Revolutionary Robots: How RPA Can Take RCM to a New Level

Posted in GeBBS Healthcare Solutions, Inc., Healthcare Technology

Robots and artificial intelligence (AI) have long been features of sci-fi lore that intrigued and engaged our imaginations. But while it might seem like a drastic leap to envision AI playing a critical role in health system operations, that day has already arrived. Robotic process automation (RPA) challenges organizational leaders and stakeholders to think beyond …

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How AI, NLP Technologies Automate Risk Adjustment Processes

Posted in GeBBS Healthcare Solutions, Inc., Healthcare Technology

Even before the COVID-19 pandemic emerged last year, health care payers were facing numerous challenges. From rising costs and uncertainty about the Affordable Care Act (ACA) to struggles with systems integration, alignment of incentives with providers and consumer engagement and education, these entities were faced with attempting to improve member health while addressing an array …

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5 Ways Automation Can Help Hospitals Achieve Clinical, Financial and Operational Success

Posted in GeBBS Healthcare Solutions, Inc., Healthcare Technology

The United States spends more than any other country on medical research and development. Unfortunately, it also expends nearly twice as much as other wealthy nations on healthcare, primarily due to higher prices for medications and healthcare professionals, as well as inflated administration costs. Healthcare providers across the U.S. are starting to employ automation to …

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Natural Language Processing in Risk Adjustment Coding – It’s Not Just for Over-Reads

Posted in Healthcare Technology, Payer Solutions

Risk Adjustment programs are here to stay as we move into a value-based world. With reimbursement for health plans and providers tied to these programs, ensuring they are lean, efficient, and providing ROI is a top priority. With that said, Risk Adjustment coding is no easy process with all the unstructured content found in electronic …

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Is Technology the Remedy for HEDIS Headaches?

Posted in Healthcare Technology, Payer Solutions

Payers and healthcare providers alike are in the constant pursuit of the triple aim in healthcare – including better quality, greater value, and improved patient satisfaction – as the shift to value-based care continues. For every health plan on the market, it’s critical to review and evaluate quality performance on a regular basis to ensure …

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As Telehealth Expansion Continues, How to Ensure You are Getting the Most from Your Program

Posted in Health Information Management (HIM), Healthcare Technology

Telehealth adoption has skyrocketed this year due to COVID-19 – putting the industry’s growth at a higher rate than anyone could have anticipated at this same time a year ago. In fact, recent reports highlight that April 2020 telehealth claims were up 8,300% over April 2019 claims for those with private insurance (excluding Medicare and …

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Final Rule Released by HHS to Promote Interoperability

Posted in Healthcare Technology

Earlier this month, the Department of Health & Human Services released its final rule entitled the “21st Century Cures Act: Interoperability, Information Blocking and the ONC Health IT Certification Program.” The rule prohibits any activity that limits or inhibits the use, exchange or access of electronic health information (EHI). The 1,200+ page rule document outlines …

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Computer Assisted Coding (CAC) Catches On, Delivering ROI & High Marks for Customer Satisfaction

Posted in Healthcare Technology

According to KLAS Research, a leading healthcare IT data and insights company, 94 percent of users who have invested in computer assisted coding would buy it again if given the choice. Based on a research study published in late August, hospitals and health systems are really now starting to realize the many benefits of computer …

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Three True Realities of CAC

Posted in Healthcare Technology

Computer-assisted coding (CAC) has been around since before ICD-10 was introduced – and was developed approximately 15 years ago as a tool to enhance manual coding processes with many promises of grandeur. Today, it’s a growing and emerging market – estimated to reach $4.1 billion globally by 2025, but the realities of what CAC can …

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AI – Enhancing the Future of Medical Billing & Coding

Posted in Health Information Management (HIM), Healthcare Technology

The State of US Hospitals Shrinking profit margins, reducing reimbursement rates and the uncertainties of healthcare reform have made operating a hospital a very risky business. Consolidation of small, rural hospitals into larger system has helped save many struggling hospitals, but others continue to lose money despite their best efforts to cut costs. In fact, …

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