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Disrupting Healthcare Revenue Cycles: From Human Burden to Intelligent Automation with Matt Seefeld

In this episode of Disruption/Interruption, host KJ interviews Matt Seefeld, CEO at MedEvolve, about the chaos and inefficiencies in the US healthcare revenue cycle. Matt shares how generative AI and a focus on human accountability can help providers achieve “zero touch” claims, reduce waste, and improve access to care, especially for small and rural hospitals.

"More than half—53%—of the errors that we see that humans have to get involved with come from AI solutions, so they're not smart enough yet."

Four Key Takeaways:

As costs rise and reimbursements fall, small and rural hospitals are closing, and more Americans are forced to seek care through emergency services or go without.

About Matt Seefeld

Matt Seefeld, Chief Executive Officer at MedEvolve, brings over 24 years of management consulting experience in the healthcare industry. He has extensive expertise in the assessment, design and implementation of process improvement programs and technology development across the entire revenue cycle. Matt began his career with Stockamp & Associates, Inc. and worked for both PricewaterhouseCoopers LLP and Deloitte Consulting LLP in their healthcare and life sciences practice lines. In 2007, he developed a business intelligence solution and founded Interpoint Partners, LLC, where he served as Chairman and Chief Executive Officer. In 2011, he sold his business to Streamline Health Solutions where he then served as Chief Strategist of Revenue Cycle followed by Senior Vice President of Solutions Strategy until 2014. Matt ran global sales for NantHealth and provided consulting services for healthcare technology and service businesses nationwide, prior to joining MedEvolve full-time.

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Understand the Breakdowns, Hit the Benchmarks

RPA (Robotic Process Automation) can be useful when deployed correctly, but it requires clean, reliable data to function. Without it, automation just repeats inefficiencies at scale—and often at high cost. And as for the biggest buzzword of them all—AI. Artificial intelligence is only as smart as the data it’s trained on. The unfortunate truth is that many organizations jump to automation before they even understand where their breakdowns are.

Don’t make high-stakes decisions for your healthcare organization with incomplete or misleading data. Traditional metrics barely scratch the surface. Using Effective Intelligence®, you can generate and track new revenue cycle benchmarks that focus on understanding where in the process avoidable touches are happening and effectiveness of staff. The ability to measure against these new benchmarks is key for a sustainable business today.

Effective Intelligence: Our comprehensive RCM automation solution

Effective Intelligence combines Patient Financial Clearance Automation, Medical Billing Workflow Automation, and Real-Time RCM Analytics in a cloud-based platform designed to integration with your current EMR/PM technology to measure the effectiveness of your RCM staff.

Review and assess your practice’s financial status in 5 min or less and know exact where you are losing money and why. Measure the work effort of every revenue cycle employee, incentivize and retain your top performers, and help employees that need improvement.

You can prevent most common denials, rejections and write-offs during the scheduling and pre-registration process in advance of the appointment. Configure checkpoints and use central task management to quickly clear patients and keep your front office staffing needs at a minimum.

As team members log in to the web-based application and record each “touch” of a claim,  outcome, and next task, key data points are recorded like who completed the task and when, outcome, task notes, internal / external messages sent, collection success and other data points that feed into our real-time analytics.

Reduce RCM labor dependence with financial clearance, insurance A/R, & patient A/R automation modules with real-time analytics.

Increase productivity and simplify front & back office processes while keeping your staff focused with our flagship PM system.

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