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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.
Read more… An Interoperability and EHR API Deep Dive with Brendan Keeler. In part two of their conversation, John and Brendan touched on the challenges and opportunities of interoperability , particularly from the perspective of prior authorization, along with what to make of information blocking court cases.
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.
Several more healthcare IT leaders took some time to share their thoughts on data integration, key use cases for AI, how to help frontline workers, and how to build trust. Read more… EMR and RCM in the Cloud Providing Value to HealthNet. Read more… How to Scale Advance Care Planning in a Medical Practice.
We recorded many videos with members of our community and other event attendees to get expert analysis on topicssuch as AI, cybersecurity, and interoperability. Day 1 at HIMSS25 : How to make data usable and truly address clinicians’ needs. Read more… Improving RCM With AI. million in Series C funding.
Read more… The Sequoia Project’s Healthcare Interoperability Roadmap for 2025. We got plenty of good answers, including collaboration, data visualization, decision support, interoperability, and support for third-party apps. Read more… Using RCM Technology to Close Healthcares Generation Gap.
A study from CWH Advisors and Synchrony found that 63% of providers have RCM staffing shortages , and 61% expect to work with third parties for help. The survey also found that only 20% of employees are very confident in knowing how to use their health benefits. The latest monthly trends report from Syntellis showed a -0.9%
How to Balance Innovation and Digital Transformation With Regulatory Compliance and Patient Safety. Shereese Maynard at Nostradata Medical and Dan Sloshberg at Exclaimer joined John Lynn to share how to automate mundane tasks (such as changes to email signatures) and ensure automation workflows keep up with regulatory changes.
Earlier this month, the RCM vendor reported a data breach that may have impacted patients at five Texas-based providers. Dr. McGill talked to John about whether data sharing and interoperability are still priorities for health systems , along with what emerging technology has him excited. How do we give everyone the time to learn?
Ben Scharfe at Altera Digital Health outlined why organizations must address the challenge of integrating semi-structured data from ambient listening tools into EHR, analytics, and RCM systems. Cloud-based data archiving and interoperability vendor MediQuant received a growth investment from Revelstoke Capital Partners.
Not surprising RCM is also a popular use case for AI, with 78% of health systems currently using it or evaluating its use. Interoperability engine Infor Cloverleaf Integration Suite is now available in AWS Marketplace. RCM vendor PMMC is working with CAST Imaging to accelerate its migration to the cloud.
John Lynn attended the CHIME Fall Forum and tuned in to the CIO panel, where longtime and interim CIOs shared their thoughts on how the CIO role has changed, how CIOs can help to address burnout, and how to guide their organizations into the future. Panelists also talked about the path forward for digital innovation.
The market will see increased asks/attention for bots as they are critically needed in RCM to offset staff shortage, enhance staff retention, and accelerate tasks (ultimately cash flow). However, they face near-term challenges in how to operationalize this change. Automation is making a big difference in revenue cycle management (RCM).
Building on our previous posts on data and health equity and technology and health equity , we asked the Healthcare IT Community to weigh in on how to approach health equity from a different angle. Separate systems for RCM, practice management, and payments don’t make sense if a medical office has one person managing all things finance.
John spoke with Angela Burgess at Randolph Health and George Dealy at Dimensional Insight about how to ensure that all staff get value from data and what success is possible through data-driven operations. RCM vendor Aspirion acquired FIRM Revenue Cycle Management Services.
Read more… How to Continue to Improve Medication Management. E-prescribing is an interoperability success, but regulatory standards get in the way of bringing innovation to medication management. Read more… Pushing From Interoperability to Digital Transformation.
This frees up staff to focus on more complex and strategic aspects of RCM. When organizations acquire technology and are unaware of how to use or properly leverage it, they can end up in large amounts of data and not know how to appropriately apply it to improving solutions.
Usually those are part of a system of trying to identify CPT codes or ICD codes in order to get paid through a billing RCM model. The problem with interoperability and intraoperability is that those files become convoluted quickly. You have dichotomies of political and revenue cycle. That’s just one component.
Involving revenue cycle management (RCM) is necessary for any comprehensive SDoH/health equity strategy. ” RCM professionals constantly interact with data that is valuable to informing health equity strategies – particularly since the transition to the ICD-10 code set that created an environment rich with data detailing SDoH.
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