Effective AI in Healthcare RCM Requires Humans in the Loop

Becker's Healthcare September 30, 2024
Ritesh Ramesh

Artificial intelligence (AI) has become a fixture in healthcare revenue cycle management (RCM). In this area, finance leaders are desperate for ways to relieve understaffed departments struggling under unprecedented volumes of payer audit demands and rising denial rates without sacrificing accuracy or precision.

At a time when RCM staffing shortages are high, AI provides a critical productivity boost. By investing in data, AI, and technology platforms, compliance and revenue integrity departments have reduced their necessary team size by a third while performing 10 percent more in audit activities, compared to 2022, according to the 2023 Benchmark Report. In 2024, this productivity boost has further increased to 35% where teams can do more with less with AI.

Here is where AI...

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