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Justin Adams

Recent Posts

Capabilities ≠ Solutions, Recapping the 2019 HFMA Revenue Cycle Conference

Posted by Justin Adams on Mar 27, 2019 8:43:40 PM

Last week we sponsored HFMA's Revenue Cycle Conference in Austin, TX. The theme was "The Next Gen Revenue Cycle: Balancing Artificial Intelligence, Automation, and Digital Trends with Human Skill", so as an A.I. revenue cycle company this was right up our alley.

I spent the week with hospital CFOs and revenue cycle leaders, and I have one big takeaway: 

  • Capabilities ≠ Solutions
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What the Heck is a Gold Card and Why is it the Future of Utilization Management?

Posted by Justin Adams on Dec 19, 2018 1:54:00 PM

When you hear the word “Gold Card” the typical person may immediately think about an American Express credit card—a baseline transaction tool that is also a gateway to perks and discounts that are designed to reward reliable buying patterns and top-tier credit (and to incentive continued behavior).

But the idea of a “gold card” isn’t restricted to just the consumer credit market—it has taken hold in a unique way in the healthcare industry, particularly affecting how healthcare providers submit “prior authorizations” and, correspondingly, how health insurance plans conduct “utilization management.” While arguably not as exciting as getting free airline and hotel points, our type of gold carding is infinitely more valuable to society and in bringing down the administrative costs of healthcare while increasing quality.

 

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Prior Auth Limbo Gets Personal

Posted by Justin Adams on Aug 17, 2018 2:57:50 PM

You all know the statistics—annually, prior authorizations cost American hospitals billions in inefficiencies, chew up tens of thousands of clinician hours with paperwork and peer reviews, and create negative patient financial experiences.

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Our Company values, Part 3: Trusting the Process

Posted by Justin Adams on May 11, 2018 9:52:33 AM

I’d like to continue this series by examining Digitize.AI’s third value statement: “We will trust the process, controlling the items we can control and not worrying about what we can’t.”

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