Redacted  by Vilmar Trinta | Contributed by Keila K. Marrero, Clinical Affairs and Strategic Consulting In a clinical environment where physicians face increasing pressure to see more patients, document accurately, and comply with increasingly complex regulations, having a well-trained and integrated medical assistant is no longer an operational luxury—it is a strategic necessity. As explained

Redacted by Vilmar Trinta | Interviewed Lilybeth Rivera García, Coding and Premium Management Director at Provider Network Solutions of Puerto Rico (Provider PR) Behind every code sent to an insurance company lies much more than an administrative process—each diagnosis represents a patient’s medical history, the quality of care provided, and the financial stability of an

Redacted by Vilmar Trinta | Interviewed Dr. Carlos Maldonado, Medical Director of Provider PR Educating patients on when to visit an urgent care center or an emergency room is essential to optimize healthcare resources, improve clinical outcomes, and strengthen the physician-patient relationship. Primary care physicians and their teams play a fundamental role in educating, guiding,

By Salvador Rovira Rodríguez, Esq., LLM, CEO of CredeMtia Proper management of medical appointments is an essential element in ensuring service quality and patient safety. Several studies conducted in the United States have shown that delays in accessing care can have significant clinical and legal consequences—a scenario that also resonates in Puerto Rico, where challenges

Redacted by Vilmar Trinta | Interviewed Attorney Tomás Hernández, Contracting and Provider Relations Director The Health Insurance Administration (ASES) will officially begin the implementation of the APR-DRG system (All Patient Refined Diagnosis Related Groups) on January 1, 2026, which will replace the current per diem payment model for hospitalizations. This change marks a significant transformation

Interview by Dr. Eddie Ortiz with Infectious Disease Specialist and Attorney, Dr. Luis Lugo Vélez You can watch the full interview here: Telemedicine and Ambulatory Care: Tools for More Accessible and Efficient Medical Care ▶ EO: Doctor, what is telemedicine, how has it developed in Puerto Rico, and what laws regulate it locally? ▶ LLV: Telemedicine

Interview with Lillybeth Rivera García, Coding and Premium Management Director at Provider Network Solutions   In healthcare, clinical excellence relies not only on medical expertise but also on agile, quality-driven administrative management. In Puerto Rico—where healthcare challenges range from a shortage of physicians to a high prevalence of chronic conditions—administrative staff (secretaries, receptionists, coordinators) serve

By: Vilmar Trinta Negrón | Interview with Waleska Rosich, Stars Supervisor of the Stars Department, and Dr. Eddie Ortiz, Chief Strategy and Clinical Officer of Provider Network Solutions of P.R   Colorectal cancer is no longer a condition exclusive to older adults. In Puerto Rico, as in many parts of the world, this disease is

By: Vilmar Trinta Negrón   ▶ In Puerto Rico, hurricane season extends from June 1 to November 30, with the peak occurring between August and October. This period demands not only technical preparedness from healthcare providers, but also leadership, coordination, and a strong commitment to the resilience of the services they deliver. Preparation is not

Salvador F. Rovira Rodríguez, Esq. LLM, CEO of CredeMtia   Discussions around artificial intelligence (AI) in healthcare are no longer futuristic—they are part of our everyday reality. From systems that analyze medical images to algorithms that optimize appointment management, AI is present at multiple levels of clinical care. Yet as these technologies become more embedded,