How our organization is using IT to predict claims denials

In modern market theory, everything is about supply and demand, and healthcare informatics is no exception. As informatics technology and business competition rapidly grow in the healthcare industry, business leaders and users are expecting something more than retrospective reporting to gain insights. The desire to answer forward-looking questions—such as “What’s next?” and “What should we do about it?” with all data points available—has become the key focus in healthcare business intelligence. Abundant electronic healthcare data, advancement in web analytic tools and the prevalence of mobile devices are driving analytics investments to bring healthcare operations data into the cloud and onto mobile devices for business leaders. Providence Health & Services sought to take an innovative approach to implementing an analytics strategy. A team of its data analysts and engineers was charged…

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