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Interoperability is game-changing not just in a clinical setting, but it holds tremendous potential for healthcare’s financial stakeholders as well. A seamless transfer of data in the revenue cycle process results in optimal reimbursement, reduced administrative costs, and fewer surprises for patients.
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.
Using AI to improve efficiency was a key theme, as was making imaging more mobile to improve the patientexperience. Read more… An Interoperability and EHR API Deep Dive with Brendan Keeler. Read more… Finding Success With RCM Amid Evolving Challenges.
Use cases described by the Healthcare IT Today community included incorporating public health data, improving behavioral health, peering into patient registries, and focusing on n=1 health. John connected with Angie Bass at Velatura to discuss why interoperability is about finding value in data and not just exchanging data.
Antoine Robiliard at Withings joined John to discuss the BPM Pro 2, which helps patients gather data and provide context to their clinical team. Read more… Generative AI’s Role in Supporting Digital PatientExperiences. Passwords create security inefficiencies and have tangible consequences on patient health.
Ultimately, the integration of true AI and machine learning in RCM contributes to greater accuracy, reduced denials, and a better patientexperience. 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.
AI medical scribes have transformed patient visits by silently working in the background, turning patient-provider conversations into draft clinical documentation, and drastically helping alleviate burnout. This will improve patient engagement and satisfaction while freeing up healthcare professionals to focus on patient care.
News HHS revealed disincentives for providers that commit information blocking , with organizations subject to lower scores and reduced reimbursements under the Medicare Promoting Interoperability Program and ineligible for MSSP participation for at least one year. RCM services vendor Savista launched Sophia , a patient-facing digital agent.
Who better to talk to the Healthcare IT Today community about interoperability than the National Coordinator himself? John Lynn talked to Micky about how the 21st Century Cures Act making an impact for good on patients and clinicians , among other topics. Read more… The Role of Innovation and AI in RCM.
The Sequoia Project has released additional documentation support the implementation of TEFCA , the Trusted Exchange Framework and Common Agreement for health IT interoperability. And all respondents said labor shortages are causing an operational strain that’s adversely impacting the patientexperience.
We kick off this episode by discussing how South Shore Hospital is positioning itself in the rapidly evolving landscape of healthcare interoperability. Next, we discuss how interoperability influences the hospital’s strategies and operations. What’s the best piece of advice you’ve been given in your career?
The patient as payor. Revenue cycle management (RCM) is a big HIMSS theme from providers’ points of view. But patients are now payors, facing high deductibles and thousand-dollar out-of-pocket costs that can overwhelm the average person’s savings account. That was tweeted ten years ago.
Read more… 2024 Health IT Predictions: Interoperability, Data, and the Cloud. Our experts agreed that interoperability isn’t a goal unto itself but will continue to support efforts to provide clinicians with context at the point of care and make it easier for organizations to advance their cloud strategies.
Achieving Interoperability One Practical Byte at a Time. Upstate New York’s Rochester Regional Health began its interoperability journey with lab data , Colin Hung learned, as there was a clear need to bring in lab test results from many external sources to help care teams make better clinical decisions and improve outcomes.
Additionally, automating processes such as this help to relieve employee burnout and simultaneously improve the patientexperience. 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).
John spoke with Dr. Shannon Fox-Levine and Kimberly Brennan at Palm Beach Pediatrics to learn how digital screenings offered by Yosi Health help the practice improve the patientexperience. Cloud-based data archiving and interoperability vendor MediQuant received a growth investment from Revelstoke Capital Partners.
Canvas provides a full-stack ambulatory EMR and digital health developer platform, enabling both established and startup healthcare providers to launch new patientexperiences and business models faster. About Canvas Medical. Canvas Medical, founded in 2015, provides the digital infrastructure for care delivery companies.
This technological shift comes at a time when the healthcare industry is facing the effects of payer/provider health system consolidation in combination with increased regulatory policies and processes related to data standardization and interoperability.
One is the clinical focus, the EMR perspective of workflow and patient-centered focused around clinical things that have to occur. 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. When the patient presents to the ED, they want to see those discharge notes.
Involving revenue cycle management (RCM) is necessary for any comprehensive SDoH/health equity strategy. Patientexperience. SDoH Factors Impacting Patients and Revenue. Safety of care. Readmission rate. Excess stay. Effectiveness of care. One of CMS’ most important SDoH tenets is data collection and reporting.
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