Author: Christian Carlson Real-time eligibility (RTE), patient eligibility verification that allows medical staff to electronically verify patients’ insurance coverage for medical treatment, and other electronic verification methods are widely available. These technologies return of-the-moment answers about medical coverage from Medicare, Medicaid and…
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Considerations for Successfully Leveraging AI and the Cloud – Alpha Health and AWS webinar
Author: Alpha Health On October 20, 2020 Alpha Health hosted a discussion with AWS exploring the benefits of machine learning and Cloud computing for health care revenue cycle operations. There are few technologies that have been so quickly adopted as cloud computing…
Automating Denials is a Bit Like Mapping the Stars
Author: Grant Messick The earliest Western catalog of the stars was created by the Greek astronomer Hipparchus, building on earlier work going back to the Babylonians. Automation for revenue cycle operations is still a relatively early and evolving field and solution…
Evolution of Revenue Cycle Management – How Automation Can Help Get to Payment Faster
Author: Alpha Health The U.S. healthcare system has seen rapid, technology-driven changes in revenue cycle management (RCM) over the last two years and Alpha Health sought to bring clarity to RCM’s evolution and its relationship with artificial intelligence (AI) and other…
What can ‘The Office’ teach us about the US Healthcare System
Author: Daniel Vachoo, Director, Customer Success Like most Americans who are sheltering at home during the ongoing coronavirus pandemic, I’ve been spending more of my life online. It’s no surprise that video streaming services such as Netflix have seen a 16%…
How Automation Can Address the Challenges of Prior Authorization
Author: Braden Decker The original concept of the prior authorization process was well intentioned. Health plans are able to look across the continuum of care being provided to a patient and make determinations whether a single request for care is medically…
75 Percent of Health Systems and Hospitals Will Permanently Change Revenue Cycle Organizations Due to COVID-19
Author: Alpha Health In a survey commissioned by Alpha Health and conducted through the Healthcare Financial Management Association’s (HFMA) Pulse Survey program, 75 percent of respondents indicated they will permanently change their revenue cycle operations as a result of COVID-19. The survey was fielded between May…
From assembly lines to machine learning: A new approach to automation
The following post first appeared June 11, 2020 on Becker’s Hospital Review Author: Varun Ganapathi, Co-Founder and CTO, Alpha Health The world was forever changed in 1913, when Henry Ford launched his first assembly line for automobiles. The time to build a…
Revenue Cycle Operations Meets Machine Learning and AI
Author: Alpha Health To date, much attention has focused on the application of artificial intelligence (AI) and machine learning (ML) in healthcare in some of the most obvious areas to apply it: drug discovery, diagnostics, or patient care and protocol solutions. However,…