2025 Innovation Conference: Using AI to Reduce the costs of the RCM Billing and Pre-Certification Processes, while Increasing Revenues - HBMA Store

As presented at HBMA's Innovation Conference March 12th-13th, 2025.

Using AI to Reduce the costs of the RCM Billing and Pre-Certification Processes, while Increasing Revenues Presented by Steven Chamberlin

We will discuss how utilizing AI in the RCM process and how it is making dramatic differences in how fast and how much more providers are being paid. He will discuss how the AR days have effectively been cut in half due to AI filing claims in exactly the way each individual payor wants to see them. Since denials go way down, providers are getting paid so much faster and at higher rates, due to AI adjusting filing as payors requirements change.

Additionally, he has been able to go back to previous denials and get those paid as well by utilizing the power of AI. He will discuss how AI will and has changed the Pre-Approval / Pre-Certification process.

All of these areas have dramatically reduced time to get paid and increased the amounts paid all while using less labor to do so. The power of AI will transform the whole Billing, Pre-Approval / Pre-Certification dramatically reducing labor costs, halving AR days, all while increasing revenues. Using AI in the RCM, and Pre-Certification / Pre-Approval process will change the health care industry in big ways and all for the better for, Providers, Payors and Patients, all while reducing costs and increasing revenues.

Course Participants will be able to:

• Understand how AI will reduce the costs, and halve the AR Days Outstanding of RCM while increasing revenues.
• Understand how AI will speed up and reduce costs associated with the Pre Certification Process.
• Understand how AI will speed up the Arbitration Process while reducing costs.

Speaker Bio:
Steven Chamberlin was a Technical Executive at PeopleSoft and Oracle for 10 years, and left to found Sensa Analytics in 2014. His vision of the company was to provide the most current and insightful information to Health Care Executives to more effectively manage the daily operations of Hospitals, Clinics or even Doctors offices. This has helped them to make the most impactful decisions in order to provide the highest quality health care available.