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William Chan, cofounder and CEO of Iodine Software, details how artificial intelligence helps providers in two key areas: denials and revenue leakage.
Payer-provider collaboration in data exchange is being mandated and payers must speed up the prior authorization process, says Courtney Yeakel, chief product officer of the Payer Unit at Veradigm.
The work of updating provider directories is the responsibility of payers, and much of it is still being done manually with mistakes incurring heavy penalties, says Megan Schmidt, CEO at Madaket Health.
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.