In this session, we’ll explore how an AI platform can systematically identify problems with your revenue cycle functions and ways you can reclaim critical dollars to improve your bottom line. As we study real-life examples and data-driven insights, you’ll learn how to identify underpayments, prevent coding errors and recover missed revenue.
Objectives
Through this webinar, you’ll:
- Better understand how AI-driven solutions can diagnose and monitor the effectiveness of your revenue cycle functions — coding, denials, proper rate payments and more.
- Learn about successful case studies from hospitals and physician groups, including implementation results, lessons learned and financial impacts.
- Understand solutions and tools available to recoup missed income and improve your organization’s overall margin.
Specific Areas We’ll Explore
What You See
- Backlogs – Claims waiting to be processed.
- Delays – Delays in claim submission, payor adjudication, claim reconciliation and payment.
- High Days in AR – Lengthy waits for claim settlement and payment.
- Denials – Mountains of denials teams must process for claims payment.
What You Don’t See
- Operational Issues – Is your revenue cycle missing actions or processes required to “win”?
- Underpayment – Are you paid what you’re owed, per your payor contracts?
- Contract Issues – Are your contracts favorable? Do they set your team up to succeed?
- Staffing Issues – Are your organization’s resources misaligned, underutilized or overextended?
- Undercoding – Are missing or improperly used codes negatively impacting your overall revenue?
- 835 Details – What important details are hiding in the payor response files that could help your team succeed?
What You Could See
- Identify Contractual Underpayments – You may have years of underpaid claims that should be submitted to payors.
- Missed Revenue that Can Add to your Margin – You could double your yearly profit margin by spotting and recapturing overlooked dollars.
- Undercoding and Coding Errors – Quickly identify and prevent incorrect and suboptimal coding processes to improve future performance.
- Strategic Decision and Operational Guidance – See the “big picture” so you can execute strategic initiatives for organizational transformation.
