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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.
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         6                         August 2019                                                             southfloridahospitalnews.com                                                                       South Florida Hospital News
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