HealthTech Magazines May 5, 2023
By Jason Gottlieb, Director of Revenue Cycle Academy, NewYork-Presbyterian Hospital
There can be 200 or more individual pieces of data submitted on every hospital claim. A small hospital will submit a few thousand claims per week. Over a year, more than 31 million pieces of data contributing to revenue determinations. Payments. Denials. Requests… for even more data. Patient demographics, financial, and clinical encounter breadcrumbs telling the story of a patient’s journey through a complex healthcare system.
Yet today, we still have a relatively simplified view of which data elements – or combinations of those elements contribute to the likelihood of payment – or denial. Our business practices, workloads, and workflows are still rooted in what we believe to be the...
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