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The latest in AI from the field: Jay Deady’s observations from recent industry events

February 28, 2019

It’s been a wild and busy last few weeks at Recondo.  From HIMSS in Orlando to HFMA Dixie in Mobile and most recently, the CORE User group in Las Vegas, our team members have had the opportunity to meet and present with a number of existing and prospective clients. Now back at the office, I’m pleased to share my observations.

HIMSS19 was an exciting week, as we announced and demonstrated our latest expansion of AI capabilities with the introduction of Natural Language Processing (NLP) within our AuthInitiate solution. Using a combination of our RPA ReconBots with Google’s NLP models and a database of 660K Epic clinical care records, we demonstrated the ability to fully automate the pre-authorization process by closing the last mile of automation and extracting the clinical data from the EMR to auto-populate the submission to the payer. We expect to deliver beta code prior to June’s HFMA Annual Conference, and are actively seeking beta client partners. We received extensive feedback from many provider and channel partner meetings around this new capability. Additionally, we were delighted to co-present with Mary Wickersham, Avera Health’s Vice President of Central Business Office on the outcomes that Avera is realizing from ClaimStatusPlus by Recondo, most notably accelerating cash flow by $20M.

At the recent CORE User Group Conference which I attended, it was interesting to hear each attending provider organization discuss their biggest challenges. While not surprising that denials and authorizations were high on the list, over 50% spoke about patient estimate challenges. Recondo was founded 11 years ago as an estimation company. We’re now fully embedded into Epic via RTE, RTA and HL7, and offer multiple pathways to deliver better estimation accuracy through the Epic Estimator or our SurePayHealth – adding 70% automation rates with the results fully available and integrated into Epic. Our industry-leading RPA ReconBots, payer and plan level mapping and millions of business rules contribute to the high levels of accuracy and automation that Epic clients are achieving with Recondo’s eligibility, estimation, and authorization solutions. Because estimation continues to be a challenge and also given the CMS IPPS rule going into effect last month, we’ll be hosting a webinar on price transparency on Wednesday, March 6 from 11am-12pm MST.

Lastly, we’re continuing to see lots of “buzz” around AI in healthcare and revenue cycle areas specifically. At Recondo we break AI into 3 integrated areas: Robotic Processing Automation (RPA), or Bots, Machine Learning, and Natural Language Processing. Recondo has been in the RPA business for over a decade, has been deploying machine learning for over 2 years, and as mentioned above, has just announced NLP capability. All of these capabilities are purpose-driven, and deployed to deliver a specific outcome in the solutions or content that Recondo delivers to clients, and at scale. You can read more on our position on AI in this recent HFMA Revenue Cycle Strategist interview with our Chief Technology Officer, Eldon Richards.

We have seen the emergence of several companies taking a different approach, namely just general asking, “what do you want automated?” The challenge with that approach is that it is very difficult to scale a company over time by doing a series of one-off development projects. Instead, such an endeavor requires the subject matter expertise around workflow, rules and logic that we have worked over a decade to build. It will be exciting to participate in this evolution within our industry, and we look forward to the continued dialogue and feedback from providers as we continue to scale and deploy our AI.

About Jay Deady

Jay has been a leader, product visionary, and innovator in healthcare information technology for more than 25 years. He most recently served as CEO of Awarepoint, where he grew the company into the leading technology provider in the caregiver and patient asset-flow and capacity-management market. Previously, Jay was Executive Vice President of client solutions for Eclipsys (now Allscripts) where he drove the company’s global go-to-market and solution delivery strategies. He also served as Senior Vice President and General Manager of revenue cycle at McKesson Provider Technologies and held management positions with Cerner Corporation and ADAC Healthcare.

Jay holds a Bachelor of Arts from Tufts University and is a graduate of the Global Executive Management program of the Wharton School of Business at the University of Pennsylvania.

 

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