- 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
Read More
integrity
3 Myths About Robotic Process Automation in Healthcare, Debunked
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 1,000 patients – and it’s easy to see that something’s got to give to bring
Read More
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,
Read More
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
Read More
7 Best Practices to Improve Professional Fee Revenue Cycle for Better ED Bottom Lines
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 professional fee—increase.
Snafus are largely attributable
Read More
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
Read More
Walmart Health Taps Zotec Partners to Power Patient Financial Experience
- 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 services, receive text and email updates, efficiently
Read More
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 Charge
Read More
How Will FY2020 IPPS Proposed Rule Affect Hospital CDI Programs?
In April, Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2020 inpatient prospective payment systems (IPPS) proposed rule. The proposed rule notably includes approximately 1,500 complications or comorbidities (CC)/major complications or comorbidities (MCC) designation changes and 324 changes to International Classification of Diseases (ICD)-10-CM codes, along with several other updates. The designation changes are an effort to respond to the notion that the
Read More
Referential Matching—What It Is and Why It Matters for Providers
Clean patient data is the critical first step for any successful health IT integration, EHR conversion, interoperability initiative or electronic information exchange. According to a recent Pew Charitable Trusts report, most hospital executives and administrators believe the accuracy of patient matching when information is exchanged between organizations with different EHR systems is subpar.
Further, as health systems continue to consolidate and add more data to their networks, the importance of
Read More
