In this episode we are joined by Ronnie Simpson, VP Revenue Integrity, HIM and Centralized Edit Team and Starla Stavely, Senior Director, Coding Quality, Conifer Health Solutions to discuss the crucial link between the mid-cycle and quality/compliance, artificial intelligence, and much more. This episode is sponsored by Conifer.
Summary
In this episode: The Crucial Link Between Mid-Cycle and Quality/Compliance
Introduction
In this episode, we are joined by Ronnie Simpson, VP Revenue Integrity, HIM and Centralized Edit Team, and Starla Stavely, Senior Director, Coding Quality, Conifer Health Solutions. They discuss the crucial link between the mid-cycle and quality/compliance, as well as the growing role of artificial intelligence in the process.
Key Strategies for a Successful Mid-Revenue Cycle Program
Ronnie Simpson and Starla Stavely share key strategies to ensure a successful mid-revenue cycle program. Ronnie highlights the biggest challenges hospitals face today, such as relying on manual processes and making decisions with limited data. Starla emphasizes the importance of a robust quality process and the crucial link between the mid-cycle and quality/compliance. She also discusses the significance of feedback loops and how technology can drive efficiency and ROI.
The Role of Artificial Intelligence (AI) in Mid-Cycle Processes
AI is increasingly embedded in the mid-cycle process. Conifer Health Solutions supports hospitals with their mid-cycle program by providing highly skilled team members, cutting-edge technology, and a cost-effective solution. The company also responded quickly during the Covid-19 pandemic to ensure accounts kept moving through the system. Key benchmarks to measure include case mix, charging behaviors, coding quality, and DNFcs.
Focus on Metrics and Quality
Conifer Health Solutions has dedicated staff that focuses on specific metrics, allowing the team to quickly address any key performance indicators (KPIs) that may be problematic. It is essential to prioritize auditor quality, coder scores, and analytics. When seeking solutions to improve mid-cycle processes, it is advisable to reach out to industry experts specializing in revenue cycle management.
This episode is sponsored by Conifer.
Note: This is an AI generated transcript, not edited by a staff writer and is solely intended for educational purposes. If you have any questions/concerns, reach out to podcasts@beckershealthcare.com
This episode aired on 05/22/2023 and can be listened here.
Subscribe to Beckers Healthcare Podcast here.