Becker's Cardiology

Inpatient CDI has traditionally depended on disruptive retrospective queries, fragmented workflows, and clinicians revisiting the record days or weeks after discharge. What changes when context and documentation guidance arrive during the encounter, while the clinical context is still fresh? Health…

Clinical reviewers open a utilization management or appeals case and spend most of it assembling evidence — hundreds of pages, several source systems and a fax queue that has outlasted every modernization plan built around it. The determination itself is…

In 1987, economist Robert Solow observed that the computer age was visible everywhere except in the productivity statistics. The machines were bought; the work stayed put. The payoff came a decade later, once companies rebuilt around the technology. Revenue cycle…

AI can transform utilization management — but only when it is built into the decisions and workflows that determine how cases are reviewed, prioritized and supported throughout the patient stay. Building on the session “”Beyond the Worklist: Architecting AI-Enabled Utilization…

A patient who isn’t ready on the morning of surgery becomes a cancellation, a no-show or a case that starts late. By then, there are no easy choices left. The cost shows up in places a cancellation report doesn’t track.…

A stroke alert sounds and the neurologist is in clinic across town. Someone starts making calls. Someone else describes the patient over the phone. The clock that costs an estimated 1.9 million brain cells a minute keeps running. There is…

Efforts to transform prior authorization are at a critical crossroads: Will government mandates result in just compliance or catalyze national migration to FHIR-based electronic prior authorization (ePA)? The answer to this question cannot be found in the specifics of the…

Payer contracting has become a top strategic priority for health systems, but many teams still run it on spreadsheets, disconnected systems and knowledge that lives in a few people’s heads. The pressure is mounting from both payers and providers, and…

Picture the morning huddle where someone asks where a patient stands and three people check three different places to answer. One opens a spreadsheet, one checks a whiteboard and one calls the coordinator who happens to know. Nobody is wrong,…