Healthcare IT Today

OCTOBER 9, 2024

AGS Health is using an AI-powered system to streamline revenue cycle management (RCM) processes and increase efficiency. AGS Health calls their AI system, the Intelligent RCM Engine. The Intelligent RCM Engine chatbot offers personalized guidance on claim denials and next steps to staff – reducing errors and improving outcomes.

RCM 73

RCM Healthcare IT Health IT 73

Healthcare IT Today

OCTOBER 23, 2023

For example, as outpatient services such as infusions outpace projections , and as the Centers for Medicare & Medicaid Services open the door to more outpatient procedures by moving 11 procedures off its “inpatient only” list, ambulatory providers must have the financial strength to make the investments needed to support growth.

RCM 120

RCM Patient Experience Medical Billing Medicare 120

Healthcare IT Today

AUGUST 12, 2024

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.

RCM 120

RCM Healthcare IT Leadership Health IT 120

Healthcare IT Today

DECEMBER 20, 2024

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.

Health Information 117

Health Information Life Science EHR RCM 117

Healthcare IT Today

AUGUST 9, 2024

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.

RCM 122

RCM Interoperability Healthcare IT Patient Experience 122

Healthcare IT Today

MARCH 12, 2024

Healthcare IT Today sat down with Juli Forde Smith, Director of Strategic Partnerships at ZOLL Data Systems and Erica Gregory, Senior Vice President at Netsmart to discuss interoperability for revenue cycle management (RCM). Prioritize Intake for Effective RCM Patient intake is an important part of the revenue cycle process.

Interoperability 122

Interoperability RCM Patient Experience EHR 122

Healthcare IT Today

AUGUST 7, 2024

For example, these tools enable right-time, omnichannel notifications that make it simple for patients to pay their bills and send balance reminders to improve the collection of healthcare payments, increase medical practice revenue and improve AR for hospitals and health systems.

RCM 122

RCM Patient Experience Healthcare IT Leadership 122

Healthcare IT Today

JANUARY 18, 2023

AI capabilities can speed through burdensome RCM tasks to help healthcare providers avoid denials, reduce coding errors and improve price transparency for patients. This problem supports a great case for the use of AI in RCM services, as they use natural language processing to assess a physician’s notes and propose the correct codes to use.

RCM 124

RCM Medical Billing Healthcare IT Health Information 124

Healthcare IT Today

OCTOBER 31, 2024

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.

RCM 75

RCM Patient Experience Healthcare IT EMR 75

Healthcare IT Today

JANUARY 17, 2025

As a common example, a provider submits a claim to an insurer who will pay some but also deny a portion. Whats needed is a revolution, and revenue cycle management (RCM) technology is turning the tables. Still, the RCM market is projected to exceed $238 billion by 2030. Whats Needed: An Evolution or Revolution?

RCM 40

RCM Medical Billing Healthcare Improvement Healthcare IT 40

Healthcare IT Today

JANUARY 20, 2023

So often in talking about Revenue Cycle Management (RCM) the focus is placed onto the organization. How do we improve RCM? How to can we incorporate digital solutions into RCM? However, that leaves out one huge piece of RCM. So let’s take a moment and focus on the patient’s experience with RCM.

Patient Experience 114

Patient Experience RCM Healthcare IT Leadership 114

Healthcare IT Today

FEBRUARY 8, 2025

We also asked the Healthcare IT Today community for examples of how the industry is reaching out to vulnerable populations. Lohith Reddy at Exdion Health outlined AI’s role in addressing the unique RCM, staffing, and care quality needs of urgent care centers. Read more… Ensuring Equitable Access to Healthcare Services.

RCM 60

RCM Healthcare IT Medical Billing Nursing 60

Healthcare IT Today

AUGUST 7, 2024

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.

RCM 128

RCM Leadership Healthcare IT Health IT 128

Healthcare IT Today

SEPTEMBER 25, 2023

For example, 51% of patients say they would pay their bills faster if they received a payment reminder text, according to Salucro’s 2023 Trends in Patient Payment Communications Report. For that, RCM firms and providers need to leverage CCM platforms to also customize the content of their patient financial communications.

RCM 121

RCM Patient Experience HIPAA healthcare technology 121

Healthcare IT News - Telehealth

OCTOBER 20, 2020

"For example, it’s typical to provide questionnaires, surveys and educational materials before and after an in-person appointment based on a patient’s specific condition and what was discussed during the visit. They said they were looking for ways to increase the efficiency of RCM processes and workflows.

Telehealth 213

Telehealth RCM Telemedicine Healthcare IT 213

Healthcare IT Today

AUGUST 10, 2024

Read more… The Evolution of the RCM Technology Adoption Model. We sat down with experts from FinThrive, UC San Diego Health, and CereCore to learn specific examples of how the framework has improved efficiency and financial outcomes. Read more… Improving RCM With True AI and Machine Learning.

RCM 90

RCM Nursing Healthcare IT Health IT 90

Healthcare IT Today

JUNE 4, 2024

The following is a guest article by Austin Ward, Head of Growth at Fathom In the face of workforce shortages and increasing cost pressures, many organizations are turning to AI technologies to automate revenue cycle management (RCM) processes. Automation Rate The most important criterion for AI in RCM is the automation rate.

RCM 75

RCM EHR Interoperability Healthcare IT 75

Xealth

MAY 30, 2023

Patient engagement, patient experience, and RCM solutions related to accuracy and payment velocity attract more attention and investment. The post Real-World Examples of Clinician Time Savings appeared first on Xealth.

EHR 52

EHR RCM Patient Experience Digital Health 52

Healthcare IT Today

JULY 29, 2024

One example he shared was a call center agent at a payer who had to access 5 different screens to be able to answer the member’s question. Diving in more specifically to payers, Rowe shared with us how payers should be approaching platform modernization. He highlighted how legacy technology at the payers is costing them a lot of money.

