Episode 124: How is artificial intelligence revolutionizing the healthcare sector?
07/09/24 • 37 min
In this episode of Coffee with Coker, Mark Reiboldt, EVP at Coker, and Vinson Do discuss the impactful role of AI in the business side of healthcare. They delve into how AI is transforming claims processing, medical coding, and healthcare reimbursement.
The conversation highlights real-world examples, such as the AI implementation at Community Medical Centers of Fresno and Mass General Brigham, which have shown significant improvements in reducing denials and enhancing coding accuracy. Ethical considerations and future prospects for AI in healthcare are also examined.
- 00:25 The Role of AI in Healthcare
- 00:53 Introducing Vinson Do and AI's Impact
- 01:51 Understanding Artificial Intelligence
- 04:43 AI in Claims Processing
- 11:37 AI in Medical Coding
- 16:32 AI in Healthcare Reimbursement
- 23:14 Ethical Considerations and Future Prospects
- 30:53 Conclusion and Final Thoughts
Podcast Information
Follow our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review!
We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.
· Please email us: [email protected]
· Connect with us on LinkedIn: Coker Group Company Page
· Follow us on Twitter: @cokergroup
· Follow us on Instagram: @cokergroup
· Follow us on Facebook: @cokerconsulting
In this episode of Coffee with Coker, Mark Reiboldt, EVP at Coker, and Vinson Do discuss the impactful role of AI in the business side of healthcare. They delve into how AI is transforming claims processing, medical coding, and healthcare reimbursement.
The conversation highlights real-world examples, such as the AI implementation at Community Medical Centers of Fresno and Mass General Brigham, which have shown significant improvements in reducing denials and enhancing coding accuracy. Ethical considerations and future prospects for AI in healthcare are also examined.
- 00:25 The Role of AI in Healthcare
- 00:53 Introducing Vinson Do and AI's Impact
- 01:51 Understanding Artificial Intelligence
- 04:43 AI in Claims Processing
- 11:37 AI in Medical Coding
- 16:32 AI in Healthcare Reimbursement
- 23:14 Ethical Considerations and Future Prospects
- 30:53 Conclusion and Final Thoughts
Podcast Information
Follow our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review!
We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.
· Please email us: [email protected]
· Connect with us on LinkedIn: Coker Group Company Page
· Follow us on Twitter: @cokergroup
· Follow us on Instagram: @cokergroup
· Follow us on Facebook: @cokerconsulting
Previous Episode
Episode 123: Decoding Modifier 25: Navigating Documentation and Billing in Healthcare
This episode of Coffee with Coker delves into the complex and nuanced topic of Modifier 25, a coding nuance critical for healthcare professionals to understand for billing and documentation.
Hosts Erika and Jaci unpack the definition, significance, and proper application of Modifier 25, emphasizing its opinion-based nature and the importance of clear, detailed documentation. They provide examples from healthcare scenarios, including preventive visits, urgent care, and procedures like cerumen removal, discussing the implications for billing and compliance.
The conversation highlights how insurance companies' interpretations can vary, impacting the application of Modifier 25. Further, they explore the challenges healthcare providers face in ensuring their documentation supports the use of Modifier 25, pointing out common pitfalls and offering guidance on best practices.
This discussion underscores the vital role of accurate coding and documentation in healthcare billing and the ongoing need for education and dialogue among practitioners.
- 00:32 Diving Deep into Modifier 25
- 01:49 Understanding the Definition and Application of Modifier 25
- 05:33 Exploring Real-World Scenarios and Challenges with Modifier 25
- 08:33 Navigating Documentation and Billing Challenges
- 15:04 Specific Cases and Auditing Insights
- 27:36 Concluding Thoughts and Future Topics
- 29:54 Engaging the Audience and Closing Remarks
Links to other resources:
- AMA | Reporting CPT Modifier 25 (https://www.ama-assn.org/system/files/reporting-CPT-modifier-25.pdf)
- Podcast covering Medicare Annual Wellness Visits (https://www.cokergroup.com/podcasts/episode-122-understanding-annual-wellness-visits-for-healthcare-organizations/)
Next Episode
Episode 125: How to Lead IT Transformations in Community Health
In this episode of Coffee with Coker, Gabriel Harry, Vice President at Coker, and Tim Harper, Senior Manager at Coker, sit down with Gary Noseworthy, CEO of Community Health Access Network (CHAN), for an in-depth conversation about CHAN's efforts to modernize health information technology in community health centers. They dive into the collaborative projects they've worked on, reflecting on both the obstacles and successes they've encountered.
The discussion covers key topics such as vendor selection strategies, the critical role of strategic partnerships, and the importance of individual assessments for health centers. Gary also shares how CHAN's team has grown and evolved, offering insights into the transformative impact of their initiatives. He looks ahead to CHAN’s future, envisioning an expansion of participating health centers and exploring new business opportunities.
- 00:32 Background on Community Health Access Network (CHAN)
- 02:08 Vendor Vetting and Selection Process
- 09:48 Implementation and Unique Requirements
- 12:00 Project Success and Team Contributions
- 15:18 Challenges and Lessons Learned
- 29:47 Future Growth and Strategic Partnerships
- 34:38 Conclusion and Closing Remarks
Podcast Information
Follow our feed in Apple Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review!
We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.
· Please email us: [email protected]
· Connect with us on LinkedIn: Coker Group Company Page
· Follow us on Twitter: @cokergroup
· Follow us on Instagram: @cokergroup
· Follow us on Facebook: @cokerconsulting
Coffee with Coker - Episode 124: How is artificial intelligence revolutionizing the healthcare sector?
Transcript
Coffee with Coker is a healthcare business podcast from the Coker Group that focuses on solutions to help healthcare organizations effectively navigate the changing healthcare industry landscape.
Well, welcome back to another episode of Coffee with Coker. And today we have a very interesting discussion and one of my colleagues here at Coker is joining us today. Just for those that might be the first time they're listening. My name is Ma
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