If there’s one thing healthcare providers can agree on, it’s that prior authorization management is a heavy administrative burden and only growing heavier. Decades ago, it was created to ensure care standards continuity, improve safety and regulate costs but has become an unwieldy process filled with manual tasks and roadblocks that dilute the original intent. […]
Pre-trained AI for life sciences opens endless possibilities where the application readily understands life sciences data sources, business terminologies, and key metrics. Out-of-the-box models allow for a seamless integration with enterprise applications and are easily deployed within weeks, and don’t demand any major investments in change management from the business or IT. Models that […]
The future potential of telehealth hinges on how it’s reimbursed. Virtual care may be popular among patients, but if providers can’t get paid for their services, it’s unlikely they’ll be able to continue to provide them. The government has signaled its support for reimbursing some telehealth services, at least in the short term. The Centers […]
The COVID-19 pandemic has challenged healthcare networks throughout the U.S. in unprecedented ways. As financial losses are being surveyed, new opportunities have emerged for hospitals and health systems to not only recover from those losses, but also simultaneously establish cost-saving initiatives in the perioperative area by using optimized supply chain analytics. Healthcare organizations are also recognizing the […]
A new analysis uncovers hospital projections over the next 12 months, including plans for revenue cycle IT budgets and payer mix changes. More hospitals and health systems are planning to decrease revenue cycle IT budgets over the next 12 months, as leaders manage payer mix and other changes post-pandemic, according to a new analysis. Provider […]
As RPA’s value for revenue cycle continues to be explored, leaders need to go beyond the hype and determine a practical path to innovation that takes into account the organization’s capacity for innovation and the road map that will best take the organization to its desired digital destination. A recent survey shows 15% of healthcare revenue cycle […]
Many health systems had just two days to expand or overhaul their COVID-19 patient-data-reporting practices, according to leaders from more than 10 state hospital associations. A flurry of controversy erupted this past week following the publicization of a Trump administration directive to hospitals to bypass the Centers for Disease Control and Prevention when reporting COVID-19 […]
Revenue cycle management technology is at the heart of the administrative side of business at every hospital and health system. It is key to daily operations. As such, healthcare CIOs and other IT professionals must take great care when implementing RCM systems. Getting revenue cycle done right – and done right the first time – […]
As providers engage in complex payment models and collect more from patients, they must learn to automate key functions to improve healthcare revenue efficiency. The healthcare revenue cycle has many moving parts. From patient access and registration to medical billing and coding, provider organizations of all sizes must achieve revenue cycle efficiency to ensure […]