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Making RCM Part of the Clinical Interview

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Manage episode 522125788 series 3255313
Content provided by John Lynn. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by John Lynn or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

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says that the distinction between clinical care and revenue cycle management (RCM) was a historical decision that is no longer valid.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/

  continue reading

754 episodes

Artwork
iconShare
 
Manage episode 522125788 series 3255313
Content provided by John Lynn. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by John Lynn or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

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says that the distinction between clinical care and revenue cycle management (RCM) was a historical decision that is no longer valid.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/

  continue reading

754 episodes

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