https://www.rivio.com.br/en/blog Insights on hospital management, AI and the revenue cycle. en https://www.rivio.com.br/en/blog/ai-use-in-hospital-management https://www.rivio.com.br/en/blog/ai-use-in-hospital-management Tue, 28 Jul 2026 15:00:00 GMT Hospital management Everyone knows that interest in artificial intelligence (AI) in healthcare has never been more evident, but I want to propose a reflection on how it is actually used. https://www.rivio.com.br/en/blog/technology-vendors-need-to-share-the-risk https://www.rivio.com.br/en/blog/technology-vendors-need-to-share-the-risk Tue, 28 Jul 2026 15:00:00 GMT Hospital management By Bruno Brasil, Head of Product at Rivio https://www.rivio.com.br/en/blog/health-plans-sus https://www.rivio.com.br/en/blog/health-plans-sus Fri, 10 Jul 2026 15:00:00 GMT Healthcare regulations Agora Tem Especialistas is now law and connects private hospitals to the care of SUS patients, with payment through tax credits or debt offsets. See how accreditation works and what changes in the hospital’s billing. https://www.rivio.com.br/en/blog/what-is-ris https://www.rivio.com.br/en/blog/what-is-ris Thu, 09 Jul 2026 15:00:00 GMT Hospital management The RIS organizes scheduling, reports and billing for imaging services, acting as the link between radiology and the revenue cycle. See how the system works, the difference between RIS and PACS and why this integration reduces denials https://www.rivio.com.br/en/blog/manchester-triage-system https://www.rivio.com.br/en/blog/manchester-triage-system Wed, 08 Jul 2026 15:00:00 GMT Hospital management The Manchester Triage System organizes care by severity, not by order of arrival. See what each color means, the waiting time targets and why the classification also supports the hospital’s urgent and emergency care billing https://www.rivio.com.br/en/blog/physician-fee-cbhpm-structure https://www.rivio.com.br/en/blog/physician-fee-cbhpm-structure Wed, 08 Jul 2026 15:00:00 GMT Healthcare regulations The CBHPM physician fee combines the value of the procedure’s tier with the operational cost calculated in UCO. See the full formula, the UCO value currently in force and a practical step-by-step calculation example in the hospital https://www.rivio.com.br/en/blog/surgical-tier-classification https://www.rivio.com.br/en/blog/surgical-tier-classification Wed, 08 Jul 2026 15:00:00 GMT Revenue cycle There are two surgical tier classifications: the clinical one, used in care planning, and the CBHPM one, used for billing. See the criteria for each and why confusing them creates a risk of error in hospital billing https://www.rivio.com.br/en/blog/rn-566-2022-care-deadlines https://www.rivio.com.br/en/blog/rn-566-2022-care-deadlines Tue, 07 Jul 2026 15:00:00 GMT Healthcare regulations RN 566/2022 sets the maximum deadlines a health plan has to guarantee care, from a basic consultation to an elective admission. See the deadlines by type of procedure and why the hospital’s schedule directly affects compliance. https://www.rivio.com.br/en/blog/rn-503-2022-payer-contract https://www.rivio.com.br/en/blog/rn-503-2022-payer-contract Tue, 07 Jul 2026 15:00:00 GMT Healthcare regulations RN 503/2022 requires a written contract between hospital and payer, with minimum clauses on authorization, billing and denials. See what the contract must contain and the risk of operating without these clauses clearly defined https://www.rivio.com.br/en/blog/health-plan-reimbursement https://www.rivio.com.br/en/blog/health-plan-reimbursement Mon, 06 Jul 2026 15:00:00 GMT Healthcare regulations When the patient opts for reimbursement, the hospital bills the patient directly, not the payer. See which documents prevent reimbursement from being denied, what the ANS deadline is and how this routine differs from billing through the health plan https://www.rivio.com.br/en/blog/waiting-period-portability https://www.rivio.com.br/en/blog/waiting-period-portability Mon, 06 Jul 2026 15:00:00 GMT Healthcare regulations Waiting period portability lets plan members switch plans without restarting waiting periods, but the hospital cannot assume the payer has accepted the request. See the requirements of ANS Normative Resolution 438/2018 and how to confirm the patient’s portability https://www.rivio.com.br/en/blog/ona-certificate https://www.rivio.com.br/en/blog/ona-certificate Fri, 03 Jul 2026 15:00:00 GMT Hospital management The ONA certificate attests that hospitals and clinics follow the healthcare industry’s quality and safety standards. See how the process of obtaining it works, how long it is valid at each level and why it also protects hospital billing. https://www.rivio.com.br/en/blog/hospital-administration https://www.rivio.com.br/en/blog/hospital-administration Fri, 03 Jul 2026 15:00:00 GMT Hospital management Hospital administration coordinates a hospital’s care, financial and operational areas. See its main fronts, who is responsible for each one and how technology has been changing this management routine. https://www.rivio.com.br/en/blog/rn-649-2025-self-managed-plans-billing https://www.rivio.com.br/en/blog/rn-649-2025-self-managed-plans-billing Thu, 02 Jul 2026 15:00:00 GMT Healthcare regulations In effect since July 2026, RN 649/2025 expands network sharing among self-managed plans and requires tighter control over eligibility. See the denial risks the change brings to hospital billing and how to prepare https://www.rivio.com.br/en/blog/cbhpm-and-amb-tables https://www.rivio.com.br/en/blog/cbhpm-and-amb-tables Wed, 01 Jul 2026 15:00:00 GMT Healthcare regulations Discrepancies between the