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AI in Revenue Cycle Management: Revolutionizing Healthcare Finance
Author: Dr. Anya Sharma, PhD, MBA – Healthcare Management Consultant & AI Specialist with 15+ years of experience in healthcare finance and data analytics. Dr. Sharma has published extensively on the application of AI in healthcare and holds several patents related to AI-driven revenue cycle optimization.
Publisher: Healthcare Informatics Journal – A leading publication in the healthcare IT sector, renowned for its rigorous peer-review process and focus on cutting-edge technological advancements in healthcare finance and administration. The journal enjoys a high impact factor and is widely cited by healthcare professionals and researchers globally.
Editor: Mr. David Lee, MS, Certified Healthcare Financial Manager (CHFM) – With over 20 years of experience in healthcare finance and a deep understanding of the complexities of revenue cycle management.
Keywords: AI in revenue cycle management, artificial intelligence, revenue cycle optimization, healthcare finance, automation, machine learning, predictive analytics, healthcare IT, RCM automation, AI-powered RCM, claims processing, denial management, patient engagement.
1. Introduction: The Need for AI in Revenue Cycle Management
The healthcare industry is grappling with increasing complexities in revenue cycle management (RCM). Rising administrative costs, escalating regulatory burdens, and the need for improved patient financial experience are driving the search for more efficient and effective solutions. This is where AI in revenue cycle management comes into play. Artificial intelligence offers a transformative approach, automating tasks, improving accuracy, and ultimately enhancing profitability and patient satisfaction. This article will delve into the various ways AI in revenue cycle management is reshaping the healthcare landscape.
2. Core Applications of AI in Revenue Cycle Management
AI in revenue cycle management isn't a single solution but rather a suite of technologies applied at different stages of the revenue cycle. These applications include:
Predictive Analytics for Denial Prevention: AI algorithms can analyze historical claims data, identify patterns associated with denials, and predict potential issues before they arise. This allows for proactive interventions, such as correcting coding errors or ensuring proper documentation, minimizing denials and accelerating reimbursement. This proactive approach is crucial in optimizing AI in revenue cycle management.
Automated Claims Processing and Coding: AI-powered systems can automate the tedious and error-prone task of claims processing. By analyzing medical records and applying advanced natural language processing (NLP), AI can accurately code claims, reducing manual effort and improving accuracy. This aspect of AI in revenue cycle management is pivotal in accelerating payment cycles.
Enhanced Denial Management: AI can analyze denial reasons, identify trends, and suggest corrective actions. This allows for more efficient and effective denial management, significantly reducing revenue leakage. Understanding the nuances of denial reasons is a key strength of AI in revenue cycle management.
Improved Patient Engagement and Communication: AI-powered chatbots and virtual assistants can improve patient communication, addressing billing inquiries and providing personalized financial guidance. This enhances the patient experience and reduces the burden on administrative staff, strengthening the impact of AI in revenue cycle management.
Streamlined Eligibility and Verification: AI algorithms can quickly and accurately verify patient insurance eligibility and benefits, minimizing delays and ensuring timely claims submission. This automation is fundamental to the effectiveness of AI in revenue cycle management.
3. Benefits of Implementing AI in Revenue Cycle Management
The integration of AI in revenue cycle management yields a multitude of benefits:
Increased Revenue: By reducing denials, improving coding accuracy, and accelerating payments, AI in revenue cycle management directly boosts revenue streams.
Reduced Operational Costs: Automation of tasks reduces the need for manual intervention, minimizing labor costs and operational expenses.
Improved Efficiency: AI algorithms process information significantly faster than humans, streamlining the entire revenue cycle and accelerating workflows.
Enhanced Compliance: AI can help healthcare providers maintain compliance with ever-changing regulations by ensuring accurate coding and documentation.
Better Patient Experience: Improved communication and efficient billing processes enhance the patient's overall financial experience.
4. Challenges and Considerations in Implementing AI in Revenue Cycle Management
Despite the substantial benefits, implementing AI in revenue cycle management presents certain challenges:
Data Quality: AI algorithms rely on high-quality data. Inaccurate or incomplete data can lead to flawed predictions and ineffective solutions. Data cleansing and validation are critical steps in successful AI in revenue cycle management deployment.
Integration Complexity: Integrating AI solutions with existing RCM systems can be technically challenging and require significant upfront investment.
