Tag: Clinical Documentation Integrity (CDI)

Denial management in 2025

Denial Management in 2025: Proactive Strategies to Reduce Claim Denials

Denials have always been a challenge for healthcare providers, but in 2025 they’ve reached unprecedented levels of financial and operational impact. Studies show that denial rates now average 11.8% of all claims, with some providers reporting initial denial rates as high as 20%. For revenue cycle management (RCM) leaders, this isn’t just a numbers problem—it’s […]
Overcoming CDI and Coding Challenges: The Power of AI-Driven Solutions

Overcoming CDI and Coding Challenges: The Power of AI-Driven Solutions

Defining the Challenge: Overcoming Obstacles in CDI and Coding: To clarify the overwhelming claims made by technology vendors, I’ve provided some basic definitions. As we embark on this journey, it’s crucial to pinpoint the specific obstacles we face. This will help us demonstrate to senior leadership and stakeholders the need for AI-driven solutions to enhance […]
How AI Rules Electronic Health Records and its Benefits?

How AI Rules Electronic Health Records and its Benefits?

The key benefits of AI in Electronic health records are improving productivity, providing better-personalized care, and facilitating support for decision-making. Medical imaging advances and the proliferation of clinical diagnostics and screenings generate large amounts of health data. In large, integrated healthcare delivery systems, EHRs are often regarded as inflexible, difficult to use, and expensive to […]