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Denial Management

Artificial Intelligence and Machine Learning: “It’s the Future of Revenue Cycle.”

December 3, 2021

Becker’s Healthcare notes that, given the compounding challenges of regulation and COVID, healthcare systems are increasingly focused on how to increase net revenue and cash while enforcing a lower cost to collect. The answer? Automation. Becker offers five insights for how HC systems can acquire and maximize automation: During an October webinar hosted by Becker’s Hospital…

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OrboNation Newsletter: Healthcare Payments Edition – November 2021

November 24, 2021

In case you missed it, over the past month, we have published incredible content on our OrboNation Blog and Modernizing RCM with AI. Review the latest OrboNation Newsletter online or via PDF download.

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Modernizing Claims Payment to Improve Member Experience and No Surprises Act Compliance

November 18, 2021

An article at Health Payer Intelligence doesn’t mince words when it comes to the importance of staying technologically up-to-date with healthcare claims processing: Delivering an optimal member experience is key to payer success. Modernizing processes may be what payers need to unlock that door. A recent survey found that payers offering consistent digital member experience services (e.g.,…

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Negative Payment Experience: 63% of Patients Willing to Switch Healthcare Provider

November 4, 2021

Anyone who doubts that healthcare expectations have become more and more shaped by mainstream consumer experiences hasn’t been paying attention. PYMNTS.com surveyed 3,546 U.S. adults who have received healthcare services in the last year, and in their report — The Payment Cure: How Improving Billing Experiences Impacts Patient Loyalty — 63% of patients would consider…

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OrboNation Newsletter: Healthcare Payments Edition – October 2021

October 26, 2021

In case you missed it, over the past month, we have published incredible content on our OrboNation Blog and Modernizing RCM with AI. Review the latest OrboNation Newsletter online or via PDF download.

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How to Achieve Interoperability in Healthcare After the Pandemic

October 7, 2021

Daily Host News takes a look at a topic we consider integral to the future of the healthcare industry, and that is INTEROPERABILITY. As important as it was previous to the COVID emergency, interoperability is now absolutely crucial in a pandemic environment. Their definition of INTEROPERABILITY is as follows:

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OrboNation Newsletter: Healthcare Payments Edition – September 2021

September 29, 2021

In case you missed it, over the past month, we have published incredible content on our OrboNation Blog and Modernizing RCM with AI. Review the latest OrboNation Newsletter online or via PDF download.

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More Time and More Automation Needed for No Surprises Act Compliance

September 24, 2021

As noted here previously, the No Surprises Act — which is part of the Consolidated Appropriations Act introduced earlier this year — presents some formidable challenges to the healthcare industry. The No Surprises Act is so named because it is designed eliminate some of the surprises that group health plan participants encounter from unexpected charges, which most people will agree is certainly a needed solution. However, as reported at HealthcareDive.com, payers and hospitals are asking for more time to get their “ducks in a row” in preparation to meet the new requirements:

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Creating Patient-First Healthcare Experiences: Contactless Payments & Patient Information Security

September 16, 2021

A recent PYMNTS.COM Deep Dive examines how virtual patient experiences and contactless payments — boosted by the realities of the pandemic — are changing the healthcare landscape. Two significant metrics: More than half of patients are willing to contemplate switching providers if doing so created improved payment experiences 31% of customers claim that they pay their medical bills faster…

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RCM Automation Key for Reducing Burnout of Providers and Administrators

September 9, 2021

Managing a pandemic was and is a challenge in any industry. Medical Economics recently examined the pressure COVID-19 put on medical practices and their administrative staff. Before COVID-19 struck, many healthcare providers were already nearing a breaking point from the stress of their jobs. Faced with a number of demands – evolving laws, regulations and standards; healthcare reform and changing payment policies; too many administrative tasks; balancing increased patient expectations as healthcare consumers with limited time for patient interactions – providers and their staff were already suffering burnout at record levels.

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