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Revenue Cycle: Claims Denials & Payer Audits
“CentraCare Health has denials sitting out there for 300 days, creating administrative and financial burden, says rev cycle director.”
A recent article in Healthcare Finance News details how heavy reliance on AI algorithms to tackle claims processing can lead to privacy issues, inaccurate results, and complexities that divert focus from the patient.
HURC believes in empowering doctors and nurses to focus on elevating patient care. Our UR Services and Revenue Cycle Optimization Solutions have brought about denial coordination with rapid rule change adoption and specialized payer/provider communication & reconciliation to give providers the advantage.
HURC works with healthcare professionals to harness hospital systems' existing infrastructure, saving millions and bringing back the focus of care to what really matters: the patient.
Visit HURC.com for more information - and learn more about our approach as it pertains directly to Revenue Cycle here.
AI in Healthcare: Promises & Pitfalls
Where does AI fit into your healthcare encounter?
Do you trust AI to interpret your imaging results?
"In the context of accomplishing clinical tasks, trust in doctors using AI and in AI alone is higher for people who are familiar with AI. That said, it’s striking that even people who profess familiarity with AI place more trust in doctors alone than in doctors using AI – and this pattern becomes more pronounced as people consider the use of AI for diagnosis and treatment, not just interpreting images.
Again, there is a major opportunity to align perception with reality, as studies have documented the benefits of AI across a range of clinical and non-clinical healthcare tasks," a report about AI's promises and pitfalls by NRC Health explains.
Read the full report here.
ChatGPT Is Michael Jordan, But In Medicine The “Supporting Cast” Will Be Key
AI's role in healthcare is promising yet challenging. While ChatGPT excels in medical testing, its ultimate use lies in supporting, not replacing, human expertise. As we navigate this new era of healthcare innovation, one truth remains: humans are irreplaceable.
AI Adoption in U.S. Health Care Won’t Be Easy
Harvard Business Review states, “health care innovators must build trust in AI with three critical constituencies: providers, patients, and the public.”
Contact Us to learn more about why HURC is uniquely poised to take clients from FTE augmentation, to automation, through AI integration - all while fully embedded and invested in your organization’s workflow and systems.
Denied by AI: How Medicare Advantage plans use algorithms to cut off care for seniors in need
Something to watch out for! "Health insurance companies have rejected medical claims for as long as they’ve been around. But a STAT investigation found artificial intelligence is now driving their denials to new heights in Medicare Advantage, the taxpayer-funded alternative to traditional Medicare that covers more than 31 million people,"
While AI can provide many benefits, is there a point at which it could cause harm as well? Read more in the article below.