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COVID-19 Effects on Healthcare RCM Growth Projections

July 27, 2020

Healthcare RCM market project to grow to an estimated $44.3B by the end of 2020 Technological advancements and innovations in RCM mitigate delays in RCM during COVID-19 pandemic COVID-19 pandemic accelerates need for automation Amidst the COVID-19 pandemic, revenue cycle management and back-end operations for healthcare organizations and RCM servicers have experienced major delays and,…

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US Treasury Fraud Prevention Resource Warns Against COVID-19 “Money Mule” Schemes

July 22, 2020

Among the myriad fraud schemes emerging during the COVID-19 crisis are “money mule schemes.” A money mule is “a person who transfers illegally acquired money on behalf of or at the direction of another.” These are scams that, frankly, take advantage of the desperation some persons and businesses feel due to to COVID-19 economic impacts. In this climate, actors are able to fairly easily deceive otherwise savvy victims by impersonating federal government agencies, international organizations, or charities.

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Funds Availability: The Race is On

July 17, 2020

Modern bank consumers are more and more comfortable interacting with their accounts online, often from a portable device. It’s never been easier to make deposits — using an app on an always-handy phone — and see the “funds available” right in an account, reassuring the user that the money is indeed deposited and… available. MyBankTracker…

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The Prevalence of Invoice Fraud in Businesses

July 16, 2020

Pymnts.com looks at the startling emerging story of a Germany payments company called Wirecard, where as much as $2.1 billion may be unaccounted for.

The story notes that “even the largest companies with the most resources to digitize and combat fraud are not immune to the risk — from both within and outside of, the organization.”

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Implementing AI in Healthcare: Start Small for Real Results

July 16, 2020

The challenges facing healthcare organizations face Starting with smaller projects still yield big results Identifying Areas in RCM for AI Implementation  It is no secret that Artificial Intelligence has immense potential to drastically change and improve healthcare. What many healthcare organizations and their vendors are struggling with is not their vision of AI in healthcare,…

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Healthcare Organizations vs. Fraud: Three Potent Weapons

June 25, 2020

In an environment challenged by Coronavirus, the already significant problem of healthcare fraud is more harmful than ever. Blue Cross Blue Shield reports: The National Heath Care Anti-Fraud Association estimates conservatively that health care fraud costs the nation about $68 billion annually — about 3 percent of the nation’s $2.26 trillion in health care spending.…

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Applying AI for “Hyperpersonalized” Banking and Fraud Detection

June 24, 2020

Forbes magazine reports on a recent AI Today podcast wherein Casey Royer of USAA, a large US bank serving the military community, shared information on how the bank is adopting AI, how they’re using AI to broaden USAA banking offerings, make their operations more effective and efficient, and offer greater value to their growing customer…

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COVID-19 Scams: Masquerading as the FDIC

June 23, 2020

As seen in the above video, scammers representing themselves as officials of government agencies is a common tactic. Victims are caught off-guard by the scammer’s aggressive tone and threats of legal repercussions, raising the victim’s anxiety and clouding their judgement to extract money from them. The scammers have adopted a new angle, utilizing the pandemic to their advantage.

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Machine Learning: Giving RCM Workers Superpowers?

June 22, 2020

Unstructured healthcare data remain an important source of insights to support clinical and operational excellence Machine Learning gives healthcare workers “superpowers” to process paper documents and data at super human levels Insights from AWS at HIMSS20 Digital Conference According to Health IT News: Unstructured healthcare data, within clinical documents and summaries, continues to remain an…

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doctor using ipad

Hospital, Outpatient Visits Plummeted During COVID-19 Crisis

June 19, 2020

RevCycleIntelligence.com cites a Commonwealth Fund study that shows outpatient visits for more than 50,000 providers declined by nearly 60 percent in mid-March when COVID-19 began to take hold, and the volumes have remained low through mid-April. Stay-at-home orders, of course, had much to do with the sharp downturn. Similarly, hospital visits also saw a substantial…

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