Journal of Urgent Care Medicine

The Risks of Fully AI-Driven Revenue Cycle Management

Kimberly Hardin, Josh Rainey As healthcare organizations look to modernize operations, the idea of a fully artificial intelligence (AI)-driven revenue cycle management (RCM) system is increasingly appealing in urgent care. Automating everything from coding and charge capture to claims submission and denial management promises efficiency, speed, and reduced labor costs. However, moving to a truly autonomous AI model introduces a range of risks that organizations must carefully evaluate before making the leap. Financial Exposure and …

Patient Credit Card on File Increases Payments by 20%

Just as hotels require a credit card to cover any “incidentals,” urgent care is increasingly pre-authorizing patient credit cards at the time of service to cover any patient balances after their insurance claims adjudicate. Patient balances are often attributed to deductibles, co-insurance, or eligibility issues that can be difficult to identify at registration. Charging a patient’s credit card when an explanation of benefits is received should, in theory, reduce accounts receivable days, write-offs, and collections …

The More Cumbersome the EHR System, the Bigger the Drain on Revenue

The more time physicians spend dealing with electronic health record systems, the less money they make and the less time they have for providing care directly to patients, according to new data published in Health Affairs. The article says about half the time physicians spend working in EHR is during patient encounters. The other half of the time—when they’re not with patients, in other words—their time working within the EHR goes uncompensated, essentially. The authors …

Login to JUCM