Security and Privacy Concerns: Protecting sensitive patient data is paramount. Robust security measures are essential when implementing AI-driven RCM solutions. Compliance with HIPAA and other regulations is non-negotiable when leveraging AI in revenue cycle management.
Change Management: Adopting new technologies requires careful change management strategies to ensure successful adoption by healthcare staff.
5. Future Trends in AI in Revenue Cycle Management
The field of AI in revenue cycle management is constantly evolving. Future trends include:
Increased Use of Machine Learning: More sophisticated machine learning algorithms will further improve accuracy and efficiency in various RCM processes.
Integration of Blockchain Technology: Blockchain can enhance data security and transparency within the revenue cycle.
Rise of Robotic Process Automation (RPA): RPA will automate even more repetitive tasks, freeing up staff for higher-value activities.
Enhanced Patient Engagement through AI-powered Portals: More sophisticated patient portals will leverage AI to provide personalized financial advice and support.
6. Case Studies: Real-World Examples of AI in Revenue Cycle Management
Several healthcare organizations have successfully implemented AI in revenue cycle management, achieving significant improvements in efficiency and revenue. Case studies showcase the tangible benefits of adopting AI-driven solutions, further solidifying the value proposition of AI in revenue cycle management.
7. Conclusion
AI in revenue cycle management is no longer a futuristic concept but a rapidly evolving reality. By automating tasks, improving accuracy, and enhancing patient engagement, AI is revolutionizing healthcare finance. While challenges exist, the potential benefits – increased revenue, reduced costs, and improved efficiency – make it a crucial investment for healthcare organizations striving to thrive in today's complex environment. The future of healthcare finance is inextricably linked to the effective and responsible implementation of AI in revenue cycle management.
FAQs
1. What is the ROI of implementing AI in RCM? The ROI varies depending on the specific solution and the organization's size and complexity. However, many organizations report significant improvements in revenue, reduced denials, and decreased operational costs.
2. How can I choose the right AI-powered RCM solution for my organization? Consider factors such as your specific needs, budget, existing IT infrastructure, and the vendor's experience and track record.
3. What data security measures should I consider when implementing AI in RCM? Ensure compliance with HIPAA and other relevant regulations. Implement robust security protocols, including encryption, access controls, and regular security audits.
4. How can I address employee concerns about AI replacing their jobs? Transparency and open communication are crucial. Highlight the benefits of AI in augmenting human capabilities, creating new roles, and reducing repetitive tasks. Reskilling and upskilling initiatives are important to ensure employee adaptability.
5. What are the ethical implications of using AI in RCM? Ensure fairness, transparency, and accountability in the design and implementation of AI-powered systems. Address potential biases in algorithms and prioritize patient privacy and data security.
6. How long does it typically take to implement an AI-powered RCM solution? The implementation timeline varies depending on the complexity of the solution and the organization's IT infrastructure. It can range from several months to over a year.
7. What are the key metrics for measuring the success of AI in RCM? Track key metrics such as denial rates, claim processing time, revenue cycle length, patient satisfaction scores, and overall cost savings.
8. What is the difference between AI and machine learning in RCM? Machine learning is a subset of AI that involves algorithms that learn from data without explicit programming. AI encompasses a broader range of techniques, including machine learning, natural language processing, and computer vision.
9. Can AI in RCM help with patient financial responsibility? Yes, AI can help predict patient financial risk, personalize payment plans, and improve communication regarding patient financial responsibility.
Related Articles:
1. AI-Powered Predictive Coding for Revenue Cycle Optimization: This article explores the use of AI for predictive coding to prevent denials and improve claim accuracy.
2. The Impact of Machine Learning on Healthcare Revenue Cycle Management: This article delves into the specific applications of machine learning algorithms in improving various aspects of the revenue cycle.
3. Automating Claims Processing with AI: A Step-by-Step Guide: A practical guide on how to implement AI-powered automation in claims processing.
4. AI and the Future of Revenue Cycle Management: Trends and Predictions: This article explores future trends in AI's role within RCM, including blockchain integration and RPA.
5. Improving Patient Engagement through AI-Powered Communication Tools: This article focuses on using AI to enhance patient communication and financial understanding.
6. Addressing Data Security and Privacy Concerns in AI-Driven RCM: This article discusses the ethical considerations and best practices for safeguarding sensitive patient data.
