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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.
Provider frustration over prior authorization is real but doesn't tell the whole story of the patient journey, says Brian Smith, chief pharmacy officer at Shields Health Solutions.
Patient visit documentation must accurately reflect the clinical reality of patient care to serve care coordination and timely reimbursement, according to Dr. Sari Green, physician executive director at Accuity.
New U.S. Department of Labor rule would have an immediate positive effect on pharmacies and negatively impact the big Pharmacy Benefit Managers (PBMs), says Dae Y. Lee, attorney at Buchanan Ingersoll & Rooney.