Artificial Intelligence Offers Revenue Cycle Opportunities
Artificial intelligence streamlines interactions with patients and payers. Examples include real-time out-of-pocket patient estimates, and, to reduce denials, analysis of health plan documentation before claims are submitted.
Grant Thornton: Helping Organizations Embrace Robotic Process Automation
Two senior leaders at Grant Thornton talk about the advantages of robotic process automation to improve office efficiency, reduce costs, and mitigate risk.
Taking a Holistic View of Procure-to-Pay
An in-depth look at how one company is enabling more efficient procure-to-pay processes to streamline healthcare organizations’ financial operations.
Shared Birthdays Cause Patient Matching Errors
Patients who share similarly spelled names and the same birth dates are particularly susceptible to patient record mismatches.
Patient Matching in the Era of EHRs
It is not uncommon for clinicians to have incomplete or inaccurate pictures of patients’ medical histories and conditions because the record and the patient do not match. This exposes healthcare organizations to medical errors, increased costs, and negative patient experiences.
The CFO’s Role in Innovation
Setting aside less than one percent of operating revenue for innovative projects can help organizations improve patient services and advance the Triple Aim. “The high performers in innovation are not necessarily the high percentage investors,” says Adam Ward, an innovation consultant.
Rethinking Revenue Cycle Management
Fully managed revenue cycle functions present challenges and opportunities. When successful, they better align with an organization’s clinical and financial goals.
Closing the Gaps in Health Technology
Kent Ritter describes how technology can help provide a better patient experience.
Key Strategies for Performance Improvement
Developing engagement across a hospital or health system encourages collaboration and problem solving on costly claim denials.
4 Clinical Reasons for Denials
Denial prevention efforts should focus upstream in the revenue cycle, starting with patient status and continuing through documentation practices, coding, CDI, utilization review, and charge capture.