A Look at the Changes in RCM that Are Happening Now and Changes that Need to Happen

In the latest HFMA Conference, experts shared insights on the evolving landscape of Revenue Cycle Management (RCM). Erin Weber from CAQH emphasized the critical role of accurate data for effective AI implementation and encouraged a holistic approach addressing technical, business, and workflow challenges. Kumar Shwetabh of Access Healthcare highlighted the blurring lines between payers and providers, urging RCM vendors to adapt. Todd Doze discussed Vermont's legislative move to eliminate prior authorization, noting its potential impact. Robert Marinich of SYNERGEN Health advocated for denial prediction over traditional trending. John Talaga from Flywire observed a shift towards modern patient collection methods, while Geneva Schlabach from Vispa recommended automating RCM processes strategically.

Medigy Insights

At the HFMA Conference, experts discussed key changes in Revenue Cycle Management (RCM). Erin Weber from CAQH stressed the importance of accurate data for AI effectiveness and a comprehensive approach to challenges. Kumar Shwetabh noted the growing overlap between payers and providers. Todd Doze highlighted Vermont’s new law eliminating prior authorization. Robert Marinich advocated for denial prediction rather than trending. John Talaga observed a shift towards modern patient collection methods, and Geneva Schlabach suggested automating RCM processes strategically to enhance efficiency.

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