Justin Campbell, Vice President, Galen Healthcare Solutions
Most healthcare organizations have already managed the transition from paper to electronic medical records. It was time-consuming, challenging and nerve-wracking. But with the first-generation of EMRs approaching the end of their usefulness, with mergers and acquisitions requiring the adoption of new systems (most incompatible with the legacy systems), with the advent of new government standards, more rigorous legal requirements and
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Payment Integrity: Is AI The Real Answer to Reducing Overutilization?
Doug Williams, Chief Operating Officer at HMS
Some experts estimate that $200 billion is wasted each year on unnecessary or excessive medical testing and treatment. This could be up to 40% of the unnecessary spending in the system today.
Despite the extreme focus to reduce the total amount spent on healthcare, why does extensive spending on unnecessary or excessive tests or procedures continue? The easy answer is because it is often difficult to spot what is unnecessary or
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ettain group Acquires Leidos’s Commercial EHR Consulting Business
- Talent solutions firm ettain group acquires Leidos Inc.’s commercial Electronic Health Records (EHR) consulting business to further strengthen its national Healthcare IT capabilities- The acquisition will grow its IT staffing presence in several strategic markets, including New York, NY, Denver, CO, and Chicago, IL.ettain group, a Charlotte, NC-based provider of talent solutions, announced today that it has acquired Leidos Inc.’s commercial Electronic Health Records (“EHR”) consulting
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3 Myths About Robotic Process Automation in Healthcare, Debunked
Jason Warrelmann, Global Director of Healthcare and Life Sciences, UiPath
Patients’ wellbeing should be the central focus of healthcare. Unfortunately, this isn’t always the case. Studies show that doctors spend almost half their time on data entry and more than half of their workdays managing records instead of caring for patients. Add this lost time to the fact that healthcare in the United States is already understaffed – averaging 2.5 healthcare practitioners to every
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Mastercard Unveils Suite of Healthcare Solutions to Detect Fraud & Protect Health Data
- Mastercard unveils new suite of healthcare solutions to move beyond cards and reimagining how its technology and capabilities can benefit the healthcare ecosystem. - Mastercard Healthcare Solutions will develop and provide the tools needed to protect detect fraud, waste, and abuse, capture more revenue, and protect patient health data.Mastercard today unveiled Mastercard Healthcare Solutions, a new suite of products dedicated to helping healthcare partners detect fraud, waste, and abuse,
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eSolutions Acquires Medidal to Strengthen Its Position in Hospital Revenue Recovery
- eSolutions acquires Medidal, a provider of Transfer DRG, Payer Search, and Pharmacy Reimbursement solutions for an undisclosed sum. - As healthcare reimbursement challenges continue to increase, eSolutions adds to its revenue cycle expertise with new capabilities that ensure providers are paid accurately. eSolutions, an Overland Park, KS-based healthcare technology company working to strengthen providers’ revenue health, announced that it has acquired Medidal, a provider of Transfer DRG, Payer
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7 Best Practices to Improve Professional Fee Revenue Cycle for Better ED Bottom Lines
Weaver Hickerson, CEO, LightSpeed Technology Group
Most healthcare organizations partner with physician services groups for niche coverage. While outsourced medical services are available across all specialties, common areas for external physician support include anesthesia, radiology, wound care, and emergency medicine. However, when outsourced physician services are used, challenges to ensure accurate reimbursement for both components of care—the hospital portion and the physician’s
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Providers Struggle to Integrate Revenue Cycle Operations with Clinical Operations
- Navigant executive survey conducted by HFMA finds providers struggle to integrate revenue cycle operations with clinical operations. - Survey of 108 hospital and health system chief financial officers and revenue cycle executives find 62% suggest EHR adoption challenges have been equal to or outweighed benefits specific to their organization’s revenue cycle performance.- More than 60% of providers struggle to derive optimal value from their electronic health records (EHRs).Only 3% percent of
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Walmart Health Taps Zotec Partners to Power Patient Financial Experience
Walmart Health's first "super center in Dallas, GA
- Walmart Health has formed an end-to-end RCM technology and services relationship with Zotec Partners to simplify the healthcare financial experience processes for its customers, including primary care, dental, vision, and mental health services.
- Zotec’s technology will enable Walmart Health patients to schedule and register for appointments ahead of time, confirm or change insurance and demographic information, see estimated cost for
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Change Healthcare Unveils AI-Infused Charge Capture for Providers
- Change Healthcare unveils a new AI solution, Charge Capture Advisor that will help providers capture more revenue—automatically.
- Charge Capture Advisor identifies potentially missing charges for services that providers performed before claims are submitted.
- Change Healthcare’s AI for charge capture is trained on more than 500 million service lines and 180 million unique, de-identified claims that touch $245 billion in charges.
Change Healthcare today introduced
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