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For example, intelligent summarization of patient risk and what has changed in a patients health history will help healthcare professionals to better understand when to act and intervene. AI-powered revenue cycle management (RCM) systems streamline billing and coding processes, reduce claim denials, and optimize revenue capture.
IMO Health , for example, was showcasing their refreshed user interface which was only made possible by using NextGen’s new APIs. Not only for RCM reimbursements, but also how fast a physician conducts an encounter and how satisfied patients are with their service. The upside for end-users is a smoother experience and better usability.
The EHR can recommend food assistance programs if a patient lives in a food desert, for example, or suggest virtual visits if transportation to in-person appointments may be a barrier to care. Read more… The Benefits of RCM as a Service. Read more… The CIO’s Role in RCM.
All charting, notes and RCM activities happen in CharmHealth’s EHR. They are a shining example of how mental health services can be delivered effectively at scale. We worked to make all the interfaces between the two systems bidirectional so that patients and staff have a seamless experience.
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. However, operationalizing AI remains a challenge, with ethics, privacy, and data security at the forefront.
The following is a guest article by John Wallace, PT, OCS, Senior Vice President of RCM at WebPT. For example, medical record reviews can be initiated by an auditor, which typically state the reason for the audit, what will be reviewed, the relevant timeframes, and what available appeal options.
Workers’ compensation claims, for example, demand specific expertise to avoid authorization errors, missed filing deadlines, and inaccurate coding. Regulatory compliance represents a third crucial area where collaboration delivers significant value.
If you come from an educational hospital or a medical center that’s inside of the perimeter here in Atlanta, for example, it’s a little bit different on how they deal with their independent providers. You have one view of the world through your EMR, whether it’s Epic or Cerner or any type of hospital-based system.
Here are some examples of what techquity looks like in EHR systems. Some RCM software captures Z codes , a subset of the ICD ( International Classification of Diseases ) billing codes, specifically designed for SDOH. More Access and Automation Once a patient has internet access, techquity starts with patient portals.
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