Revenue Cycle Management (RCM) is a critical aspect of a healthcare organization’s financial success, ensuring seamless and efficient coding, billing, and claim tracking. Traditional RCM practices have often been marred by complexities, leading to revenue leakage, claim denials, and administrative inefficiencies. However, the integration of Artificial Intelligence (AI) and Machine Read more…
Payers denying healthcare insurance claims is something we all are very familiar with. Whether the claims are denied for missing information, incorrect medical coding, or anything in between, 9% of claims are initially denied, on average. The national pandemic has caused its fair share of additional denials. New Jersey Hospital Read more…
What is Artificial Intelligence? Artificial Intelligence (AI) is defined as computers imitating “intellectual processes characteristic of humans, such as the ability to reason, discover meaning, generalize, or learn from past experience” with the ability to achieve goals. AI in healthcare is known to “help manage and analyze data, make decisions, Read more…
Medical coding is a standardized method to assign alphanumeric codes for medical diagnostics, surgical and external procedures to generate billing for an episode of care. Medical coding professionals translate the medical records and providers’ notes to create a claim to send to insurance carriers as a part of the medical Read more…