Denial Management
OrboNation readers are well aware of the value Artificial Intelligence has in Revenue Cycle Management. Still, as reported by RevCycleIntelligence.com, a recent Black Book survey of C-suite executives found less than half (44 percent) of healthcare organizations already use AI in some form or another. On the other hand, 88 percent anticipate widespread implementation within…
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If you are a revenue cycle management professional, then you are most likely familiar with the Council of Affordable Quality Healthcare or CAQH — a non-profit alliance and leader in creating shared initiatives to streamline the business of healthcare. CAQH is at it again, actively tweeting to distribute findings from its 2019 CAQH Index on…
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A key component in the fight against the Coronavirus pandemic appeared on March 13, as a new CPT® code — 87635 — streamlining novel coronavirus testing offered by hospitals, health systems, and laboratories in the United States. The American Medical Association provides details on utilizing the new CPT ® code: The full CPT code description…
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Pymnts.com’s Karen Webster interviews Ingo Money CEO Drew Edwards about the world of instant disbursements, and whether their popularity heralds the possibility of eliminating checks in the healthcare spectrum. Their primary conjecture: At the dawn of a new decade, healthcare stands poised to embrace digital payments. Mr. Edwards states that when customers are given a…
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Over the past decade, we have seen a tremendous evolution in healthcare, particularly in healthcare payments and revenue cycle management. But how far have we come since 2014? In 2014 we sat down to talk to Mark Brousseau, President of Brousseau & Associates, to get his perspectives on the challenges and opportunities facing healthcare payments…
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You might imagine that only persons involved in high-end technical jobs are dealing with Artificial intelligence (AI), but it’s actually used widely in an array of industries. For example, in consumer cameras like the Sony A6600, AI aids in identifying specific faces and eyes in its follow-focus feature. AI plays a role in everything…
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Imagine having a lingering cold and sore throat, and, after a quick visit to your primary care doctor for a throat swab and blood test, you get a bill for … $28,395.50 You read that correctly. Fortunately, the patient in question, Alexa Kasdan, was insured and it fell to the insurer to pay the bill…
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And another year comes to a close! It’s been our pleasure to share observations, insights, and solutions from across the industry via the OrboNation Blog. As 2019 comes to end, we have much to be thankful for. Most importantly, however, we’re thankful for the clients and customers that are crucial to OrboGraph’s success. Looking back,…
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Modern insurance plans — and, indeed, cases where people remain un- or under-insured — mean that whenever possible, healthcare consumers want to be able to anticipate potential costs as accurately as possible. This is the dawn of “retail healthcare” when it comes to certain anticipated, nonemergency cases, and consumers have a growing array of resources…
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At the The 2019 OPEN MINDS Management Best Practices conference, Senior Associate Ken Carr provided a deep dive into that subject in his session entitled Are You Ready For Value-Based Reimbursement? An Executive Guide For Assessing Readiness In A Value-Based Market, which is summarized at the Open Minds website. During the session, Mr. Carr zeroed…
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