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Harnessing AI to Transform Urgent Care Centers: Improving Efficiency, Morale, and Profitability

Healthcare IT Today

With AI-powered coding and clinical documentation improvement (CDI) solutions, Urgent Care operators can streamline processes, boost provider morale, enhance care quality, and increase profitability. It can also identify where documentation cannot support a level increase. How AI Can Solve Operational and Financial Challenges 1.

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Infinx Envisions a Life Cycle Around AI to Improve RCM

Healthcare IT Today

Navaneeth Nair, its Chief Product Officer, views AI refinement as a life cycle in which humans constantly monitor and evaluate its results, giving AI feedback so that it keeps up with the evolution of RCM. The life cycle approach builds trust in AI and improves the RCM outcomes for their customers.

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Healthcare Revenue Cycle Management – 2025 Health IT Predictions

Healthcare IT Today

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.

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Cofactor AI Launches Platform to Help Hospitals Fight Tidal Wave of Claims Denials and Announces $4 Million Seed Round

Healthcare IT Today

Using its proprietary medical-native foundation model, Cofactor AI reviews clinical evidence, coding guidelines, standard of care guidelines, and peer-reviewed studies, and identifies discrepancies between claims, medical documentation, payer policies, and facility contracts. For hospitals, it costs $181 on average to appeal a single claim.

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Weekly Roundup – November 9, 2024

Healthcare IT Today

Read more… Balancing AI and Humans in RCM to Produce Clear ROI. Navaneeth Nair and Lora Pada at Infinx talked to John about AI’s role in improving RCM efficiency and reimbursement rates , along with finding a good balance between automation and human expertise.

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Autonomous Medical Coding Engine Nym Announces $47 Million Growth Investment Led by PSG

Healthcare IT Today

The Company’s innovative solution for revenue cycle management (RCM) takes provider notes within patient charts and translates them into accurate diagnostic and billing charge codes, all within a matter of seconds and with zero human intervention.

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Weekly Roundup – October 26, 2024

Healthcare IT Today

In the wrong hands, LLMs can generate false or exaggerated medical documentation in an instant. RCM company CorroHealth finalized its acquisition of Xtend , Navient’s healthcare RCM business. Read more… It’s Time to Combat “Instafraud” in Medicare Advantage. Read more… Breaking Down Healthcare’s Data Walls.

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