John Waters, Director, Revenue Cycle Product, shared with Healthcare IT Today, “AI can be used in the RCM world to solve two overarching themes: inefficiencies in workflow, and errors that cause delays in payment. For inefficiencies, leveraging AI to do things like reading the clinical chart to suggest codes for billing, or driving next steps for managing denials that come in for insurance, reduces the burden on staff. In terms of reducing errors, checking the accuracy of coding prior to sending claims, leveraging AI to confirm and automate authorizations, and eligibility tracking, or avoiding denials altogether by using machine learning to address the “trigger” of the denial before billing ever begins can greatly reduce manual rework and delays in payment.”

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