Introduction

The RevDive Podcast, hosted by Taya Gordon and Kem Tolliver, is celebrating itself for it's providing a platform for game-changing conversations on revenue cycle management, data intake, and payer-provider collaboration in healthcare.

A Milestone, A Movement, and More

Our most recent episode featuring Russ Thomas from Availity explored the future of proactive revenue cycle management and how it intersects with data intake and payer-provider collaboration, topics that are vital to the healthcare industry's efficiency and integrity.

Bridging Multiple Gaps: Revenue Cycle, Data Intake, and Collaboration

In a threefold conversation, the hosts and Russ delved into the nuances of these interconnected challenges. From the need for real-time communication between payers and providers to leveraging technology for quicker authorization processes, the episode served as an eye-opener for many in the healthcare industry.

The Disconnect Between Payers and Providers

One of the key discussions revolved around the misalignment between payers and providers. Taya Gordon spotlighted the administrative burden both sides face, such as the required monthly updating of provider data. Russ highlighted the need for real-time communication, suggesting a continuous update process could mitigate such challenges and improve the clean claim rate and real-time payment rate.

Technology: The Catalyst for Change

Russ also touched on the role of technology in improving payer-provider relationships. He mentioned AuthAI, which was able to deliver a medical necessity determination in just 90 seconds, resulting in a 7% reduction in denials without increasing utilization.

The Importance of Clearinghouses

Taya Gordon and Russ both emphasized the need to scrub claims at both the practice management application level and the clearinghouse level for better revenue cycle management, emphasizing the importance of consistency and coordination between various platforms.

Final Thoughts: Forward Together

As Russ concluded, the ultimate aim is to facilitate delightful healthcare experiences through seamless payer-provider collaboration. Through dialogues like these and technological advancements, the healthcare industry can make strides toward a more efficient and harmonious future.

Conclusion

This momentous episode of the RevDive Podcast offers a holistic view into the future of healthcare. It demonstrates the urgency of adopting proactive approaches, the benefits of technological synergies, and the necessity for payer-provider collaboration. These conversations are not just shaping the podcast but are crucial in shaping the future of healthcare.

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This podcast is produced by Slice of Healthcare LLC.

To learn more about Russ Thomas and Availity please use the links below:

- Russ' LinkedIn - Availity's Website -

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