Denials Are Inevitable, but Actionable: Best Practices for Denial and Appeals Management
By Julius Raj Stephen, SVP Operations Proactive approaches can help address the source of nearly 50 percent of denials: front-end revenue cycle issues. Staff shortages, gaps in training, and technology non-adoption all contribute to the front-end errors and inefficiencies that lead to denials. In Part 1 of this series, we explored those challenges — and […]
The Front-End Fix: Proactive Approaches to Reducing Claims Denials
By Julius Raj Stephen, SVP Operations What You’ll Learn The root causes behind preventable denials — and why front-end breakdowns are doing the most damage 4 high-impact strategies to fix the front end — including practical, people-first solutions and the tech tools that make them work How proactive denial prevention improves more than revenue […]
Challenges in Healthcare: Protecting Hospital Finances on the Road to Post-Pandemic Recovery
By Jeff Studenka, SVP of Marketing & Mark Glickman, SVP, Growth & Strategy Over the past year, progress has been made on the road to post-pandemic financial recovery. According to a recent report from Kaufman Hall, key indicators — including improved outpatient revenue and shorter average length of stay — reveal that hospital finances overall […]
Revolutionizing Healthcare: Insights from HLTH 2024 on AI and Cybersecurity
By Vijayashree Natarajan, SVP, Head of Technology The HLTH 2024 conference in Las Vegas (October 20-23) brought together healthcare leaders to explore a critical question: How can we give people more healthy years to spend doing what they love with the people they love? This overarching theme of ‘Increasing our Healthspan,’ coupled with a call […]
How Healthcare Organizations Can Manage Risk in the Era of AI
By Vijayashree Natarajan, SVP, Head of Technology AI in Healthcare: Where It Started & Where It’s Going Artificial Intelligence (AI) has dominated the headlines over the past few years, especially regarding its application in healthcare. While it may seem like a new technology, AI has existed in some form or fashion since the 1950s. The […]
Debunking the Top 5 CDI Myths: How to Improve Patient Outcomes and Optimize Reimbursement
By Dave Friedenson, MD, FACEP, Chief Medical Officer Clinical documentation is undeniably the foundation of quality patient care and accurate reimbursement. It’s also a critical area of opportunity. Introducing clinical documentation improvement (CDI) programs is a proven strategy for enhancing the accuracy and completeness of medical records, contributing to better clinical outcomes, more efficient resource […]
Artificial Intelligence in Healthcare: How and Where to Start
By Vijayashree Natarajan, SVP, Head of Technology, Omega Healthcare Artificial intelligence (AI) already is changing healthcare in significant ways, from improving scheduling to predicting cancer, but the field has only begun to feel the impact of this technology. As Generative AI and AI (collectively referred to as AI in this article) become more sophisticated and […]
Advancing the Revenue Cycle Through Technology – Executive Sponsor Spotlight
Author: Arnab Sen, Chief Strategy Officer, Omega Healthcare From HealthLeaders Revenue Cycle Technology Week, Nov 13-17, 2023. https://interactive.healthleadersmedia.com/revenue-cycle-tech-week What are the top two challenges revenue cycle leaders face when trying to implement new technology and how can they solve them? One of the biggest challenges RCM leaders face is having sufficient resources available to implement […]
Artificial Intelligence in Healthcare: Why it’s important and how to get started
AI in healthcare can help reduce administrative burdens, improve clinical decision-making, and enhance the patient experience. Author: Vijayashree Natarajan, SVP, Head of Technology Where is the AI Market Going? Artificial intelligence (AI) in healthcare is a burgeoning technology. A recent report from Boston Consulting Group and NASSCOM found that in 2023, $83 billion was invested […]
Looking Forward: Top Opportunities for Revenue Cycle Management Outsourcing in 2024
Addressing the top challenges in revenue cycle management Arnab Sen, Chief Strategy Officer, Omega Healthcare Revenue cycle leaders continue struggling to regain a sense of normalcy and financial vitality since the COVID-19 crisis. Kaufman Hall’s November 2023 Hospital Flash Report indicates that operating margins are finally stabilizing to pre-pandemic levels while patient volumes are steady.[1] […]