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Outsourcing will pivot to a more surgical, targeted strategy, focusing on high-impact, specialized areas like revenue integrity, underpayment recovery, and the more commonplace out-of-state Medicaid and small balance recovery work where RCM outsourcing supplements streamlined, automation-empowered teams instead of replacing them.
Each week, we’ll be providing a look back at the articles we posted and why they’re important to the healthcare IT community. Read more… Advice for Women in Healthcare Leadership Roles. RCM company CorroHealth finalized its acquisition of Xtend , Navient’s healthcare RCM business.
Revenue Cycle Management (RCM) is like a one of those huge Lego sculptures. Having a well executed RCM strategy is crucial to keep your organization running because it impacts everything. From the outside it looks one thing, but upon further inspection there are a million tiny little pieces that fit together to create the whole.
So with all of these incredible innovations, let’s take a moment to narrow our field down to Revenue Cycle Management (RCM). How can we be using technology to optimize RCM? And even more specifically, what role can data analytics and AI play in optimizing RCM? We would love to hear from all of you as well!
John Waters, Director, Revenue Cycle Product at CliniComp AI can be used in the RCM world to solve two overarching themes: inefficiencies in workflow, and errors that cause delays in payment. AI can optimize RCM processes, from specific areas to end-to-end automation. Take for example prior authorization or eligibility verification.
Each week, well be providing a look back at the articles we posted and why theyre important to the healthcare IT community. Another topic for the experts in the Healthcare IT Today community highlighted AI use cases such as RCM automation, diagnostic efficiency, clinical documentation, and predictive analytics.
As we kick off a new year, I thought it would be fun to take a quick look back at some of the top resources, articles, videos, and podcasts we shared in 2022. Most Visited Healthcare IT Today Articles Published in 2022. Not sure why this article did so well, but maybe because so many are struggling and looking for some ideas and hope.
At the past HFMA Conference, we reached out to our brilliant Healthcare IT Today Community to ask them two questions about change: What change in RCM (besides AI) is happening now that everyone should be watching and why? & What Change in RCM (Besides AI) is Happening Now that Everyone Should be Watching and Why?
The following is a guest article by Janet Boos, Vice President and General Manager of Revenue Cycle at Veradigm The past few years have been volatile for the healthcare industry. RCM aims to create a quick, efficient, and accurate system for collecting payments from payers and patients to maintain excellent financial health.
The following is a guest article by Ravinder Singh, Senior Vice President, Consulting at CitiusTech In recent years, Generative Artificial Intelligence (GenAI) has passed medical exams , diagnosed complex cases, and even come up with ways to combat a pandemic. Unsurprisingly, GenAI in healthcare is expected to reach USD 22.1
The following is a guest article by Pete Heydt, President at Patient Pay Ninety-five percent of healthcare leaders expect outpatient volumes to increase, with many anticipating increases of 10% or more this year, a recent survey found.
Andy Adams, Managing Director, Performance Improvement and Advisory Services at Nordic Consulting The transition to value-based care (VBC) requires a fundamental shift in RCM practices to align with new payment models that prioritize patient outcomes and quality over volume.
So let’s turn our attention for a moment to financial management and RCM to see what our current challenges are in those areas. At the past HFMA Conference, we asked our incredible Healthcare IT Today Community – what’s a financial management or RCM challenge that not enough people are talking about and why?
Ultimately, the integration of true AI and machine learning in RCM contributes to greater accuracy, reduced denials, and a better patient experience. The best RCM work is eliminating the work itself, and if the work cannot be eliminated then it’s about automating the work through AI and machine learning models.
Making well-informed decisions is very important in the healthcare space, especially for areas that are necessary for your organization to function, like revenue cycle management (RCM). Here’s how: Unmasking Hidden Trends: Data analytics can analyze vast amounts of RCM data to identify trends and patterns invisible to the naked eye.
Arnab Sen, Chief Strategy Officer at Omega Healthcare Increasingly, forward-thinking healthcare organizations are leveraging RCM solutions that incorporate artificial intelligence (AI), machine learning, natural language processing, and automation.
For better RCM, prioritize people and track with technology. Proper revenue cycle management (RCM) involves careful documentation of the entire patient journey, from pre-registering through payment collection. Across the healthcare industry, health information mismanagement is causing a loss of millions of dollars each year.
AI-powered revenue cycle management (RCM) systems streamline billing and coding processes, reduce claim denials, and optimize revenue capture. And thank you to all of you for taking the time out of your day to read this article! We could not do this without all of your support.
Each week, we’ll be providing a look back at the articles we posted and why they’re important to the healthcare IT community. This workflow should make both clinical and security leadership happy. Business process management service provider Firstsource acquired Quintessence , a RCM outsourcing vendor.