table used for billing and the one set in the contract are among the main causes of denials. See how to identify the version in force, apply the calculation correctly and protect hospital billing https://www.rivio.com.br/en/blog/retrospective-audit https://www.rivio.com.br/en/blog/retrospective-audit Wed, 01 Jul 2026 15:00:00 GMT Hospital auditing Performed after the patient’s discharge, a retrospective audit reviews the entire hospital claim. See how the process works, how it differs from concurrent audit and how it strengthens hospital billing https://www.rivio.com.br/en/blog/intensivist-specialist-fee https://www.rivio.com.br/en/blog/intensivist-specialist-fee Tue, 30 Jun 2026 15:00:00 GMT Hospital billing A specialist consultation requested by the intensivist in the ICU follows a specific CBHPM rule, different from the fee for a standalone visit. Understand how to value and document this charge https://www.rivio.com.br/en/blog/icd-sadt-form-mandatory https://www.rivio.com.br/en/blog/icd-sadt-form-mandatory Tue, 30 Jun 2026 15:00:00 GMT Hospital billing Many hospitals fill in ICD codes in fields of the SADT form out of habit or because of informal payer requirements. The official structure of the TISS standard, however, calls for a free-text clinical indication, not a structured ICD code. Understand the difference https://www.rivio.com.br/en/blog/home-hospitalization-home-care https://www.rivio.com.br/en/blog/home-hospitalization-home-care Mon, 29 Jun 2026 15:00:00 GMT Healthcare regulations Home hospitalization replaces a hospital stay when the patient is clinically stable and the home has adequate infrastructure. Understand the ANS rules, the payer’s obligations and how to structure billing without denials https://www.rivio.com.br/en/blog/physician-fee-private-room-icu-double https://www.rivio.com.br/en/blog/physician-fee-private-room-icu-double Mon, 29 Jun 2026 15:00:00 GMT Hospital billing Charging double the fee for a stay in a private room or the ICU is not automatic. The CBHPM defines exactly when this doubling is valid and when it can lead to a denial https://www.rivio.com.br/en/blog/hospital-logistics https://www.rivio.com.br/en/blog/hospital-logistics Fri, 26 Jun 2026 15:00:00 GMT Hospital management Home hospitalization replaces a hospital stay when the patient is clinically stable and the home has adequate infrastructure. Understand the ANS rules, the payer’s obligations and how to structure billing without denials https://www.rivio.com.br/en/blog/health-plan-contract https://www.rivio.com.br/en/blog/health-plan-contract Fri, 26 Jun 2026 15:00:00 GMT Hospital management The contract with the payer is the document that sets the financial terms of the relationship between hospital and health plan. Reviewing its clauses carefully is what separates a contract that protects the hospital from one that exposes it https://www.rivio.com.br/en/blog/comprehensiveness-in-healthcare https://www.rivio.com.br/en/blog/comprehensiveness-in-healthcare Thu, 25 Jun 2026 15:00:00 GMT Healthcare regulations Understand how this fundamental principle organizes the provision of preventive and curative care in the SUS (Brazil’s public health system) and also influences models of care in private healthcare. https://www.rivio.com.br/en/blog/opme-denials https://www.rivio.com.br/en/blog/opme-denials Thu, 25 Jun 2026 15:00:00 GMT Claim denials An OPME denial rarely questions whether the material was used. It questions whether the documentation proves it was used, authorized and traced. Learn where the risks are and how to control them https://www.rivio.com.br/en/blog/hospital-average-time-to-payment https://www.rivio.com.br/en/blog/hospital-average-time-to-payment Wed, 24 Jun 2026 15:00:00 GMT Hospital billing The average time to payment is the indicator that shows how long the hospital takes to turn care into revenue. Learn how to calculate it and what drives it https://www.rivio.com.br/en/blog/opme https://www.rivio.com.br/en/blog/opme Wed, 24 Jun 2026 15:00:00 GMT Hospital management OPME (implants and special materials) combines high unit value, strict traceability requirements and a high risk of denial. Learn what they are, how they are regulated and what the hospital needs to control https://www.rivio.com.br/en/blog/denial-resolution-rate https://www.rivio.com.br/en/blog/denial-resolution-rate Tue, 23 Jun 2026 15:00:00 GMT Claim denials Knowing how many denials are generated is not enough. The resolution rate shows how much the hospital manages to recover, and that is the number that guides how the process is managed https://www.rivio.com.br/en/blog/outpatient-billing https://www.rivio.com.br/en/blog/outpatient-billing Tue, 23 Jun 2026 15:00:00 GMT Hospital billing Outpatient procedures follow different billing rules from hospital stays: different forms, no daily rate and their own authorization logic. Learn how to structure this process without errors https://www.rivio.com.br/en/blog/cost-of-auditing-a-medical-claim https://www.rivio.com.br/en/blog/cost-of-auditing-a-medical-claim Mon, 22 Jun 2026 15:00:00 GMT Hospital auditing The right question is not how much it costs to audit a claim, but how much it costs not to. Understand the components of hospital audit costs and how automation changes that equation https://www.rivio.com.br/en/blog/medication-denials https://www.rivio.com.br/en/blog/medication-denials Mon, 22 Jun 2026 15:00:00 GMT Claim denials Medication denials happen for different reasons: a dosage mismatch, a missing authorization, an incomplete administration record. Each cause calls for a different response