ai · speech analytics ... predictive analytics fueled by ai tools should drive some action or...
TRANSCRIPT
![Page 1: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/1.jpg)
AI The Future of
REVENUE CYCLE MANAGEMENT
Presented by
![Page 2: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/2.jpg)
M E D U I T F H A W E B I N A R
PRESENTERJason Petrasich
Senior VP of Artificial Intelligence
![Page 3: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/3.jpg)
M E D U I T F H A W E B I N A R
Who Is
MEDUIT?
![Page 4: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/4.jpg)
M E D U I T F H A W E B I N A R
Who Is
MEDUIT?• Serves 850+ hospitals and large physician practices • In 46 states through 9 regional locations across the U.S.• 60,000 physicians supported • 1,400+ employees• Focused on healthcare RCM• $25 billion in AR• Excellent Net Promoter Score of 68• True partner
![Page 5: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/5.jpg)
M E D U I T F H A W E B I N A R
MEDUIT SOLUTIONSMeduit Services Across the Revenue Cycle
![Page 6: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/6.jpg)
M E D U I T F H A W E B I N A R
THE POST-COVID LANDSCAPE
![Page 7: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/7.jpg)
M E D U I T F H A W E B I N A R
A CHANGING ENVIRONMENT
✓ Remote work reduces risk to patients and enterprise costs – need to
measure impact on productivity
✓ Outsourcing allows hospitals to scale up and down at will while
focusing resources on patient care needs
![Page 8: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/8.jpg)
M E D U I T F H A W E B I N A R
LIVE POLLHow much of your PFS workforce is currently working from home?
(a) >90%
(b) 76-90%
(c) 51-75%
(d) 26-50%
(e) <=25%
![Page 9: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/9.jpg)
M E D U I T F H A W E B I N A R
ARTIFICIAL INTELLIGENCE (AI)
Transforming the healthcare revenue cycle
![Page 10: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/10.jpg)
M E D U I T F H A W E B I N A R
WHAT WE’LLCOVERin this Webinar
➢What is AI
➢The impact of AI on RCM
➢Using AI technologies to drive revenue
![Page 11: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/11.jpg)
M E D U I T F H A W E B I N A R
LEARNING OBJECTIVESof this Webinar
➢How AI is driving the future of RCM
➢Ways healthcare organizations are maximizing the benefit of AI technologies
➢How the workforce will evolve through AI
➢Seeing AI as a partner to work alongside employees
![Page 12: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/12.jpg)
M E D U I T F H A W E B I N A R
ARTIFICIAL INTELLIGENCE (AI)
What is:
![Page 13: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/13.jpg)
M E D U I T F H A W E B I N A R
Artificial Intelligence✓ Regression analytics
✓ Robotic Process Automation (RPA)
✓ Supervised machine learning
✓ Unsupervised machine learning
✓ AI-driven solutions must have foundation of trust &
transparency
![Page 14: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/14.jpg)
M E D U I T F H A W E B I N A R
LIVE POLLWhat is your organization’s current utilization of Robotic Process Automation?
(a) Used extensively in multiple processes
(b) Some legacy scripting in place
(c) Have met with potential vendors to explore automation
(d) We haven’t spent any time looking at this yet
![Page 15: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/15.jpg)
M E D U I T F H A W E B I N A R
Role of AI in RCM
✓ Healthcare costs growing faster than the economy
✓ Must lower costs and increase receivables
✓ AI is how we get there
✓ AI expected to transform healthcare RCM
![Page 16: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/16.jpg)
M E D U I T F H A W E B I N A R
Why is AI hard to deploy in a day-to-day process?
✓ Things that seem simple have hidden complexity
✓ Business rules are constantly changing
✓ Exceptions to rules
✓ Exceptions to the exceptions
![Page 17: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/17.jpg)
M E D U I T F H A W E B I N A R
Where AI Is Making A Difference
✓ Autonomous coding
✓ Speech analytics
✓ Automating staff functions
✓ Outcome predictions to optimize actions
![Page 18: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/18.jpg)
M E D U I T F H A W E B I N A R
Autonomous Clinical Coding
➢Technology is HIPAA compliant
➢Data transferred via SFTP
➢System generates full audit trail
✓ Aligns diagnoses & procedure codes
✓ Supervised by certified coders
✓ Documentation is thorough
✓ Reduces human touches
✓ Reduces DNFB time
TIPS
![Page 19: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/19.jpg)
M E D U I T F H A W E B I N A R
Voice Analytics
➢Patient calls recorded & stored
➢Support compliance
➢Monitor calls to ensure goals are met
✓ Analyze patient calls
✓ Tools can be trained for RCM keywords
✓ Technology can measure satisfaction
✓ Facilitates QA process on every call
TIPS
![Page 20: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/20.jpg)
M E D U I T F H A W E B I N A R
Automated Pre-Authorization
✓ Authorization triggered by new order or schedule entry
✓ Captures payer rules
✓ Updates authorization back to HIS
✓ Can validate if authorization exists
![Page 21: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/21.jpg)
M E D U I T F H A W E B I N A R
Automated Claims Follow-Up
➢Pieces of this process have been around for a long time, such as scripting into an HIS.
✓ Can determine next action needed
✓ RPA can access multiple systems
✓ New scenarios can be routed to SME
✓ Actions taken manually to train system
TIPS
![Page 22: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/22.jpg)
M E D U I T F H A W E B I N A R
Prediction Tools➢Leverage latest
technology in predictive analytics fueled by AI
➢Tools should drive some action or change in workflow to generate ROI
✓ Patient’s propensity to pay
✓ Payer’s probability of if & when will pay
✓ Patients who are “Presumptive Need”
TIPS
![Page 23: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/23.jpg)
M E D U I T F H A W E B I N A R
LIVE POLLWhich types of scoring do you or your vendors currently use? Check all that apply.
(a) Patient balance propensity to pay score/segment or credit score
(b) Presumptive charity scoring
(c) Payer denial prediction
(d) None of the above
![Page 24: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/24.jpg)
M E D U I T F H A W E B I N A R
AI & the Workforce
➢AI will change what people do & how they do it
➢AI not designed to eliminate jobs
➢AI designed to help people & processes become more efficient
➢Invest in upskilling workforce
![Page 25: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/25.jpg)
For more information about revenue cycle
solutions from Meduit, contact us:
(877) 615-6360 | Meduitrcm.com
M E D U I T F H A W E B I N A R
![Page 26: AI · Speech analytics ... predictive analytics fueled by AI Tools should drive some action or change in workflow to generate ROI Patient’s propensity to pay Payer’s probability](https://reader034.vdocument.in/reader034/viewer/2022050200/5f536d15c08f7116f56a83a7/html5/thumbnails/26.jpg)
M E D U I T F H A W E B I N A R
Thank You