In Practice: Building RCM Automation Around the Realities of Tribal Health with Carmen Lovato

Building RCM Automation Around the Realities of Tribal Health Host Jenna Hagan, vice president of revenue cycle national sales at NextGen Healthcare, talks with Carmen Lovato, clinical informatics coordinator at Kewa Pueblo Health Corporation, about what it takes to make revenue cycle automation work in tribal health settings. At Santo Domingo Health Center, billing was complicated by patterns tribal health centers encounter often: patients seeing multiple providers in one day, specialty-specific coding requirements, payer rules, and claims that needed the right insurance attached from the start. Carmen shares how her team used standard and custom rules to reduce manual review, catch issues earlier, and help clean claims move through faster. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen