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What Does Artificial Intelligence When It Comes to Patient Care,
Mean in the Revenue Cycle? Marketing Should Only
Artificial Intelligence • Denial Prevention Support the Cause
(AI) and Robotic Proc - Since denials management
essing are the newest and the collection of upfront
buzzwords in healthcare. patient responsibility amounts For the fourth year in a claims up and what are
We have often heard are two resource consuming, row, Chick-fil-A claimed the our teams doing to elevate
them used in the clinical repetitive process functions top spot for customer satis- their approach so that the
realm, specifically the within the Revenue Cycle, faction amongst all national actions compliment the
automation of clinical providers are beginning to restaurant chains. They message?
workflows to improve look at opportunities to utilize once again left other promi- Some organizations
outcomes, lowering of AI to reduce the manual inter- nent chains jockeying for have a very systematic
costs and improving the vention that is used today to second place while totally approach to patient care
overall patient experi- deliver these tasks. burying their fast food com- and experience and others
ence. There are also large Moving towards predicting petitors. Their slick, “Eat either have no approach
teaching hospitals and BY KATHY RUGGIERI denials based on historical Mor Chikin” marketing or have glaring inconsis-
systems who are now claim results is how we will campaign (which features tencies from department
investing in new clinical prevent denials of the future. black and white cows doing BY JAY JUFFRE to department or even
technology to prevent disease. But in the Payer guidelines are constantly changing the demanding) is a staple person to person. For
business side of healthcare, we are now causing disconnects in ensuring claims across the country and first example, go to any Chick-
hearing more and more now about the use will be processed. Using AI to identify appeared almost 25 years ago. Direct fil-A in the country and try to catch any
of the AI in the Revenue Cycle. these disconnects upfront is our challenge. competitors like McDonalds, KFC, newly hired teenager or team veteran use
What is AI? In a nutshell it is the use of There are a few ways to get started. Burger King and Wendy’s have collective- “no problem” vs. “my pleasure’ when
complex algorithms and software to esti- Forming internal focus groups to identify ly rolled out hundreds of different adver- responding to “thank you”.
mate complicated data. AI spots patterns, the repetitive tasks you would like to focus tising efforts over that same period, yet This and tons of examples like it do
learns from experience and creates a solu- on. There are also several IT vendors with Chick-fil-A continuously rises to the top. not happen by accident. They have a pas-
tion to solve the problem. In the Revenue solutions to allow you to hone in on scrub- Bottom line is this: marketing and adver- sion to be the best at what they do which
Cycle AI could assist in the reduction of bing your historical data to identify trends tising are always necessary in getting cus- permeates throughout the company.
manual repetitive tasks performed by staff and new workflows. tomers, but what the makers of the ‘orig- Imagine the power this exact same
allowing us to redirect the resources into Automating the Revenue Cycle using inal chicken sandwich’ understand better approach would have for your patients
other functions such as improving patient Artificial Intelligence can significantly than anyone else is the great experience and their families. Check out your latest
experience. streamline and improve financial processes is why they are the best at what they do. marketing campaign and see if your team
Providers are now beginning to re-think which will allow providers to focus their Their teams create an environment that walks the walk. The gap represents an
through their workflows and how they can efforts on improving the overall patient is different in a very good way. The same opportunity to improve and be the best at
incorporate AI into their Revenue Cycle. experience and patient care. is true when it comes to our approach to what you do.
Some target areas are as follows: patient care. When we look around, we Jay Juffre is Executive Vice President,
• Front-end Scheduling Kathy Ruggieri, Principal, see tons of money and effort dedicated to ImageFIRST. For more information on
• Patient Check-In WithumSmith+Brown, PC, marketing. The questions we must ask, is ImageFIRST, call 1-800-932-7472
• Collection of Patient can be reached at kruggieri@withum.com. what are we doing to back all of those or visit www.imagefirst.com.
Responsibility Amounts
6 August 2019 southfloridahospitalnews.com South Florida Hospital News