The moment a patient schedules an appointment, the revenue cycle begins For healthcare organizations to provide quality patient care, they must also maintain financial stability. This is where Revenue Cycle Management (RCM) is essential. RCM is the financial backbone...
4 Pillars, 1 Goal
Revolutionizing Denials Management with Artificial Intelligence
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This ebook explores how AI is transforming revenue cycle management, empowering hospitals to prevent denials and level the playing field with payers. Discover the 4 essential pillars for success in leveraging AI to streamline processes, uncover insights, and enhance efficiency—ultimately safeguarding healthcare providers’ financial health.
Thought Leaders
Jim Bohnsack
Chief Strategy Officer
Spencer Allee
Chief AI Officer
Gloriann Sordo
President, Denials Operations
Edna Buffington-Price, VP Revenue Cycle
Community Health Systems
Additional Denials Management Resources
Over $1.2 Million Recovered in Overturned Chemotherapy Drug Claims
At a Glance Challenges Unexpected denials of high-cost chemotherapy drugs due to a surprise payer policy Inconsistent denials justifications and outcomes for recurring patients Potential disruption to patient care and hospital operations due to drug inavailability...
Navigating Timely Filing Denials in the Wake of the Change Healthcare Cyberattack: A Guide for Healthcare Providers
The recent cyberattack on Change Healthcare has created unprecedented challenges for healthcare providers, particularly in the realm of revenue cycle management (RCM) and denials management. Many providers who relied on Change Healthcare for billing services have...
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