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Tim Coan of Focus Solutions meets with physician-practice leaders to learn about their business, what they do, and the roles IT and data play in it.
AI in Healthcare Billing: The Untold Challenges of Automating Revenue Cycle Management
Vital Conversations
17 minutes 3 seconds
2 months ago
AI in Healthcare Billing: The Untold Challenges of Automating Revenue Cycle Management
In this episode of Vital Conversations, Tim Coan sits down with Dena Langan, VP of Revenue Cycle at Frontier Dermatology, to talk about the real-world challenges of automating healthcare RevCycle processes. From coding complexities and payer contracts to prior authorizations, denials, and reporting, Dena shares why some automation promises fall short—and where AI has real potential to make a difference.00:00 – Welcome to Vital Conversations with Tim Coan & Dena Langan01:00 – Dena’s background & Frontier Dermatology’s scale02:35 – AI’s growing role in healthcare RevCycle03:50 – The goal of automation: freeing humans from tedious tasks04:40 – Why coding accuracy still needs human oversight05:50 – The impact of AMA’s 2020 coding rule changes07:10 – Could ambient listening scribes be the answer?09:00 – Optimism for AI-driven coding improvements09:35 – The challenge of automating contract loading11:25 – Why eligibility & prior auth automation is still tricky12:48 – The complexities of automating denials & appeals14:14 – Reporting and analytics: manual bottlenecks15:18 – Dena’s 12-month automation wish list16:10 – Closing thoughts on the future of RevCycle automation
Vital Conversations
Tim Coan of Focus Solutions meets with physician-practice leaders to learn about their business, what they do, and the roles IT and data play in it.
