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Dr. Michael Gao

👤 Speaker
345 total appearances

Appearances Over Time

Podcast Appearances

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

Yeah, absolutely.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

Yeah.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

So it's actually, you know, very interesting.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

Actually, the longer story for how I got into revenue cycle and clinical documentation improvement.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

was that as a hospital, based on our internal metrics, we were being inefficient at the care that was delivered.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

So we were keeping patients in the hospital longer than they needed to stay in the hospital.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

And so actually the slightly longer story is that doctors were arguing that they were being efficient and keeping patients the right amount of time, but the patients are more complex than they ought to be.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

Yeah.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

And the sort of the payer view was like you're just not – I don't see that complexity in what you – In the documentation.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

And so –

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

Thanks for your opinion.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

OK.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

But but, you know, you have to justify it.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

And actually, you know, that applies more broadly.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

So if if I show you two hospitals with a, you know, one percent mortality rate on each.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

You know, like which hospital is the better hospital?

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

Well, what if I told you one was, you know, Memorial Sloan Kettering and the other was an urgent care center?

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

Well, 1% would be freaking amazing for MSA, but it'd be pretty terrifying if it was an urgent care center.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

And so the way that hospitals monitor their internal performance is actually inherently tied to sort of the documentation and codes that they submit.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

Like there's not another source of truth that's separate from that process.