Episode Details
Welcome back to RevDive! Listen to hear Russ Thomas, Chief Executive Officer at Availity discuss proactive revenue cycle management, reducing denials and overpayments, and the critical importance of payer-provider collaboration in healthcare
What you’ll get out of this episode:
- Latest episode features Russ Thomas from Availity discussing future of healthcare.
- Critical insights into proactive revenue cycle management and reducing denials and overpayments.
- Deep dive into the complexities and solutions in payer-provider collaboration.
- Russ Thomas introduces AuthAI, technology that reduces denials by 7%.
- Clearinghouses play a pivotal role in efficient revenue cycle management.
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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.
To learn more about Russ Thomas and Availity please use the links below:
– Russ’ LinkedIn – Availity’s Website –
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