Artificial Intelligence

From Pilot to Scale, Mount Sinai Leverages Autonomous Medical Coding

February 12, 2024 - An experiment to streamline medical coding is set to take off at Mount Sinai Health System. The academic medical system nestled in the New York metropolitan area recently implemented autonomous medical coding within its pathology department to streamline coding and bring efficiencies to care delivery. Now, the technology codes about half of the system’s pathology cases, with...


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Top Trends in Automation, AI Adoption in Revenue Cycle

by Jacqueline LaPointe

Automation has a lot of potential to streamline revenue cycle management, and healthcare organizations are certainly interested in adopting technology to achieve efficiency. However, that interest is not necessarily turning into investment...

Revenue Cycle Management, AI Take Center Stage in 2024

by Jacqueline LaPointe

Healthcare CFOs are optimistic about the financial outlook this year as their organizations put revenue cycle management, dealmaking, and technology investments on the top of their priority lists. The...

How AI is Becoming a Staple in Medical Coding, Auditing

by Jacqueline LaPointe

Troves of data flow through the healthcare revenue cycle. Yet, many providers struggle to make sense of the codes and clinical documentation to not only submit clean claims but also understand patient encounters that occur within their...

74% of Hospitals Use Some Revenue Cycle Automation

by Jacqueline LaPointe

Hospitals and health systems are increasingly using revenue cycle automation to streamline operations and improve efficiency. A recent survey of over 450 CFOs and revenue cycle leaders at US hospitals...

Generative AI Appeals to Healthcare Orgs for Revenue Cycle Operations

by Victoria Bailey

Financial leaders at healthcare organizations are interested in using generative artificial intelligence (AI) to streamline revenue cycle operations, according to a survey from AKASA. The survey...

Overcoming the Barriers to AI Adoption in Revenue Cycle Management

by Jacqueline LaPointe

About a third of hospital financial leaders have never used automation in revenue cycle operations. Nearly two-thirds of hospitals haven’t automated any part of claims denial management. And approximately a third of prior...

Generative AI’s Potential Shines on Revenue Cycle Management

by Jacqueline LaPointe

Healthcare has its eyes on generative artificial intelligence (AI). The technology, including the popular ChatGPT tool, has passed medical exams, diagnosed complex cases, and designed new ways to combat COVID-19. However, its most...

62% of Hospitals Don’t Automate Any Part of Denials Management

by Jacqueline LaPointe

Most hospitals and health systems are not automating any component of denials management, according to a recent survey of healthcare finance and revenue cycle leaders. Commissioned by technology...

Medical Coding is the Next Stop for Artificial Intelligence in Healthcare

by Jacqueline LaPointe

To a layperson, medical codes look like a different language, and in a way they are. Medical coding is a highly complex process in healthcare in which clinicians and revenue cycle staff work together to translate clinical encounters into...

Healthcare Finance Leaders Facing Revenue Cycle Workforce Shortages

by Victoria Bailey

Healthcare finance leaders are experiencing revenue cycle workforce shortages, with one in four reporting that they need to hire more than 20 employees to fully staff their department, according to a...

Cerner Partnership Leverages AI for Revenue Cycle Automation

by Victoria Bailey

Cerner aims to help members achieve revenue cycle automation by providing access to an artificial intelligence (AI)-driven platform through a collaboration with AKASA. “We’re excited to...

Revenue Cycle Management Leaders Need Registrars, Billing Specialists

by Victoria Bailey

Frontline healthcare workers are not the only ones facing staffing shortages. Registrars, billing specialists, and patient follow-up staff were the most in-demand revenue cycle management positions for...

Northwell Health to Use AI, NLP to Improve Revenue Cycle Management

by Victoria Bailey

Northwell Health has signed a ten-year agreement with an artificial intelligence company to improve its revenue cycle management processes through natural language processing. The healthcare provider...

Health Plan Automates Prior Authorization Process Using AI

by Victoria Bailey

Guidewell, the parent company to health plan Florida Blue, has partnered with an artificial intelligence company to automate the prior authorization process. Florida Blue will become the first payer...

AI Helps Hospitals Predict DRG-Based Claims Reimbursement, Costs

by Jill McKeon

Artificial intelligence enabled researchers to accurately predict claims reimbursement based on diagnosis-related group (DRG) shortly after inpatient admission, according to a study published in npj...

How Artificial Intelligence Is Optimizing Revenue Cycle Management

by Jacqueline LaPointe

Prior authorizations are one of the most burdensome aspects of revenue cycle management. In a survey of 1,000 practicing physicians conducted by the American Medical Association (AMA), 86 percent of doctors described the burden of prior...