The healthcare industry is faced with the challenge of handling nationwide clinical staffing shortages, declining reimbursements from government and private payors, increased administrative burdens linked to value-based care, as well as many other issues that impact hospitals' profitability. For hospitals to remain sustainable, they need to employ strategies that optimize their operational performance.
Health systems often…
Hospital leaders are consistently on the lookout for strategies to increase revenue while providing excellent patient care. Five key ways to boost revenue have been identified for the coming year.
The first strategy includes enhancing Clinical Documentation Integrity (CDI) by reviewing the quality of the data and correcting any inaccuracies or misses. These reviews not only…
The healthcare sector's revenue cycle has been undergone a significant transformation over the past decade. The growing dependencies on technology, regulations, and payer behavioural traits have necessitated a change in this landscape. To stay ahead in this dynamic environment, healthcare providers have adapted their approach towards operational strategies.
A transformative leader and change manager is essential…
In this article, Sheldon A. Pink, CEO of Krystal Rock Innovation Group, highlights the profound impact automation is having on the healthcare industry. Organizations are increasingly looking to invest in Robotic Process Automation (RPA), Machine Learning (ML), or Artificial Intelligence (AI), reflecting a trend that began around 2012.
Initially, automation was used for basic functions…
The rapidly evolving nature of the healthcare industry has underscored the importance of Revenue Cycle Management (RCM) in maintaining financial stability for healthcare providers. Automation stands as a critical determinant in optimizing RCM processes and confronting associated challenges.
Automating RCM processes effectively diminishes manual intervention, curtailing processing errors and augmenting operational efficiency. Automated workflows and resource…
Medicaid, the US government-run health insurance program for low-income individuals and families, is a critical resource for millions of Americans. Despite the crucial role it plays in delivering healthcare, Medicaid has faced political and financial instability. Numerous measures have been taken to strengthen the program, notably the expansion of Medicaid under the Affordable Care Act…
Automation has become crucial in the revenue cycle as organizations deal with challenges posed by COVID-19. Terms like RPA, AI, and BI have become interchangeable and innovations such as ChatGPT have signalled a shift towards streamlining clinical documentation, aiding decision-making, and alleviating administrative burdens.
For revenue cycle departments and hospitals to compete, automation must be embraced…
Navaneeth Nair, Chief Product Officer at Infinx Healthcare, has provided insights into how the company sees the role of technology and AI in modern healthcare finance. Infinx has been developing automated, cloud-based revenue cycle management (RCM) solutions for nearly a decade and has evolved a platform that aims to streamline tasks, provide smart automation, and…
Following the financial challenges in the healthcare sector in 2022, many healthcare systems are grappling with the task of creating a profitable revenue cycle. According to Becker's Healthcare, costs have surged while revenue growth dipped to 5.1% last year from 11.3% in 2021. This has led healthcare systems to search for methods to optimize their…
Adrienne Moore, the VP of Revenue Cycle at Banner Health, shares insights into the adoption and implementation of automation in revenue cycle operations in healthcare. According to Moore, automation in healthcare follows the standard technology adoption curve consisting of innovators, early adopters, early and late majority, and laggards.
Banner Health has adopted numerous automation features…
Marshfield Clinic Health System has been striving to optimize its revenue cycle in response to financial pressures caused by an array of internal and external factors such as declining reimbursement rates, increasing inflation, a dwindling workforce and intricate regulatory requirements. The health system has put a Financial Improvement Plan into action, aiming at traditional and…