RACmonitor

Understanding AI Interpretation in Healthcare is now available on demand! https://lnkd.in/gFHKHDTa #MonitorMondays

What does war have to do with Medicare enrollment? More than you think. This article draws a powerful comparison that highlights confusion timing and high stakes decisions providers face today. A fresh perspective on a growing challenge 👇 https://lnkd.in/guY8FJTU

📰 OIG scrutiny is back in the spotlight and it's hitting familiar ground. From ABNs to IMMs and DNDs, the same compliance pain points are making headlines again and raising new audit risks for providers. Here's why it matters now 👇 https://lnkd.in/g3xekJpq

Artificial intelligence (AI) is becoming part of how clinical documentation is reviewed across healthcare, from coding and clinical validation to payer denials and appeals. In many cases, AI is influencing decisions behind the scenes, even when it is not clearly visible. During the next live edition of the long-running Monitor Monday, the Internet broadcast produced by RACmonitor, Sharon Easterling will explain in simple terms how AI reads the clinical record. Unlike clinicians, AI does not understand the full story of the patient. Instead, it looks for patterns such as words, phrases, and signals, and uses those patterns to reach a conclusion. Because of this, the same record can lead to different outcomes. Easterling, RACmonitor and Monitor Monday technology consultant, returns to the broadcast and will use a straightforward way to evaluate decisions so that conclusions remain supported, clear, and defensible, even as AI becomes more involved in the process. Broadcast segments will also include these instantly recognizable features: • Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds. • The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors. • Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment. • Legislative Update: Adam Brenman, senior legislative affairs liaison for Zelis, will report on current healthcare legislation.

Have questions about IPF PPS compliance and federal audits? Bring them to the live Q&A session in this RACmonitor webcast. Get expert insights on strengthening best practices and minimizing audit findings. Register now: https://lnkd.in/gKKENtgt

Bundled payments are back and hospitals may not be ready. With margins already tight and new mandatory models rolling out, hospitals are being pushed to manage costs they don't fully control. Read what's ahead 👇 https://lnkd.in/gbXRu-G5

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Join us this upcoming Monitor Mondays for Understanding AI Interpretation in Healthcare. https://lnkd.in/gFHKHDTa #MonitorMondays

🚨 Is the OCR going missing in healthcare oversight? As audits tighten and automation rises, a critical question remains who is ensuring compliance and what happens when they fall short. Learn more here: 👇 https://lnkd.in/dq-Nbvv2

Now available on demand! 🎥 The Pepper Returns: Risk and Opportunity at Your Fingertips delivers the insights you need to better understand risk and uncover opportunity. Watch anytime: https://lnkd.in/gGcfPExP