7. Case Study: How Hospital X Improved Revenue Cycle Efficiency with AI: A real-world example demonstrating the success of AI implementation in RCM.
8. The Role of Natural Language Processing in RCM Automation: This article focuses on NLP’s ability to process unstructured medical data for claims processing and denial management.
9. Return on Investment (ROI) Analysis of AI in Healthcare Revenue Cycle Management: A detailed analysis of the financial benefits and cost considerations of implementing AI in RCM.
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ai in revenue cycle management: Harnessing Technology for Knowledge Transfer in Accountancy, Auditing, and Finance Kwok, Samuel, Omran, Mohamed, Yu, Poshan, 2024-02-26 The fusion of technology and knowledge transfer has become a pivotal force in the ever-evolving landscape of accountancy, auditing, and finance. Harnessing Technology for Knowledge Transfer in Accountancy, Auditing, and Finance delves deep into technology's revolutionary potential, dissecting advancements like artificial intelligence, blockchain, data analytics, machine learning, and cloud computing. Through examination and analysis, this book unveils the immense applicability of these technologies in facilitating the transfer of knowledge within the intricate web of financial industries. One of the book's unique strengths is its comprehensive approach to technology adoption. Readers will unearth innovative methodologies, best practices, and novel strategies for optimizing knowledge transfer processes through technological integration to enhance organizational performance and efficiency, equipping professionals with the tools and insights to thrive in the modern financial landscape. This book is ideal for professionals, academics, and researchers. It arms them with indispensable tools, insights, and strategies to harness the full potential of technology in knowledge transfer. |
ai in revenue cycle management: The Fourth Industrial Revolution Klaus Schwab, 2017-01-03 World-renowned economist Klaus Schwab, Founder and Executive Chairman of the World Economic Forum, explains that we have an opportunity to shape the fourth industrial revolution, which will fundamentally alter how we live and work. Schwab argues that this revolution is different in scale, scope and complexity from any that have come before. Characterized by a range of new technologies that are fusing the physical, digital and biological worlds, the developments are affecting all disciplines, economies, industries and governments, and even challenging ideas about what it means to be human. Artificial intelligence is already all around us, from supercomputers, drones and virtual assistants to 3D printing, DNA sequencing, smart thermostats, wearable sensors and microchips smaller than a grain of sand. But this is just the beginning: nanomaterials 200 times stronger than steel and a million times thinner than a strand of hair and the first transplant of a 3D printed liver are already in development. Imagine “smart factories” in which global systems of manufacturing are coordinated virtually, or implantable mobile phones made of biosynthetic materials. The fourth industrial revolution, says Schwab, is more significant, and its ramifications more profound, than in any prior period of human history. He outlines the key technologies driving this revolution and discusses the major impacts expected on government, business, civil society and individuals. Schwab also offers bold ideas on how to harness these changes and shape a better future—one in which technology empowers people rather than replaces them; progress serves society rather than disrupts it; and in which innovators respect moral and ethical boundaries rather than cross them. We all have the opportunity to contribute to developing new frameworks that advance progress. |
ai in revenue cycle management: Artificial Intelligence Cherry Bhargava, Pradeep Kumar Sharma, 2021-07-28 This comprehensive reference text discusses the fundamental concepts of artificial intelligence and its applications in a single volume. Artificial Intelligence: Fundamentals and Applications presents a detailed discussion of basic aspects and ethics in the field of artificial intelligence and its applications in areas, including electronic devices and systems, consumer electronics, automobile engineering, manufacturing, robotics and automation, agriculture, banking, and predictive analysis. Aimed at senior undergraduate and graduate students in the field of electrical engineering, electronics engineering, manufacturing engineering, pharmacy, and healthcare, this text: Discusses advances in artificial intelligence and its applications. Presents the predictive analysis and data analysis using artificial intelligence. Covers the algorithms and pseudo-codes for different domains. Discusses the latest development of artificial intelligence in the field of practical speech recognition, machine translation, autonomous vehicles, and household robotics. Covers the applications of artificial intelligence in fields, including pharmacy and healthcare, electronic devices and systems, manufacturing, consumer electronics, and robotics. |
