
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
