Healthcare Innovation April 6, 2021
Optum’s Paymon Farazi and Doug Hires see a continuous, if complex, forward evolution of the processes around revenue cycle management in healthcare, spurred on by advances in technology and greater payer-provider collaboration
Revenue cycle management (RCM), long a staple function of hospital and health system operations, has been undergoing a thorough transformation of late, evolving forward through advancing iterations of 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—and into new territory. That new territory encompasses the emergence of the leveraging of machine learning- and artificial intelligence (AI)-based technologies to achieve what is being called predictive denials management. Essentially, this involves...
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