HealthIT Answers January 11, 2024
Finance leaders are battling the rising denial headwinds that threaten to derail the progress healthcare organizations have made toward stabilizing revenues after years of operating in the red. For many, the solution is an optimization of financial clearance and other patient access processes. Doing so, however, is often hampered by staffing and outdated technology limitations that impede efficiencies and increase front-end authorization errors – errors responsible for more than half of all claim denials.
However, as artificial intelligence (AI) and automation embed more deeply into healthcare revenue cycle management (RCM), a new subset of tools has emerged that can accelerate and streamline prior authorization, eligibility and benefits determination, and other back-end financial clearance workflows. Early adopters are reporting numerous benefits,...