AI The Future of

REVENUE CYCLE MANAGEMENT

Presented by

M E D U I T F H A W E B I N A R

PRESENTERJason Petrasich

Senior VP of Artificial Intelligence

M E D U I T F H A W E B I N A R

Who Is

MEDUIT?

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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

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MEDUIT SOLUTIONSMeduit Services Across the Revenue Cycle

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THE POST-COVID LANDSCAPE

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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

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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%

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ARTIFICIAL INTELLIGENCE (AI)

Transforming the healthcare revenue cycle

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WHAT WE’LLCOVERin this Webinar

➢What is AI

➢The impact of AI on RCM

➢Using AI technologies to drive revenue

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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

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ARTIFICIAL INTELLIGENCE (AI)

What is:

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Artificial Intelligence✓ Regression analytics

✓ Robotic Process Automation (RPA)

✓ Supervised machine learning

✓ Unsupervised machine learning

✓ AI-driven solutions must have foundation of trust &

transparency

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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

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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

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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

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Where AI Is Making A Difference

✓ Autonomous coding

✓ Speech analytics

✓ Automating staff functions

✓ Outcome predictions to optimize actions

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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

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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

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Automated Pre-Authorization

✓ Authorization triggered by new order or schedule entry

✓ Captures payer rules

✓ Updates authorization back to HIS

✓ Can validate if authorization exists

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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

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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

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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

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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

For more information about revenue cycle

solutions from Meduit, contact us:

(877) 615-6360 | Meduitrcm.com

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Thank You