RCM 112

RCM Healthcare IT Health IT Patient Experience 112

Healthcare IT Today

OCTOBER 29, 2022

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.

RCM 88

RCM EHR Healthcare IT EMR 88

Healthcare IT Today

OCTOBER 28, 2023

One example is helping with follow-up tasks such as ordering medication and scheduling a phone call in addition to generating a visit summary. One strategy for building this strength is digitizing and streamlining RCM. RCM vendor Alpha II acquired RCxRules , a revenue cycle automation vendor.

RCM 91

RCM Mental health Nursing HIPAA 91

Healthcare IT Today

OCTOBER 3, 2024

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.

EHR 118

EHR Mental health RCM Patient Experience 118

Healthcare IT Today

FEBRUARY 27, 2023

I’ll give one of my favorite examples to demonstrate. Examples include many types of medication refills, pre-authorization requests, preventive maintenance screenings, remote monitoring, and even management of mild urgent and chronic conditions. Companies need to implement tools to automate processes that they already do well.

RCM 127

RCM Patient Experience EHR Pharmaceuticals 127

Healthcare IT Today

JULY 27, 2024

Examples included personalized member engagement, expanded supplemental benefits offerings, and greater acceptance of ICD-10 “Z” codes. RCM automation company Thoughtful AI raised $20 million in Series A funding. Read more… The Impact of Payer Efforts to Address SDoH.

RCM 93

RCM Healthcare IT Primary Care Mental health 93

Healthcare IT Today

NOVEMBER 19, 2024

Sticking with the payment integrity example, the health plans that have effectively overhauled these processes have done so via a safe migration strategy that relies on a gradual transition. From there, the second step can commence, starting by putting a plan in place to replace the module that, critically, will not rely on a hot swap.

Healthcare Innovation 73

Healthcare Innovation RCM Healthcare IT Health IT 73

Healthcare IT Today

JUNE 26, 2024

RCM leader Meduit uses its cloud-based CCM solution in conjunction with other methods such as consumer segmentation and scoring to bring nuance and customization to consumer outreach. For example, a patient who routinely pays on Day 30 doesn’t need a second statement on Day 28.

RCM 64

RCM Patient Experience Medical Billing Healthcare IT 64

Healthcare IT Today

SEPTEMBER 2, 2023

Coding automation, chart review, and claims processing are three of the examples we heard about in greater depth. Read more… Finding Balance in Patient-Centric RCM. At the recent HFMA conference, Healthcare IT Today talked to attendees about how they’re using AI and CharGPT in their products, services, or workflows.

RCM 92

RCM Healthcare IT Life Science Telehealth 92

Healthcare IT Today

NOVEMBER 22, 2022

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.

Medicare 107

Medicare Private practice RCM Nursing 107

Healthcare IT Today

MAY 30, 2024

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.

RCM 131

RCM Patient Experience Healthcare IT Nursing 131

Healthcare IT Today

NOVEMBER 19, 2023

For example, while 79% of patients trust their doctors and nurses, only 54% of front-line workers trust leaders in their organizations. Azalea Health completed SOC 2 Type 2 Certification for its cloud-based EHR and RCM platform. ” Smart hospital platform Artisight received the CHIME Innovator of the Year Award.

eCare 92

eCare Healthcare IT Interoperability Health Information 92

Healthcare IT Today

AUGUST 31, 2023

One of the examples is coding automation, so analyzing large sets of data from an accuracy and an efficiency standpoint and tying it to financial outcomes.” ” “What AI helps us do is review every patient chart, so then we have the ability to give our clients the best solution for their teams.

Healthcare IT 118

Healthcare IT RCM Health IT 118

Healthcare IT Today

FEBRUARY 26, 2025

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.

EHR 52

EHR Interoperability Leadership healthcare technology 52

Healthcare IT Today

FEBRUARY 27, 2025

For example, Ambience collaborated with revenue cycle teams to ensure the documentation generated from their AI platform supports accurate coding and billing. The notes we generate are structured, comprehensive, and designed to be useful beyond the clinicianto administrators, billers, and even patients.

Healthcare IT 52

Healthcare IT Primary Care Patient Experience EHR 52

Healthcare IT Today

JULY 20, 2022

And, what do they not include (for example, physician services)?”. To deliver the right chatbot experience — one that reduces customer call center volumes by providing the right information on first pass—a revenue cycle chatbot should be able to answer questions such as: “How much will I owe after insurance?”. What do these charges include?

Medical Billing 126

Medical Billing RCM Patient Experience Healthcare IT 126

Healthcare IT Today

OCTOBER 6, 2023

As a simple example, revenue cycle management companies can take over the revenue cycle operation of a hospital and transition labor to offsite locations, creating immediate cost savings. What can digital health point solutions do to improve their chances of success (e.g., pursuing M&A?)?

Healthcare IT 73

Healthcare IT Digital Health Interoperability RCM 73

Healthcare IT News - Telehealth

MAY 6, 2020

For example, the Brigham Home Hospital program leveraged Biofourmis’ AI-based technology to improve outcomes while lowering costs by 38%, the company reported. For example, an intelligent alert is sent if data from a patient with chronic heart failure reports sudden weight gain.

Connected Health 216

Connected Health Telehealth Pharmaceuticals EHR 216

Healthcare IT Today

FEBRUARY 9, 2024

These are just a few examples of how generative AI empowers the industry’s most valuable asset – its people – to operate at the top of their licenses while reducing the cost of care. It can speed turnaround times from 15 days (on average) to less than 24 hours; increase completed audits per day from 2.5 (on

Interoperability 124

Interoperability healthcare technology RCM Healthcare IT 124