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The Houston ENT & Allergy Clinic also increased its referral conversion by 35%, which translated to an additional $500,000 in annual revenue.
Providers in six states face new financial risks and training burdens under mandatory WISeR review, which leverages machine learning to control costs and expedite care. It's going to be "a steep learning curve," says Jeff Ladner, CPO at Onspring.
To collect all the money they're owed, hospitals should ensure they have proper coding and pricing for services and look for community funding, says Kelly Arduino, Healthcare Industry Leader at advisory firm Wipfli.
Agentic AI learns and can evaluate claims to make faster decisions to drive improved reimbursement, says John Yount, Chief Innovation Officer at FinThrive.