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Making RCM Part of the Clinical Interview
Manage episode 522125788 series 3255313
Dr. Mike Gao, President of Smarter Technologies, says that the distinction between clinical care and revenue cycle management (RCM) was a historical decision that is no longer valid. Clinical care is determined partly by what payers cover and what proof they require of the patient condition. In turn, the codes and other information used for billing are summaries of what happened in the clinical visit.
In this environment, doctors have to take into account not just the symptoms and history presented by the patient, but the patient's environment and insurance coverage. No one can keep all this in mind.
So AI tools such as Smarter Technologies provide a "super-intelligence" that can combine the data needed by the physician. Dr. Ruben Amarasingham, Co-Founder of Pieces Technologies which is now part of Smarter Technologies, says that AI can bring doctors "real contextual understanding of what's happening to their patients."
Learn more about Smarter Technologies: https://www.smartertech.com/
Healthcare IT Community: https://www.healthcareittoday.com/
754 episodes
Manage episode 522125788 series 3255313
Dr. Mike Gao, President of Smarter Technologies, says that the distinction between clinical care and revenue cycle management (RCM) was a historical decision that is no longer valid. Clinical care is determined partly by what payers cover and what proof they require of the patient condition. In turn, the codes and other information used for billing are summaries of what happened in the clinical visit.
In this environment, doctors have to take into account not just the symptoms and history presented by the patient, but the patient's environment and insurance coverage. No one can keep all this in mind.
So AI tools such as Smarter Technologies provide a "super-intelligence" that can combine the data needed by the physician. Dr. Ruben Amarasingham, Co-Founder of Pieces Technologies which is now part of Smarter Technologies, says that AI can bring doctors "real contextual understanding of what's happening to their patients."
Learn more about Smarter Technologies: https://www.smartertech.com/
Healthcare IT Community: https://www.healthcareittoday.com/
754 episodes
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