In many ways, the healthcare RCM industry looks nothing like it did just a few short years ago. AI, robotic process automation, and analytics have changed everything for the better and sometimes for the worse.

Organizations equipped with AI-inspired solutions are navigating ongoing workforce shortages effectively and mitigating claim denials, while those lagging behind are facing financial consequences that are more immediate and severe than ever before. Whether an organization views AI as an asset or an obstacle largely depends on where it stands in the adoption process.

In the November issue of Cycle Up, Meduit’s award-winning RCM magazine, you’ll find articles that cover both perspectives, including:

• How Meduit’s Denials Playbook helped a medical center escape a negative RCM cycle
• Key steps to assess and elevate your business office
• Why cutting costs often worsens RCM challenges rather than solving them

It's a fascinating time in healthcare RCM, and we hope you find this edition of Cycle Up to be informative and engaging. Please feel free to submit any comments or questions regarding any of the topics covered. Thanks for reading!

Click here to read Cycle Up now.

What should an academic medical center with multiple hospitals do when facing a surge of claim denials and a growing backlog of aging accounts receivable (AR)? Asking for help is smart. However, asking for help from a partner with a comprehensive claim denials playbook can be truly transformative.

The introduction of AI to revenue cycle management (RCM) is having a dramatic impact on healthcare systems across the country. By automating and bringing more accuracy, speed and efficiency to mundane tasks, such as processing, coding and billing, AI helps systems reduce costs while accelerating cash flow. As technology advances and AI becomes even more integral to RCM, one question can’t be overlooked: what does the expanded role of AI mean for humans? To see the effect of AI on patients, administrators and employees, let’s take a look at a possible scenario.

With AI-driven claim denials skyrocketing and a shortage of qualified revenue cycle employees available to tackle the resulting workload, hospitals and health systems are failing to collect the revenue they’re owed at an alarming rate.

“The advance of technology is based on making it fit in so that you don’t really even notice it, so it’s part of everyday life.” – Bill Gates