The art of digital delegation
Nick Hut and Shawn Stack discuss price transparency regulations, and Erika Grotto talks with Stuart Newsome from Infinx about AI in revenue cycle.
How AI and automation are revolutionizing revenue cycle operations for faster, more accurate reimbursement
Revenue cycle management (RCM) is a critical component of healthcare operations, yet providers face mounting challenges in ensuring timely and accurate reimbursements. Manual processes, evolving regulatory requirements and administrative inefficiencies contribute to revenue leakage and operational burdens. Traditional RCM processes are labor-intensive, relying heavily on manual billing, coding and claims submission. These inefficiencies not only…
Change Healthcare cyberattack, one year later
A year after the Feb. 21, 2024, cyberattack that frustrated patients and providers–and earned hackers a $22 million payout–Nick Hut and Shawn Stack discuss what’s changed in the industry and what’s likely to come next.
AI in healthcare: Boosting efficiency and addressing burnout
Most (90%) healthcare executives say that digital and AI transformation is a top priority, according to McKinsey research. While generative AI may have a number of uses across the healthcare system, its potential to enhance efficiency, effectiveness and alleviate burnout among healthcare professionals may be one of its most valuable uses for reshaping patient care.…
Final rules to support interoperability among healthcare stakeholders leave out key proposals
New regulations implemented by the Biden administration in December are designed to ease information-blocking compliance considerations for providers. Nonetheless, providers may be disappointed that technical provisions related to interoperability did not carry over from a wide-ranging proposed rule to a pair of streamlined final rules. Most notably, the finalized regulations exclude certification standards for application…
A people-centric approach powers successful digital transformations in healthcare
In the past few years, healthcare leaders have not only struggled with investment and adoption of new technology, but also have faced staffing shortages with nurses and physicians. Learn key questions and essential strategies to create a positive impact within your hospital or health system.
What healthcare CFOs don’t know about cybersecurity — and what they should ask their CISOs
In 2023, the number of reported data breaches in the U.S. rose to an all-time high of 3,205, a 78% increase from 2022, while the average cost of a healthcare data breach hit $10.93 million. Read this article to learn what five key questions CFOs should ask CISOs to understand the threats and risks — and how to support resilience.
Winning strategies for creating a people-centric technology culture
When company practices treat workers as people and not just as resources, research shows that employees are 3.8 times more likely to be high-performing. In this roundtable, a group of healthcare finance professionals discuss this concept, also known as a "People-Centric Maturity Model," specifically why it is important in healthcare and what metrics an organization should use to measure a successful people-centric strategy.
AI-guided clinical alignment can help avoid AI-driven denials
Read five critical components for a strategic approach to achieving AI-guided clinical alignment between payers and providers.
Medicare administrative contractor news includes a data breach and potential consolidation
Recent happenings involving Medicare administrative contractors (MACs) include a notice of a data breach and a request for feedback on possible consolidation. CMS sent out word that nearly 950,000 Medicare beneficiaries whose claims go through Wisconsin Physicians Service Insurance Corporation (WPS) are being informed that their protected health information or other personally identifiable information may…