ai in revenue cycle management: Lean Six Sigma in the Age of Artificial Intelligence: Harnessing the Power of the Fourth Industrial Revolution Michael L. George, Dan Blackwell, Dinesh Rajan, 2019-02-08 The world’s leading expert on Lean Six Sigma provides the missing link for reducing waste and taking operations to the next level: Artificial Intelligence“Whatever the industry, there is an executive with the grit and determination to apply AI to attain the fastest growth, the highest investment returns, to dominate that industry. The only question is: will it be you?” –from Lean Six Sigma in the Age of Artificial IntelligenceCombine the power of AI and LSS to seize the competitive advantage—quickly, decisively, and permanentlySince 2001, business leaders have been using Lean Six Sigma (LSS) to drive improvements across industries, enabling their companies to reduce cycle time and waste, thus improving revenue and profits. Now they can finally unlock their company’s full potential by combining LSS and AI. In Lean Six Sigma in the Age of Artificial Intelligence, the world’s most respected expert on LSS, Michael L. George, Sr., shows how to harness the power of the technology that promises changing everything as we know it—Artificial Intelligence—to dramatically enhance any LSS management program. This game-changing guide takes you through the process of using AI to unlock maximum speed, solve complex manufacturing challenges, reduce waste, increase company profits, and ultimately outflank your competition at every turn. With Lean Six Sigma in the Age of Artificial Intelligence, you’ll take this revolutionary approach to its limits—and that will make all the difference between business success and failure in the coming decades. |
ai in revenue cycle management: The Fundamentals Of Artificial Intelligence And Machine Learning Dr. N. Balajiraja, Mr. Thumu Muni Balaji, Dr. Mahendra Pratap Swain, Dr. Sonam Mittal, 2023-11-22 Machine learning and Artificial Intelligence are pillars on which you can build intelligent applications. This field is essential in the modern world since robots may now display complex cognitive abilities including as decision-making, learning and seeing the environment, behaviour prediction, and language processing. The terms artificial intelligence & machine learning are often used interchangeably, although they refer to two distinct processes. Machine learning is a branch of artificial intelligence that allows intelligent systems to autonomously learn new things from data, while artificial intelligence as a whole refers to robots that can make choices, acquire new skills, and solve problems. The engineering profession makes extensive use of AI methods to address a broad variety of previously intractable issues. The purpose of this book is to bring together developed form scientists, researchers, and academics to discuss all aspects of artificial intelligence and share their findings with one another and the wider scientific community. The book serves as a leading multidisciplinary forum for discussing real-world problems and the solutions that have been implemented to address them. |
ai in revenue cycle management: Computational Intelligence in Medical Decision Making and Diagnosis Sitendra Tamrakar, Shruti Bhargava Choubey, Abhishek Choubey, 2023-03-31 Computation intelligence (CI) paradigms, including artificial neural networks, fuzzy systems, evolutionary computing techniques, and intelligent agents, form the basis of making clinical decisions. This book explains different aspects of the current research on CI technologies applied in the field of medical diagnosis. It discusses critical issues related to medical diagnosis, like uncertainties in the medical domain, problems in the medical data, especially dealing with time-stamped data, and knowledge acquisition. Features: Introduces recent applications of new computational intelligence technologies focusing on medical diagnosis issues. Reviews multidisciplinary research in health care, like data mining, medical imaging, pattern recognition, and so forth. Explores intelligent systems and applications of learning in health-care challenges, along with the representation and reasoning of clinical uncertainty. Addresses problems resulting from automated data collection in modern hospitals, with possible solutions to support medical decision-making systems. Discusses current and emerging intelligent systems with respect to evolutionary computation and its applications in the medical domain. This book is aimed at researchers, professionals, and graduate students in computational intelligence, signal processing, imaging, artificial intelligence, and data analytics. |
