Medical coding is a dynamic field, driven as much by technological advancements as by healthcare practices and regulatory changes. As we are moving into 2024, we can see that several important trends are shaping the future of this important field. Future of Medical Coding 2024: 1. Rise of Artificial Intelligence (AI) and Machine Learning (ML) […]
Revenue cycle leaders ought to contemplate including these three challenges in their organization’s roster of New Year’s resolutions. 1. Automating Payer Processes: Similar to healthcare organizations, payers have also started embracing automated solutions, intensifying challenges in managing denials and causing delays in payment for rendered care. At the 2023 Revenue Tech Exchange in Raleigh, leaders […]
The traditional and conservative realm of healthcare has experienced significant and swift technological upheaval in the last ten years. The surge of generative AI and Large Language Models (LLMs) has outpaced any previous innovation wave, revolutionizing the landscape. While lauded as potential remedies for numerous healthcare challenges, these innovations confront the digital health industry with […]
Anticipate further transformations ahead, with 2024 poised to introduce substantial shifts within the healthcare sector. This period of change will be marked by the rapid proliferation of artificial intelligence, intricately woven into the entirety of the healthcare framework, presenting opportunities to enhance healthcare delivery and elevate patient outcomes. Consider this scenario: Picture yourself as a […]
AI represents a promising frontier, especially in healthcare, where leveraging vast information could revolutionize problem-solving. However, a shadow looms over AI, as anticipated by many. In the realm of health insurance and patient care denials, AI has already stirred controversy, leading to a notable class action lawsuit. According to reports from healthcare News, Health Insurance […]
Healthcare is facing an escalating crisis due to workforce shortages, expected to persist into 2024. This situation has compelled healthcare organizations to operate with constrained resources while grappling with financial strain. Concurrently, healthcare leaders acknowledge the imperative of tackling widening health inequalities and environmental issues to ensure the sustainability and inclusivity of healthcare systems. The […]
Interoperability standards and AI wield significant influence over the revenue cycle, holding the potential to transform the financial landscape of healthcare establishments. In the constantly evolving realm of healthcare, the infusion of artificial intelligence (AI) has emerged as a game-changing force, promising to revolutionize patient care, diagnoses, and treatments. However, to fully harness the power […]
According to a survey, claim denials are considered the biggest obstacle in revenue cycle management, with over 20% of providers reporting an annual loss of $500K due to these denials. A recent survey of healthcare leaders conducted by leading medical billing company revealed that claim denials are causing a significant and costly issue for healthcare […]
From the inception to the conclusion of the Revenue Cycle Management (RCM) pipeline, it is imperative for practices to implement enhanced analytics and streamlined workflows. Healthcare providers have grappled with the challenge of receiving proper compensation for their services, and the current reimbursement landscape presents even greater obstacles compared to previous years. Payors are persistently […]
In the ever-changing realm of healthcare coding, it is imperative for professionals to stay updated on the latest developments within the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). This dynamic coding system plays a pivotal role in recording diagnoses, conditions, and other vital health-related information. With the advent of artificial intelligence (AI) technologies […]