Journal of Urgent Care Medicine

Experity Acquisition of Exdion Healthcare Brings AI Automation to RCM

On July 1, Experity announced that it has acquired Exdion Healthcare, an AI-driven software company specializing in coding, billing, compliance, and revenue cycle management for healthcare organizations. According to Experity, the acquisition will allow for integration of AI capabilities across clinical, operational, and financial workflows to automate more of the revenue cycle and reduce administrative work for the urgent care practices that rely on Experity’s electronic medical records, practice management, patient engagement, revenue cycle, teleradiology, …

Accurate AI Coding Boosted Reimbursement Among Highmark Providers

Highmark Health is finding that artificial intelligence (AI) can influence reimbursement, according to Modern Healthcare. The integrated system’s insurance unit posted an operating loss that was tied to higher utilization as well as an increase in coding accuracy coming from providers in their claim submissions. Thanks to AI, providers are more likely to submit cleaner claims that better reflect the reality of clinical care and patient acuity—which also may incur higher reimbursement. It’s not fraud, …

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