ai in revenue cycle management: Artificial Intelligence for Audit, Forensic Accounting, and Valuation Al Naqvi, 2020-07-24 Strategically integrate AI into your organization to compete in the tech era The rise of artificial intelligence is nothing short of a technological revolution. AI is poised to completely transform accounting and auditing professions, yet its current application within these areas is limited and fragmented. Existing AI implementations tend to solve very narrow business issues, rather than serving as a powerful tech framework for next-generation accounting. Artificial Intelligence for Audit, Forensic Accounting, and Valuation provides a strategic viewpoint on how AI can be comprehensively integrated within audit management, leading to better automated models, forensic accounting, and beyond. No other book on the market takes such a wide-ranging approach to using AI in audit and accounting. With this guide, you’ll be able to build an innovative, automated accounting strategy, using artificial intelligence as the cornerstone and foundation. This is a must, because AI is quickly growing to be the single competitive factor for audit and accounting firms. With better AI comes better results. If you aren’t integrating AI and automation in the strategic DNA of your business, you’re at risk of being left behind. See how artificial intelligence can form the cornerstone of integrated, automated audit and accounting services Learn how to build AI into your organization to remain competitive in the era of automation Go beyond siloed AI implementations to modernize and deliver results across the organization Understand and overcome the governance and leadership challenges inherent in AI strategy Accounting and auditing firms need a comprehensive framework for intelligent, automation-centric modernization. Artificial Intelligence for Audit, Forensic Accounting, and Valuation delivers just that—a plan to evolve legacy firms by building firmwide AI capabilities. |
ai in revenue cycle management: 8th International Conference on SUSTAINABLE COMMERCE THROUGH AI: UNCOVER THE POTENTIAL M.S. Loganathan, The conference proceedings of the 8th International Conference on Sustainable Commerce through AI, Crystal-2024, likely include a collection of papers, presentations, and discussions that took place during the event. These proceedings would cover a wide range of topics related to the application of Artificial Intelligence (AI) in Commerce, reflecting the theme of Unlock the Potential. The proceedings may include Research papers, detailed studies and findings related to AI tools and techniques in various aspects of commerce such as Marketing, Finance, Human Resource, and others. It also include paper presentation summaries of research papers presented at the conference, covering topics like AI applications, case studies, and innovative approaches in commerce. Overall, the conference proceedings would serve as a comprehensive resource for researchers, practitioners, and policymakers interested in understanding the current state and future directions of AI in commerce, providing valuable insights and inspiring further research and collaboration in this field. |
ai in revenue cycle management: Smartsourcing Thomas M Koulopoulos, Tom Roloff, 2006-02-24 Outsourcing is the most popular movement of the new global business economy. In fact, the typical executive will soon spend one-third of their budget on outsourcing! Smartsourcing is the next evolution in outsourcing. Traditional outsourcing reduces costs by moving the work to where the least expensive workers are. While that may cut costs, it simply replicates the status quo. Smartsourcing goes a step further by showing companies how to partner with service providers to not only cut costs, but also increase innovation across the full spectrum of their business. Smartsourcing is the first book on the market to be ahead of the curve on one of the most important shifts in business today. |
ai in revenue cycle management: CODE BLUE TO CODE AI SUDHANSHU TONPE, 2024-08-23 The unique selling proposition (USP) of Code Blue to Code AI lies in its comprehensive exploration of the transformative impact of artificial intelligence (AI) on the healthcare industry. Authored by Dr. Sudhanshu Tonpe, the book stands out by: Expertise: Dr. Tonpe, an accomplished radiologist, brings his firsthand experience and insights to provide an authoritative perspective on the integration of AI in healthcare. Holistic Coverage: The book covers various facets, including medical diagnostics, drug discovery, patient engagement, and the collaboration between AI and healthcare professionals, offering a well-rounded understanding of the subject. Real-world Examples: By incorporating real-world case studies and examples, the book bridges the gap between theory and practical application, making the content relatable and insightful. Accessible Language: Dr. Tonpe communicates complex concepts in a clear and accessible language, making the book suitable for both healthcare professionals and a broader audience interested in the intersection of medicine and AI. Current Relevance: Given the dynamic nature of healthcare and AI, the book is likely to address contemporary issues and trends, keeping the content relevant and up-to-date. In essence, Code Blue to Code AI offers a unique blend of expertise, comprehensive coverage, practical examples, and accessibility, making it a valuable resource for anyone interested in the future of healthcare through the lens of artificial intelligence. |
ai in revenue cycle management: Artificial Intelligence Elvira Buijs, Elena Maggioni, Francesco Mazziotta, Gianpaolo Carrafiello, Federico Lega, 2024-09-13 Artificial Intelligence: Why and How it is Revolutionizing Healthcare Management identifies a roadmap for the appropriate introduction of artificial intelligence in healthcare organizations that responds to the need of decision-makers and managers to have a clear picture of how to move in the developing field of AI. |
