2025 MGMA Summit Session: Revving up RCM with AI and Automation for a Lean Workforce
Discovery Behavioral Health increased cash flow by 5.2%, team capacity by 30% & zero-touch insurance payment rates by 13%. How did they do it?
On any given day, 80-90% of open claims do not require any work yet legacy workflow solutions are incapable of identifying and carving out those claims. One way to improve staff efficiency and effectiveness is to prioritize the claims that need attention and measure the effectiveness of staff once they take action on a claim. Our Effective Intelligence solution guides billing staff towards work that has the most ROI, ensuring the most productive use of time and effort. As a result, RCM managers can reduce the number of “touches” it takes to get a claim paid, improve labor capacity, effectiveness and overall workflow efficiency, and leverage data for process improvements
Attendees of this presentation will learn the power of applying automation and AI to both common and human-generated data via a case study presentation that showcases the journey of Future Care Consultants, a leading healthcare management company servicing hundreds of provider clients nationwide. Presenters will demonstrate how the organization went from managing staff worklists in spreadsheets to having full visibility into the staff productivity and effectiveness.
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.
Discovery Behavioral Health increased cash flow by 5.2%, team capacity by 30% & zero-touch insurance payment rates by 13%. How did they do it?
Matt Seefeld, President of MedEvolve, exposes the hidden inefficiencies and financial chaos plaguing the U.S. healthcare system. From denied claims to overwhelmed billing departments, he explains how outdated processes are
Reimbursements are shrinking, labor costs are rising, and consumers are paying more. The pressure is on, but most revenue cycle teams still can’t answer a critical question: What’s really driving
Before investing in the latest AI-powered platform, ask yourself: Do I know what’s really broken in my revenue cycle? The bottom line is you can’t fight bots with more bots.
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