By Ritesh Ramesh – Healthcare finance executives face an intensifying storm of audits, denials, and clawbacks that threaten their organization’s financial stability. Couple that with an environment of heightened regulatory and payer scrutiny, and it becomes clear that proactive risk monitoring and AI-driven compliance strategies are no longer optional—they are imperative.
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Our annual predictions for 2025 begin with AI in RCM. Throughout the next few weeks we will be asking the industry experts what they think we will see in 2025. Check back as we cover value-based care, interoperability, virtual care, and how AI will impact healthcare finance, security, and clinical issues.
The thought leaders in our community are good about sharing their thoughts on the issues of today. Here are the top read and shared guest posts of July that we think deserve sharing again.
By Ritesh Ramesh – Overcoding may net higher reimbursements for healthcare organizations, however the ramifications of getting caught far outweigh the revenue boost – and the likelihood of that happening are high as CMS continues its quest to ferret out fraud and abuse and recoup improper reimbursements.
The thought leaders in our community are good about sharing their thoughts on the issues of today. Here are the top read and shared guest posts of January that we think deserve sharing again.
By Ritesh Ramesh – Healthcare organizations are under tremendous pressure to reduce compliance risk and optimize revenue flow, a feat that will require flawless optimization for billing compliance, coding, revenue cycle, and revenue integrity capabilities.
Is five a magic number that people will click on to find out what’s on the list? Is it just the right number you think you have the time to read? I don’t know but there are lots of lists out there with 5 things you should know.