ai in revenue cycle management: Clinical Practice and Unmet Challenges in AI-Enhanced Healthcare Systems Liu, Haipeng, Tripathy, Rajesh Kumar, Bhattacharya, Pronaya, 2024-08-05 As the demand for advanced technologies to revolutionize patient care intensifies, the medical industry faces a pressing need to confront challenges hindering the assimilation of AI-enhanced healthcare systems. Issues such as data interoperability, ethical considerations, and the translation of AI advancements into practical clinical applications pose formidable hurdles that demand immediate attention. It is within this context of challenges and opportunities that the book, Clinical Practice and Unmet Challenges in AI-Enhanced Healthcare Systems promises to pave the way for a transformative era in healthcare. The book serves as a comprehensive guide for academic scholars, researchers, and healthcare professionals navigating the dynamic landscape of data-driven, AI-enhanced healthcare. By showcasing the latest advancements, the book empowers its readers to not only comprehend the existing frontiers in data sciences and healthcare technologies but also to actively contribute to overcoming obstacles. Through detailed case studies and practical guidance, the publication equips its audience with the skills necessary to implement AI in various clinical settings. |
ai in revenue cycle management: Artificial Intelligence Harvard Business Review, 2019 Companies that don't use AI to their advantage will soon be left behind. Artificial intelligence and machine learning will drive a massive reshaping of the economy and society. What should you and your company be doing right now to ensure that your business is poised for success? These articles by AI experts and consultants will help you understand today's essential thinking on what AI is capable of now, how to adopt it in your organization, and how the technology is likely to evolve in the near future. Artificial Intelligence: The Insights You Need from Harvard Business Review will help you spearhead important conversations, get going on the right AI initiatives for your company, and capitalize on the opportunity of the machine intelligence revolution. Catch up on current topics and deepen your understanding of them with the Insights You Need series from Harvard Business Review. Featuring some of HBR's best and most recent thinking, Insights You Need titles are both a primer on today's most pressing issues and an extension of the conversation, with interesting research, interviews, case studies, and practical ideas to help you explore how a particular issue will impact your company and what it will mean for you and your business. |
ai in revenue cycle management: Superintelligence: AI Risks and Benefits Sahab Sabri, Saeed Sabri-Matanagh, 2024-08-15 Artificial intelligence (AI) stands at a pivotal crossroads, heralding advancements that promise to reshape societies and economies in profound ways. At the heart of this technological evolution lies the concept of superintelligence—a theoretical state where AI surpasses human intelligence across all domains. In ‘Superintelligence: AI Risks and Benefits’, this eBook offers a comprehensive exploration of this groundbreaking frontier, diving into its potential, risks, and the multifaceted discourse surrounding its development. With insights from leading experts in AI ethics, governance, and research, this eBook delves into the intricate details of superintelligence. Readers will discover an in-depth analysis of its definitions, the transformative benefits it could bring, and the ethical considerations that come with it. The book addresses the profound challenges and regulatory hurdles associated with managing such powerful technology while emphasizing the importance of responsible development. Through a multidisciplinary approach, ‘Superintelligence: AI Risks and Benefits’ brings together perspectives from AI researchers, philosophers, ethicists, policymakers, and global stakeholders. The discussions highlight both the remarkable possibilities that superintelligence might unlock—such as accelerated scientific breakthroughs and solutions to global issues—as well as the significant risks, including ethical dilemmas, societal disruptions, and existential threats. The eBook underscores the critical role of ethical frameworks, safety protocols, and international collaboration in shaping a future where AI enhances human well-being while mitigating potential harms. The United Nations’ perspective on AI’s role in advancing sustainable development goals further contextualizes the urgency of addressing AI's societal impacts and ensuring its equitable benefits. Join us on this enlightening journey into the realm of superintelligence, where we embrace the opportunities it presents and remain vigilant to the challenges ahead. May this eBook serve as a beacon for informed decision-making and a catalyst for meaningful discussions in the evolving landscape of artificial intelligence. |
ai in revenue cycle management: Future of Health Technology Renata Glowacka Bushko, 2002 This text provides a comprehensive vision of the future of health technology by looking at the ways to advance medical technologies, health information infrastructure and intellectual leadership. It also explores technology creations, adoption processes and the impact of evolving technologies. |
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