In late 2023, a multi-hospital health system in the Southeast saw a sudden spike in payer requests for documentation. The compliance team had been running routine retrospective audits, but the pace of incoming denials and takebacks began to outstrip their ability to respond. Within six months, the organization reported more than $11 million in at-risk revenue and a doubling of external audit activity.
Despite their best efforts, the system was playing defense.
This story
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Health IT | News, Analysis, Insights - HIT Consultant
Humana and Epic Launch Coverage Finder to Deliver Digital-First Medicare Advantage Check-In
What You Should Know:
- Humana today announced the broad activation of Epic’s Coverage Finder and Digital Insurance Card Exchange for its Medicare Advantage members.
- The partnership streamlines check-in and ensures automated, paperless insurance verification for over 800,000 members at hundreds of health systems today announced the broad activation of Epic’s Coverage Finder and Digital Insurance Card Exchange capabilities for its Medicare Advantage membership – marking a
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Why Ambient AI is Now a Deciding Factor in Clinician Recruitment
Health systems nationwide are grappling with a critical and intensifying challenge: how to attract and retain the next generation of clinical talent.
With the physician shortage not showing signs of slowing down, organizations are in dire need of new strategies to retain the talent they’ve cultivated, while also appealing to younger clinicians who will be essential to meeting the rising demand for care.
Unlike many of their more seasoned counterparts who may be comfortable with
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NVIDIA, Sheba, and Mount Sinai Partner to Decode 98% of Human Genome with LLM
What You Should Know:
- ARC Innovation at Sheba Medical Center and the Icahn School of Medicine at Mount Sinai (part of the Mount Sinai Health System) have announced a major three-year collaboration with NVIDIA. The initiative focuses on applying Large Language Model (LLM) technology to genomic research.
- The primary objective is to pioneer the decoding of the majority (98%) of the human genome that remains poorly understood. By deciphering this area—once labeled "junk DNA"—researchers
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Thrivory Raises $25M Credit and $3.5M Equity to Eliminate Healthcare Reimbursement Delays with AI
What You Should Know:
- Thrivory, the AI-powered healthcare fintech company, has secured $3.5M in equity led by Redesign Health and up to $25M in credit from Trinity Capital.
- The funding supports the scale of its ThriveNow API, which embeds instant, non-recourse claims payments directly into EHR and practice management systems.
Solving Healthcare’s Biggest Financial Barrier: Slow Reimbursement
Thrivory, a healthcare AI company founded in 2023, is tackling the slow and unpredictable
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TytoCare Integrates With Teladoc Health to Augment Virtual Primary and Urgent Care
What You Should Know:
- TytoCare, the company leading in-home, clinical-grade physical exams, today announced a strategic collaboration with Teladoc Health. The collaboration will integrate TytoCare’s Home Smart Clinic with Teladoc Health’s 24/7 Care and Primary360 primary care programs.
- This integration, set to begin rolling out to select customers during 2026, aims to elevate home-based care by providing Teladoc Health care teams with essential diagnostic insights collected directly at
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Why AI in Healthcare ERP is the Biggest Opportunity for Cost Reduction
When most healthcare executives hear about artificial intelligence, they think of drug discovery or clinical trials, but the bigger opportunity is happening behind the scenes. Enterprise resource planning (ERP) systems are the backbone of finance, supply chain and compliance, and they’re beginning to leverage AI to transform how healthcare companies understand and act on their data.
By 2025, most major ERP platforms will ship with built-in AI features, but the question is how advanced and
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HIT Professional Services Outlook 2025: CIOs Prioritize Investment in AI, Cybersecurity, and EHR Optimization
What You Should Know:
- The 2025 healthcare landscape is marked by significant uncertainty due to evolving reimbursement models and shifting federal policies. Margin pressures are intensifying across the industry. However, healthcare organizations are responding by intensifying, not cutting, investments in Health Information Technology (HIT) professional services.
- A survey of 105 CIOs by KLAS Research revealed that the vast majority plan to maintain or increase spending on
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Lunit and Labcorp Collaborate to Transform AI-Powered Digital Pathology Research
What You Should Know:
- Lunit, a provider of AI for cancer diagnostics and precision oncology, and Labcorp, a global leader in innovative and comprehensive laboratory services, today announced a strategic collaborative initiative. The partnership is designed to accelerate innovation in digital pathology (DP) and artificial intelligence (AI) for both oncology research and clinical care.
- The core of the collaboration is leveraging Labcorp’s extensive clinical and pathology expertise
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Is Your Patient Portal Obsolete? Why a Basic Portal No Longer Meets 2025 Patient Expectations
The goal of a patient portal is to facilitate patient engagement – to give patients a more integral and active role in their own healthcare.
But recent research shows that 65 percent of patients believe that coordinating and managing healthcare – two areas where a portal should be helping – is overwhelming and time-consuming. This friction can have an impact on care outcomes: 54 percent of patients believe their health would be better if they had more support navigating the healthcare
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