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In the ever-evolving world of healthcare, the importance of staying connected and having efficient, automated systems cannot be overstressed. In the first of a three-part webinar series, ImagineSoftware's Gray Mason and Martin Grist offer an insightful discussion on some of the most important elements in the medical billing workflow, including the intricacies of patient authorization, payer connections, payment plans, and the utilization of innovative tools such as ImaginePay™, ImagineSoftware’s patient payment portal. This blog highlights and further explores pre-billing operations, providing you with a comprehensive understanding of the seamless solutions available at ImagineSoftware today.

In healthcare, many people use the terms “electronic medical records” and “electronic health records” simultaneously. However, an EMR refers to a digital version of paper charts in a clinician’s office and contains the medical and treatment history of the patients in one practice, while an EHR focuses on the total health of a patient. It goes beyond standard clinical data collected in the provider’s office and is inclusive of a broader view of a patient’s care.

In our modern world, where data has become a ubiquitous resource, the importance of leveraging integrated insights for effective decision-making cannot be overstated. This is especially true in the healthcare industry, and even more so for pathology, a medical specialty that analyzes, monitors, and evaluates copious amounts of data daily. ImagineSoftware and Quinsite have partnered to offer a comprehensive approach to healthcare revenue cycle and business analytics management. By integrating Quinsite’s Comprehensive Healthcare Analytics Platform™ directly with ImagineSoftware’s autonomous billing platform, pathology (and all healthcare) leaders can leverage both systems to operate with a bird’s eye view, driving growth strategies and data-driven business decisions.

So far, 2023 has proved a pivotal year here at ImagineSoftware. In fall of 2022, we began teasing an all-in-one revenue cycle management (RCM) solution that was starting to take shape – the concept and development of ImagineOne®. It began with an idea, and as quoted by Victor Hugo – "Nothing is more powerful than an idea whose time has come."

Earlier this year, the ImagineSoftware team had the privilege of joining nearly 1,000 attendees at the 2023 Executive War College in New Orleans. Along with a host of the pathology industry’s pre-eminent pathologists, laboratory administrators, executives, consultants and other professionals, we had the opportunity to learn about the trends and challenges affecting the industry and the importance of addressing them for future operational and financial success.

Recently, Rob Gontarek, Senior Vice President of Data Science here at ImagineSoftware™, hosted an industry webinar to discuss articulating artificial intelligence (AI) in healthcare. Rob’s an expert with an impressive background in AI technology, dedicated to demystifying AI and better helping others understand how it works from a technical standpoint. During his presentation, Rob delved into the software and technology associated with revenue cycle management (RCM), customer relationship management, and more, focusing on how Imagine is evolving AI applications for advanced billing and revenue operations.

Artificial Intelligence (AI) and Natural Intelligence (NI) are two different types of cognitive processes and both are paramount within healthcare business operations. As the utilization of AI becomes more accessible, many medical billing and administrative teams are left questioning their jobs’ longevity. The truth of the matter is artificial intelligence-fueled billing systems rely on, and perform best, with human interaction/intelligence, or Natural Intelligence.

RadNav, ImagineSoftware’s radiology workflow automation solution, is on a mission to reduce the number of referrals that go unnoticed and illnesses that go undiagnosed due to missed appointments – having a huge impact on both patients and healthcare providers. "The reason this exists is because we saw a problem in health care, not just in radiology, but really across all of health care. One out of every two patients today are not receiving appropriate follow-up care. That's 50% of patients that are given a recommendation to do something by their doctor who are not doing it for one reason or another."

Rising health insurance deductibles and out-of-pocket costs are prompting more and more patients to realize they’re the new payer. According to Healthcare IT News, “The balance of billing revenue has shifted significantly, with patients now accounting for 30 percent of healthcare revenue on the back end.” In turn, healthcare providers are increasingly focusing on strategies and tools to promote patient payments/engagement. There’s not a one-size-fits-all method for achieving this, but there are ways to humanize patient engagement to ensure these individuals don’t feel like just a number

The Centers for Medicare and Medicaid Services (CMS) recently published the Calendar Year (CY) 2024 Medicare Physician Fee Schedule (PFS) proposed rule on July 13, 2023. Stakeholders can comment and provide feedback within a 60-day window, with the proposed rule scheduled to be finalized by November 1, 2023, after review of submitted comments by CMS.