Nate Maslak, the co-founder/CEO of Ribbon Health Price Transparency: In 2022, we saw CMS’s Transparency in Coverage rule go into effect, requiring non-hospital entities like health plans and providers to publish publicly available rates for care. In 2023, we’ll see this price transparency data become more mainstream as it finally makes its way into the hands of patients, empowering them to find the best care for them, reevaluate their care choices, and shop around for the best possible care
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Midsize/Large Practice Management 2022: Which Vendors Stand Out in an Established Market?
What You Should Know: - Most practice management (PM) solutions have a long tenure in the market, yet not all vendors successfully meet practices’ needs—which include strong technology and a vendor who acts as a partner in customer success. Historically, KLAS has split PM data by midsize (11–75 physicians) and large practices (76+ physicians); however, independent practices (clinics not owned by a hospital/health system) and owned practices (clinics owned by a hospital/health system) also
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Patient Financial Experience: 40% of Americans Confused by Medical Bills
What You Should Know: - AKASA™, a developer of AI for healthcare operations, released findings from a new survey conducted on its behalf by YouGov. - The survey findings highlight uncertainty looms among patients about what is included in a bill and if they can pay - two factors that drive the most confusion on medical bills. However, there are strategies healthcare organizations can take to be proactive and prevent billing surprises from trickling down to patients. Understanding
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If You Are Not Using AI for Medical Coding, You Are Not Doing Your Job
A quick, efficient, and well-managed revenue cycle creates a solid foundation for a profitable medical organization. That’s why if you’re responsible for ensuring the health of your organization's revenue cycle and you are not using AI for medical coding, you are not doing your job. Let me explain. Some RCM professionals may see medical coding as a small portion of the revenue cycle; however, its reach is wide. The quality and accuracy of medical coding can either negatively or
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Debunking 3 Common Myths About Healthcare Revenue Cycle Partnerships
The healthcare industry is facing unprecedented challenges, including severe labor shortages. According to a recent study, more than nine in 10 health systems and physician groups are experiencing a workforce shortage in revenue cycle management (RCM), with many of those reporting vacancies in over half of their RCM roles. This is one of the many reasons why there has never been a better time for health systems to think outside the box for solutions, including an RCM partnership. Often, when
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A Hybrid, Technology-Driven Approach to Overcome Coding and RCM Staff Shortages
Exacerbated by pandemic-induced burnout, resignations, and even terminations1, chronic coding and revenue cycle management (RCM) staffing shortages have healthcare organizations struggling to find ways to keep revenue flowing despite a lack of qualified professionals to handle critical processes. It is a situation that has been brewing for years, as too few qualified professionals are entering professions that are expanding more rapidly than ever before. According to the American Hospital
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Nearly 60% of Hospitals and Health Systems Have More Than 100 Job Vacancies
What You Should Know: - More than 57 percent of health systems and hospitals have more than 100 open roles to fill across their operations, according to new AKASA survey where more than 400 healthcare finance leaders identified vacancies across their healthcare organizations and the revenue cycle. - The findings reveal how insufficient staffing is hampering daily operations and pushing a strained workforce to the limit. Combating Vacancies with AI-Powered Automation Additionally, one
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Top 9 Most In-Demand Medical Billing/Revenue Cycle Positions
A new AKASA survey highlights the vacant roles healthcare CFOs and financial leaders most need talent for to sustain daily operations within medical billing and the revenue cycle. The back office of healthcare is essential to keeping the doors of hospitals open by making sure the bills are paid. Yet, these teams are facing labor shortages like never before. The survey of more than 400 healthcare financial leaders ranked the following as the roles where
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Provider Adoption of Automated Revenue Cycle Operations On The Rise
What You Should Know: - 78 percent of health systems are currently using or are in the process of implementing automation in their revenue cycle operations, according to recent survey results from AKASA, a South San Francisco-based revenue cycle management automation company. The key findings signal automation in healthcare is no longer an emerging trend but is mission-critical for driving efficiency and cost-effectiveness in revenue cycle operations. - According to the
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The Future of Revenue Integrity: From Reactive to Predictive – RCM
Healthcare organizations have witnessed an explosion of new opportunities to extract value from the industry’s treasure trove of data in recent years, with success stories related to using advanced technology such as artificial intelligence (AI) and machine learning found in every sector. Revenue integrity is no exception. Error-prone manual processes that were formerly characterized by painstaking line-by-line analyses of claims are giving way to automation and analytics that
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