Claims Processing
Most CFOs are not looking to technology or AI as a solution, says new HFMA report.
Hurricane Helene resulted in a $7M loss of revenue and response effort expenses.
AI is only as good as the quality of the data, says Sundar Shenbagam, chief technology officer at Edifecs.
Between 2022 and 2023, care denials increased 20.2% for commercial claims and 55.7% for Medicare Advantage, says another AHA report.
Payers need information for risk adjustment and providers need data to close gaps in care, says Piyush Khanna of Care First BCBS.
AI and automation are being used wherever possible, say experts from Kaiser, CHS and King's Daughters Medical Center.
Improvement is all about the cash flow and getting it right the first time, says Ronnie Simpson.
Through the real-time platform, providers can submit and track electronic claims, claims status, remittance and claims payment information.