RCM will be managed by AI-powered agents every step of the way, including generating appeals letters, submitting appeals to payers, and converting paper EOBs to ERAs. In 2025, we predict that using AI-powered agents will reduce the cost of Revenue Cycle Management (RCM) by 70%, helping streamline the end-to-end billing process.
The following is a guest article by Frank Forte , CEO at EnableComp The healthcare revenue cycle has never been more complex. Forte has also held leadership roles in business development, operations, and strategy at several healthcare, services, and technology companies, including Emerson Electric Corporation.
The following is a guest article by Brian Doyle, SVP at Rectangle Health Recent cyberattacks in the industry caused significant disruptions in healthcare claims processing and billing, impacting physicians, patients, and insurers.
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. RCM firm Conifer Health added Patti Peets and James Muir to its sales executive leadership team, covering the South-Central Texas Region and West Coast regions, respectively.
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. RCM vendor FinThrive introduced automation functionality to its insurance discovery product. Welcome to the weekly edition of Healthcare IT Today Bonus Features.
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Not surprising RCM is also a popular use case for AI, with 78% of health systems currently using it or evaluating its use. Healthcare is one of six industries featured at the event.
The following is a guest article by Dan Parsons, Co-Founder and CPO at Thoughtful Revenue leakage poses a significant challenge to healthcare providers, and the traditional methods used to mitigate these losses are becoming increasingly difficult to scale.
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. RCM consultancy MDaudit announced three leadership team appointments : Raj Joshi as CISO, Jaenna Babajane as Vice President of Customer Experience, and Nisheet Goenka as VP of Engineering.
Each week, we’ll be providing a look back at the articles we posted and why they’re important to the healthcare IT community. Read more… CIO Podcast : Teamwork and Leadership. RCM vendor AAPC acquired Semantic Health , maker of inpatient medical auditing software for insurers and hospitals.
The following is a guest article by Cynthia Casatelli, Senior Consultant and Project Manager at e4.health However, proper staffing for EHR, revenue cycle management (RCM), and other major health IT system transitions go far beyond IT personnel. Each phase of a project, from ideation to activation, demands specific skills and insights.
The following is a guest article by Rob Stuart, Founder and President at Claim.MD Hospitals Explore RCM Technologies Across the board, claim rejections are growing by number and amount, which is putting a squeeze on accounts receivable and provider cash flow.
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Incredible Health launched Spotlight Jobs and Direct Connect to help accelerate the hiring process, especially for leadership roles in nursing.
Monte Sandler, Chief Operating Officer at Experity In today’s climate of value-based care, changing reimbursement models, increasing regulatory burdens, and shifting payer mixes, effect RCM is mission-critical to maintain a strong financial profile and stay afloat. The cloud ends up being cheaper in all but the most extreme circumstances.
The following us a guest article by Khalid Al-Maskari, CEO and Founder, Health Information Management Systems. Now that COVID-19 has triggered an explosion of telehealth, more clinics are recognizing virtual patient care as an essential aspect of the integrated care model.
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. EHR, RCM, and practice management software vendor Greenway Health named Mark Goodwin as Senior Vice President of Revenue Services.
The following is a guest article by Connor Accurso , Data Science Senior Product Manager at R1 The pressures on healthcare providers – from labor shortages to rising costs to reimbursement delays – continue with little relief in sight.
With this context, I believe novel applications of AI in RCM today are less about the technologies themselves and more about how traditional revenue cycle processes must evolve based on a technology-first mindset. So many good insights here! We could not do this without your support. What novel ways do you see AI being applied?
The following is a guest article by Clarissa Riggins , Chief Product Officer at Experian Health Patients have increasingly high expectations for easy and efficient tech-enabled solutions when it comes to accessing healthcare services.
Starting with our platform we actually see a 30% reduction in time spent charting and a 50% reduction in time spent billing; then if they use all of our products, including RCM, it actually increases to 75% time reduction. And a huge thank you to all of you for taking the time out of your day to read this article and watch this video!
The following is a guest article by Kyle Sherseth, Vice President Revenue Cycle Solutions at Savista The word integrity is defined as the condition of being unimpaired, or sound in construction.
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Welcome to the weekly edition of Healthcare IT Today Bonus Features. Partnerships.
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. XIFIN announced HITRUST certification for XIFIN RPM 15 , the latest version of its RCM platform. Welcome to the weekly edition of Healthcare IT Today Bonus Features.
Each week, we’ll be providing a look back at the articles we posted and why they’re important to the healthcare IT community. Read more… Healthcare Needs More Gender Diversity in Leadership. based EMR, RCM, and practice management assets to N. Welcome to our Healthcare IT Today Weekly Roundup. million in seed funding.
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