Healthcare Innovation March 30, 2021
Revenue cycle management is undergoing a rapid evolution—even a revolution—right now, as new technologies are providing healthcare finance leaders with the tools to master this perilous moment in healthcare finance
After decades of the advancing evolution of core revenue cycle management (RCM) operations through such methods as business process automation (BPA)—also known as robotic process automation (RPA), which have been successfully incorporated into core RCM processes around managing all claims processes—a new phenomenon is emerging that could prove very helpful: the leveraging of machine learning- and artificial intelligence (AI)-based technologies to achieve what is being called predictive denials management. Essentially, this involves the development of algorithms based on data analytics, that can trigger interventions based on anticipated insurance claims...
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