Spencer Allee, Chief AI Officer at Aspirion
A hefty 63% of healthcare providers are grappling with revenue cycle management (RCM) staffing shortages, causing significant operational and patient-care challenges across the healthcare system.
The staffing deficit has…
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Jim Bohnsack Chief Strategy Officer at Aspirion
In recent years, payers have increasingly turned to artificial intelligence (AI) as a tool to streamline claims processing, accelerating the deployment of rules related to prior authorizations and…
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Cofactor AI, a company that helps hospitals appeal claims denials, announced it raised $4 million in a seed funding round led by Drive Capital. WHAT IT DOES
Cofactor AI’s platform, Cofactor Denial Suite, combines with EHR…
What You Should Know:
– Hospitals across the country are facing an ever-increasing onslaught of claims denials from insurance companies, with denials up 20.2% in 2023, according to the American Hospital Association. These denials – triggered…
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AGS Health is using an AI-powered system to streamline revenue cycle management (RCM) processes and increase efficiency. The system allows the company to handle claims more quickly and with greater accuracy which has resulted…
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Steve Albert, Executive Vice President and Chief Product Officer, R1
It’s a perfect storm of financial pressures facing healthcare provider organizations – from rising costs to labor shortages to constrained capacity – that stymies revenue…
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For Community Medical Centers of Fresno, as with many other healthcare facilities, denials are a constant source of pain, and managing them is an ongoing struggle.THE PROBLEM
In roughly the last 10 years, payers have…
What You Should Know:
– CodaMetrix has partnered with GE HealthCare to bring its AI-powered automated coding solution, CMX Automate, to GE HealthCare customers.
– This will enable GE HealthCare customers to benefit from CMX Automate’s…
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What You Should Know:
– Hospitals and health systems are seeing some signs of stabilization and margin improvement, but challenges around workforce, expenses and patient access persist according to Kaufman Hall’s 2023 State of Healthcare Performance Improvement report.
–…
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It’s Time to Hold Payers Accountable For Their GamesBy Matt Seefeld
Matt Seefeld is EVP of MedEvolve of Little Rock, AR.
Payer, provider, and patient alignment — it’s the holy grail of healthcare’s focus on value…
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