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Is Telehealth Here to Stay?

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  Telehealth, the Provision of Remote Healthcare Telehealth is Useful, but is it Here to Stay? Maybe we really don’t want to talk about it, but truth is,  major calamities like the COVID-19 pandemic often lead to innovations in healthcare.   As a prime example,  the use of virtual care skyrocketed as people – asked to socially distance – looked for substitutes for in-person visits.  The frequency and popularity of virtual care helped demonstrate the value of safe, top-notch and accessible care provided through  telehealth . It also proved that millions of people want it. But will telehealth stay around post-COVID-19? When COVID-19 hit, 41 percent of U.S. adults postponed or simply stopped looking for in-person medical care.  One reason, of course, was the temporary or permanent shutting down of  medical practices  due to the pandemic. Another frequent justification by patients was the fear of exposure to the coronavirus from an in-person visit. Others underwent a delay in treatment aft

How COVID-19 Affected the Provider-Payer Relationship

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Provider-Payer Relationship Under COVID-19 COVID-19 Upset Provider-Payer Relationships The  COVID-19  pandemic has affected most, if not all, businesses everywhere.  For healthcare, in particular, the pandemic and its consequences altered the ways that payers and providers do business with one another. How So? Let’s catch a momentary peek at several of the more immediate effects on payer-provider relationships, consisting of upturns in the instability in patients’ insurance coverage and a drop in the number of patients, particularly for non-essential treatments. From there, let’s review the best ways to respond to these challenges going forward, including expanding services, reexamining contracts and working with payers to provide the best outcomes. To begin, let’s examine how things were prior to the pandemic. How Things were Before COVID-19 Payers and providers functioned in relative harmony prior to the pandemic. Both sides profited from issues such as steady but controllable upsurg

Medical Billing Robotic Process Automation (RPA)

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Robotic Process Automation (RPA) in Medical Billing What Exactly is Robotic Process Automation? When you come across the term “ robotic process automation ,” you might think it sounds rather futuristic. However,  RPA , as it’s often termed,  is a technology being deployed more and more in the healthcare industry, including  medical billing . Robotic process automation  (software) consists of tools that  partly or fully automate human behaviors that are manual, rule-based and usually tedious.  RPA works by imitating the actions of a real human working together with one or more software applications to accomplish tasks such as data entry and process traditional transactions or reply to simple customer service inquiries. The Value of RPA Healthcare organizations function in real-time without any slack . Awkward, error-prone assignments slow processes and influence everything from cost structures to compliance to the patient experience . RPA creates proficiencies by automating tasks that e

Does Artificial Intelligence (AI) Help or Hurt Healthcare Processes?

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  Artificial Intelligence (AI) in Healthcare Advantages and Disadvantages of Using Artificial Intelligence (AI) in Healthcare No matter the industry, artificial intelligence (Ai) has become routine. When it comes to healthcare,  AI helps practitioners streamline tasks, expand operational efficiencies and simplify complicated medical procedures. Although AI is certainly transforming the healthcare industry, this technology is still quite new. As AI acceptance grows, however, questions about both the benefits and limits of this technology become even more relevant. Let’s look a bit closer at some of these issues. Benefits of AI in Medicine Delivers real-time data A significant piece of diagnosing and attending to medical issues is first obtaining the most accurate information in a timely manner.  With AI, doctors and other healthcare providers can leverage immediate and clear-cut information to speed up and improve vital clinical decision-making . Producing quicker and more accurate resu

Where Does Your Revenue Cycle Management Need to Be?

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  Your Revenue Cycle Management Status Healthcare providers faced a tidal wave of challenges at the beginning of the COVID-19 pandemic, many of which endure consequences today. It’s not surprising that the  revenue cycle  did not evade these challenges. The shutdown and transfer to a generally virtual care world presented substantial bedlam that the revenue cycle had never encountered in the past.  Those employed in the revenue cycle moved to practically 100 percent remote working quite suddenly,  billing  and claims activities were turned on their head among payer and government changes. Moreover, budgets were gashed as elective surgeries came to a standstill to focus on the growing pandemic. Revenue cycle management  (RCM) is one of the most important processes in any medical provider practice.  Deprived of a robust RCM procedure, practices are in danger of losing out on reimbursement and experiencing perilous decreases in revenue. So, what’s happening in 2022 that practices need to

Patient Payment Trends Moving Forward

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  Patient Payments in Healthcare are Changing In spite of a “hot-vaxxed summer,” the COVID-19 pandemic lingers, and sadly, even more robustly in some places than ever before. It’s also continuing to take its toll on healthcare consumers, both psychologically and financially. That’s one of several reasons why  it’s more critical than ever for healthcare providers to stay atop of the most recent payment trends,  all of which point to placing more control in patients’ hands when it comes to paying their healthcare bills. Here are several of the major trends to watch. Telehealth: Not Just a Fad Anymore Telehealth  became a unique solution for non-urgent care requirements during the onset of the pandemic, driving potentially years’ worth of technological change into a matter of months. Via this experience,  healthcare providers discovered that telehealth worked quite well in primary care, particularly in its diagnostic and follow-up capabilities. “You end up with conditions resulting from n