Ags Health

Autonomous coding is becoming a critical form of medical coding automation as health systems face more complex documentation requirements, chronic workforce constraints, and higher expectations for...

Quick, efficient collection of accounts receivables is essential to the sustainability and growth of any healthcare organization – regardless of size. With medical services often provided before...

The introduction of AI-driven computer-assisted coding (CAC) has significantly reduced the workload for clinicians. Clinical coding has become more effective and efficient thanks to the learning...

Advances in artificial intelligence (AI) and the highly transactional nature of revenue cycle management (RCM) have set the stage for AI to address many of RCM’s biggest pain points, while increasing...

A Strategic Guide to Medical Coding Outsourcing ServicesStaffing challenges, decreasing profit margins, and increased coding complexity are requiring healthcare executives to evaluate alternatives to...

Effective accounts receivable follow-up is one of the most important functions within the healthcare revenue cycle. A structured accounts receivable (A/R) not only ensures financial health but also...

Payers have continued to expand services requiring prior authorizations from providers for medical services, procedures, and treatments to patients to ensure the services are medically necessary...

Healthcare providers today are facing challenges that range from staffing shortages and disjointed operations to rising costs and frequent claim denials. By breaking down the silos between clinical...

Adopting coding automation technology can enhance operational efficiency and improve financial outcomes for health systems looking to optimize their revenue cycle while reducing administrative burden...

As highlighted in our previous article, denials management is a costly and labor-intensive process that impacts the financial health and operational efficiency of healthcare organizations. Industry...

Utilization review (UR) teams play a critical role in ensuring the right care at the right level, protecting both patient outcomes and hospital reimbursement. Yet across the healthcare industry, many...

Outpatient clinical documentation improvement (CDI) ensures that clinical documentation accurately reflects patient complexity, medical necessity, and quality of care delivered in ambulatory and...

The anticipated resurgence in outpatient volumes will bring new challenges in accurate, efficient medical coding and revenue containment. Compared to inpatient coding, outpatient (O/P) coding is...

Patient access operations – particularly patient integrated financial clearance activities – play a critical role in laying the foundation for a high-performance revenue cycle. Integrated patient...

Small balance claims have historically been overlooked as a significant revenue opportunity within revenue cycle management (RCM) in favor of their higher-dollar counterparts. Unlike high balance...