UASI and Protiviti Explore AI in the Middle Revenue Cycle

Artificial intelligence is rapidly changing how healthcare organizations approach coding, clinical documentation integrity, and health information management (HIM). But realizing the value of AI requires more than implementing new technology. It also requires the right people, processes and oversight.

UASI CEO Nancy Koors recently partnered with Bryan Beaudoin, Associate Director and HIM Solution Lead at Protiviti, to explore this evolving landscape in their co-authored insight, From Automation to Empowerment: Six Ways to Operationalize AI in the Middle Revenue Cycle.

Moving From AI Adoption to Operational Impact

As healthcare organizations expand their use of AI, the authors emphasize the importance of viewing AI as a partner to human expertise rather than a replacement for it.

The insight outlines practical strategies for successfully integrating AI into middle revenue cycle operations, including:

• Redeploying coding and CDI professionals into higher-value auditing and validation roles
• Upskilling teams to work effectively alongside AI-enabled technologies
• Training staff on new AI-supported workflows
• Educating providers and building trust in AI as a clinical support tool
• Establishing strong governance, auditing and monitoring processes
• Tracking performance to ensure AI delivers measurable results

Human oversight remains particularly important as organizations adopt AI. Validating AI-generated outputs, monitoring performance and establishing feedback loops can help organizations maintain accuracy, compliance and revenue integrity while realizing the efficiencies AI can provide.

Ultimately, successful AI adoption is as much a workforce and operational transformation as it is a technology initiative. Organizations that invest in their people while establishing the right governance and performance measures will be better positioned to turn AI's potential into trusted, measurable outcomes.

Read the full insight, From Automation to Empowerment: Six Ways to Operationalize AI in the Middle Revenue Cycle, on Protiviti's website.

About the Authors

Nancy Koors, MBA, MS, BS 

CEO, UASI

Nancy serves as Chief Executive Officer of UASI, where she leads the company’s strategic growth and development of innovative solutions that meet the evolving needs of healthcare organizations. She brings extensive executive leadership experience, having served as CEO, COO, President and Chief Marketing Officer across multiple industries. Nancy holds an MBA, Master of Science and BS in Marketing and Finance.

Bryan Beaudoin, PMP, CHFP, CPHRM, CHC

Associate Director, HIM Solution Lead, Protiviti

Bryan Beaudoin is an Associate Director and Health Information Management Solution Lead at Protiviti with 13 years of healthcare strategy and consulting experience. He specializes in clinical documentation and coding integrity, revenue cycle management, healthcare compliance and risk management. Bryan has led large-scale medical record audits and the redesign of CDI, HIM and compliance coding functions. He holds multiple healthcare and project management certifications.