Is AI in Revenue Cycle’s Future? Experts Say the Answer is a Clear “Yes, But”

With all the hype surrounding artificial intelligence (AI) and machine learning in healthcare, it’s inevitable that there is now hype surrounding the imminent arrival (and in a very few quarters, actual arrival) of AI and machine learning tools in the revenue cycle management space. But, say experts, not so fast: most hospitals’ and health systems’ RCM infrastructures aren’t yet ready.

First, the experts say, we need to step back a step and look at the landscape around all of this. As everyone knows, during the spring of 2020, hospital, medical group, and health system revenues crashed after the Centers for Medicare & Medicaid Services (CMS) were compelled to effectively order a halt to virtually all elective procedures in hospitals, clinics, and surgery centers nationwide, as the COVID-19 pandemic exploded across the United States.