Dr. Michael Gao
👤 SpeakerAppearances Over Time
Podcast Appearances
Yeah, absolutely.
You know, I think to understand what Smarter does, one has to understand a little bit about what healthcare revenue cycle even is.
And I promise it's not going to be an arcane two-hour sort of pre-ramble on this.
You know, fundamentally, what revenue cycle is, is that for hospitals to get paid for the care that they deliver—
They have to first take that care and generate a receipt for the care.
So that's the process of forming the claim and understanding what the clinical care all corresponded to.
And then they have to jump through the 50 or so hoops for the payers to actually deliver payment for that care.
And so Smarter Technologies really is about solving both of those challenges with, you know, kind of AI and scale delivery.
And so the first component of that, which is really generating an accurate receipt for the care, is principally about clinical intelligence and being able to ingest care data and understand what that means.
And then, you know, use that to either
help facilitate documentation or understand if there's misses in the receipt.
And then the second is really the jumping through the 50 hoops process.
And that might be submitting things through a specific website, following specific rules and guidelines and things like that.
And so on that side, it's really about sort of the scale needed to understand those patterns
And then the automation needed to do that in a low-cost manner.
So at the end of the day, it's just about helping hospitals make sure the receipt is correct and then decreasing the cost of collecting on the sort of payment for that care.
Yeah, yeah, yeah.
So
That's a really fascinating framework, actually.
So, you know, the reason why we have claims or, you know, if you've heard of ICD codes or CPT codes in the first place is kind of back in the paper chart days.