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Optimizing Revenue Cycle Management Through Artificial Intelligence



Artificial intelligence (AI) is already reshaping the way we live and work. Considering that the healthcare industry accounts for almost 20% of global GDP, it's no surprise that AI has a huge impact on this market.

In fact, research shows that by 2022, AI will be able to diagnose 85% of all cancers — an improvement from its current ability to detect only 50%. This proves how powerful AI can be in diagnosing illnesses and treating patients who need help urgently.


The implementation of AI technologies in healthcare can significantly improve how providers operate their revenue cycles. For example, if you're looking for a solution to manage insurance claims processing more efficiently, software powered by machine learning algorithms can reduce labor costs by up to 50% while increasing accuracy rates at over 97%. There are also many other ways that AI can benefit your organization



Revenue cycle management is the process of collecting and processing billing and payment information. Revenue cycle management programs are designed to coordinate the steps required to perform these tasks, including customer service, patient billing, claims reimbursement, and collections.



Artificial intelligence (AI) is a technology that can be used to improve revenue cycle management processes by automating some of their manual steps. For example, AI-based systems can help reduce errors in pricing by detecting trends in how much hospitals charge different insurers for similar procedures or medications; they can also highlight unusual changes in billing patterns that indicate fraud or identity theft.


AI has many potential applications for improving hospital revenue cycle management programs:

  • Identifying fraudulent claims: Fraudulent claims are costly for healthcare organizations because they often result in higher costs associated with investigating them and paying out refunds when necessary—as well as penalties if patients' personal information has been compromised during the process of submitting false documentation or filing false claims on their behalf without their knowledge.

  • AI technology can help identify trends in fraudulent activity by analyzing large amounts of data from past events with similar characteristics (e.g., multiple people who have submitted identical documents under different names at different times).

  • This allows administrators at a given hospital facility access real-time data about whether certain individuals are likely involved with fraud schemes before ever having contact with them face-to-face during normal business hours—or even after hours if necessary!


The Impact of Artificial Intelligence

Artificial intelligence (AI) is being used to improve healthcare and enhance patient experience. This technology is capable of recognizing patterns in large amounts of data, which allows for accurate predictions about patient care.

AI can help solve many problems in today’s healthcare industry, such as:

  • Preventing medication errors by analyzing trends in prescriptions written by physicians over time;

  • Delivering more efficient service by accurately identifying patients who are due for a visit with their doctor; and

  • Giving patients better access to medical records stored on their smartphone or tablet by sharing them with their primary care provider before the scheduled appointment.


AI Technologies for Healthcare

AI-based revenue cycle management solutions are a powerful tool that can help you improve your bottom line. After all, AI is capable of going through massive amounts of data and making decisions with speed and accuracy that would take humans hours or days to accomplish.

AI technologies for healthcare include:

  • Machine learning

  • Natural language processing (NLP)

  • Image recognition/classification/tagging

AI-enabled technologies for revenue cycle management include:




The Right Team for the Implementation of AI

How to choose the right team for the implementation of AI?

The first thing you need to do is define your objectives and consider what you want to achieve. If you want to increase revenue, improve patient satisfaction and reduce costs, here are some basic questions:

  • What is the current state of your organization? What are its strengths and weaknesses? How can AI help you overcome them?

  • Who are the critical stakeholders in your organization and how they can be involved in this process?

  • How much money do you think it will require for implementing AI into your operations (including technology licensing fees) and who will pay for these expenses (i.e., how much money is bankrolling this initiative)?

AI is the future of healthcare and it will reshape how hospitals think about revenue cycle management. The right team is needed to implement AI, but as we've seen, it can provide a competitive advantage and help with compliance. Data analysis will be easier with AI and you'll see better results from your programs, making you more efficient at getting paid on time.


AI will reshape how healthcare providers think about the way they operate. To achieve the best results, hospitals should adopt AI-powered technologies to optimize revenue cycle management.



There is a lot of hype around AI, but it's important to understand how this technology can be used in healthcare. AI is a powerful tool that can help healthcare providers achieve better compliance, improve patient care and reduce costs. It’s important to understand what AI is, how it works and why it’s essential for the future of healthcare.


In the next few years, you'll see more hospitals using AI to streamline their operations and improve revenue cycle management. Hospitals will also start using AI to make medical decisions, which could be a controversial topic but it's the future of healthcare. As we've seen with other industries, automation can help with compliance and reduce costs associated with manual labor.


Conclusion

We’ve seen that artificial intelligence has the potential to transform healthcare, and revenue cycle management is no exception. There are many benefits that AI can bring to your hospital, including improved efficiency, better patient outcomes and increased profitability.


To reap these rewards, though—and ensure that you stay ahead of competitors who may be using AI already—you need a team of experts who know how to implement AI successfully in their organization.



Which End-to-End Automation Company Should I Use?


Jorie Healthcare Partners technology takes their clients to the next level through automation, allowing a reduction of denials by 70%, improving ELG by 100% with a 99% clean claim rate to streamline their revenue.

Jorie Healthcare Partners are committed to being a trusted partner by offering customized solutions that address each client's unique needs. Our healthcare team has more than 30 years experience helping providers improve their operations through a wide range of services.


Jorie Healthcare Partners, a leading, independently owned healthcare practice management and consulting firm, exclusively serves hospitals, health systems, academic medical centers and physician practices.


Jorie helps clients improve their financial, operational and clinical performance across the organization to sustain long-term, measurable results. This system positions providers of all kinds to succeed in today’s challenging and rapidly changing revenue cycle regulations.


Jorie Bots – Jorie Bots are available right now, ready to be customized to your specific needs and revolutionize the way you manage your RCM. Call (888) 522-0022 or schedule a Jorie Bot demo today.


Media Contact

Austin Nasworthy

anasworthy@joriehc.com

(331) - 282 - 1281

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