Alaffia Health

Understanding hospital facility fees and staying ahead of legislative changes can ensure accurate billing and reduce errors. Our article provides the latest updates on hospital facility fees and helps you understand their impact on your medical claims reviews. #Healthcare #MedicalBilling #FacilityFees #AI #Legislation #HealthcareInnovation #AlaffiaHealth

Check out our article highlighting shocking telemedicine fraud cases, recent congressional actions to extend telemedicine benefits, and how to use technology to guard against telemedicine fraud in your healthcare payer organization. As law enforcement investigates and prosecutes telemedicine fraud cases amounting to billions, healthcare payers must implement vigilant monitoring and prevention measures as lawmakers further efforts to extend benefits set to expire at the end of 2024.  #TelemedicineFraud #Telemedicine #CongressionalAction #HealthTech #FraudWasteAbuse #FWA #HealthcareFraud #HealthcarePayers #AIPowered #AlaffiaHealth

Have you ever wondered whether your healthcare payer organization is in compliance with the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) for mental health claims? Our article provides essential updates on a recent ruling that could affect your mental health claims processes. In the 2024 Ryan S. v. UnitedHealth Group, Inc. case, the Ninth Circuit U.S. Court of Appeals expanded the pleading standard for MHPAEA violation allegations. The ruling stated that using stricter review processes for mental health claims compared to medical claims, even without outright denial, could still violate the Mental Health Parity Act. This means that even legitimate denials could be an issue if the process for reviewing mental health claims is tougher than for other types of claims. Keep reading to learn more! #parityact #MHPAEA #classactionlawsuit #integrity #professionals #ai #future #artificialintelligence #mentalhealth #compliance #regulatorycompliance #alaffiahealth

Imagine cutting your claim costs in half overnight. That happened when Alaffia Health's AI platform detected an unusual charge in an inpatient hospital claim, saving a health plan over $16,000. Learn more about it in our latest bill review spotlight. #HealthcareInnovation #AIinHealthcare #OperationalEfficiency #MedicalClaims #CostSavings #InsuranceTech #HealthcareAI

Check out our latest article that discusses recent CMS guidance on ensuring AI's ethical and compliant use in Medicare Advantage claims processing. Healthcare payers must carefully balance AI use with responsible decision-making to avoid legal issues highlighted by recent lawsuits. Alaffia Health assists payers in understanding and complying with these regulations to ensure ethical and compliant AI use. #HealthcareAI #MedicareAdvantage #CMSGuidance #EthicalAI #AICompliance #HealthcareInnovation #ClaimsProcessing #HealthTech #LegalCompliance #PatientCare #AlaffiaHealth #MedicalClaims #HealthcareRegulations #HealthInsurance

We’re proud to announce that we’ve raised $10M in Series A funding! The round was led by FirstMark, with participation from GingerBread Capital and existing investors Anthemis Group, Aperture® Venture Capital, 1984 Ventures, Remarkable Ventures, and Tau Ventures.   We're excited to partner with this esteemed group of investors as we continue to leverage advanced AI to reduce healthcare costs and administrative burden! Read more about the news on our website here: https://lnkd.in/dvGUK7ff

According to Fairfield Market Research, the global healthcare reimbursement market is set to skyrocket to an astonishing $36 billion by 2030, representing an incredible surge from $11.2 billion in 2022. This exponential growth in healthcare reimbursement opens up a world of opportunities for healthcare payers. It's an exciting time to be part of an industry constantly evolving to meet society's ever-changing needs! And now is the perfect time to consider transforming your healthcare payer organization with cutting-edge AI technology. #global #healthcare #opportunities #ai #future #artificialintelligence #integrity #professionals #healthcarereimbursement #futureofhealthcare #innovation #valuebasedcare #telehealthservices #globalmarkettrends #fairfieldmarketresearch #healthcareindustry #patientcare #alaffiahealth

I'm excited to announce that we increased our revenue by 4x over the last 12 months at Alaffia Health and are actively scaling our team! We have open roles across Engineering, Product, Sales, and Operations. If you're interested in leveraging LLMs to build AI Co-Pilots and Agents to eliminate administrative costs across our $4T healthcare ecosystem, we have several open opportunities for you! • VP of Payer Sales (Software): https://lnkd.in/dZst2krX • VP of Engineering (AI): https://lnkd.in/dVVZmXRy • Principal Applied AI Engineer: https://lnkd.in/dK5M__yw • Principal Software Engineer: https://lnkd.in/dzW4g6rG • Applied AI Engineer: https://lnkd.in/dqihT4VK • Director of Product: https://lnkd.in/dfHcHZSQ We're growing fast... see all of our open roles here: https://lnkd.in/dYYrppui

We’ve been featured in Everest Group's 2024 Payment Integrity Solutions PEAK Matrix® Assessment! Following the evaluation of 50+ service providers across the ecosystem, the assessment recognized the leading 18 companies based on their innovative contributions and market share. This recognition is a testament to our commitment to reduce payer healthcare costs by pioneering the widespread adoption of advanced AI solutions. #paymentintegrity #healthinsurance #rcm See the report here: https://lnkd.in/dHPmRZRW

We're proud to be sponsoring and attending the Becker's Healthcare Payer Issues Roundtable this week in Chicago. Come stop by Booth 200 to learn more about our generative AI products for health plan operations! #revenuecycle #utilizationmanagement #paymentintegrity #generativeai