What You Should Know
- Penguin Ai has announced the launch of its Hierarchical Condition Category (HCC) Coding & Risk Adjustment solution as a Snowflake Native App.
- By bringing its risk-adjustment intelligence directly into a customer’s Snowflake environment, Penguin Ai enables Medicare Advantage (MA) plans and risk-bearing providers to automate diagnosis extraction and improve Risk-Adjustment Factor (RAF) accuracy without moving or exposing sensitive patient data.
The "Data
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medical coding
Commure Autonomous Coding Scales to 200+ Sites with OBHG: Clinicians Reduce Charge Time by 83%
What You Should Know:
- Commure, a healthcare technology company, and Ob Hospitalist Group (OBHG), the nation's largest provider of OB/GYNs, have formed a strategic partnership to deploy Commure’s Autonomous Coding solution across nearly 2,000 clinicians and over 200 care sites.
- Early results are compelling: within three months, clinicians reduced the time spent entering charges by an impressive 83%, with AI now coding over 85% of all charges. This deployment strengthens
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HGM Limited Acquires Aidéo Technologies to Expand AI-Driven RCM Platform
What You Should Know:
- HGM Limited, a global technology-driven enterprise focused on building AI-driven healthcare services, has announced that its wholly-owned U.S. subsidiary, Healthcare Capital Holdings LLC (HCH), has entered into a definitive agreement to acquire Aidéo Technologies LLC.
- HGM Limited, through its U.S. subsidiary, will acquire 100% of Aidéo Technologies LLC through an equity transaction. The acquisition is expected to close in August, subject to customary
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Arintra Raises $21M to Expand Beyond Autonomous Medical Coding
What You Should Know:
- Arintra, a provider of GenAI-native autonomous medical coding, has announced a $21M Series A funding round led by Peak XV Partners, with participation from Endeavor Health Ventures, Y Combinator, and other strategic investors.
- The funding will be used to accelerate product development, grow the team, and establish a new headquarters in the Bay Area to meet rising demand.
Redefining Medical Coding with Revenue Assurance
Healthcare
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Ledger Lines to Neural Nets: Re-engineering Medical Coding for the GPU Age
In 1971, a small team at Boston’s Beth Israel Hospital, led by Dr. Howard Bleich and Dr. Warner Slack, booted up the hospital’s first Center for Clinical Computing. Their PDP-11 minicomputer stored lab results and a few hundred ICD-8 codes on nine-track tape. Each evening, residents lined up to run charge‐slip reports and marvel at the glow of the terminal. Fifty years later, we still tabulate charges, but the code set has grown from those few hundred entries to nearly 70,000 in ICD-10-CM,
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KODE Health Raises $27M for On-Demand Medical Coding Platform
What You Should Know:
- KODE Health, a leading provider of on-demand medical coding solutions, today announced a $27M in Series B funding round led by Noro-Moseley Partners with participation from Mercury, FCA Venture Partners, Epsilon Innovation Fund, and 111 West Capital.
- The funding will fuel the company's mission to transform medical coding through its innovative platform that connects healthcare systems with certified coding professionals and leverages AI to optimize
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Bluespine Raises $7.2M to Combat Medical Overbilling with AI
What You Should Know:
- Bluespine, an AI-driven claims cost reduction platform for self-insured employers, has secured $7.2M in seed funding to address the pervasive issue of medical overbilling in the US healthcare system led by Team8.
- The seed funding will accelerate Bluespine's adoption by US employers and brokers, as well as support further research and development.
Tackling the Healthcare Cost Crisis
Bluespine was co-founded by a team of technology experts with deep
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Tanner Health Partners with Corti to Revolutionize Medical Coding with AI
What You Should Know:
- In a move set to transform healthcare operations across Georgia and Alabama, Tanner Health and Healthliant Ventures have announced a strategic partnership with Corti, the trusted AI platform to healthcare systems worldwide.
- The collaboration is expected to significantly streamline medical coding, reduce administrative burdens by 80 percent, and enhance the overall accuracy of billing systems. This integration will empower healthcare professionals to spend less
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The ‘Holy Grail’ of Coding Automation: Why Inpatient AI is Around The Corner
Autonomous inpatient coding. This may sound like a pipe dream for revenue cycle leaders, whose hopes were likely raised and crushed in the early aughts. But it's coming sooner than most think.
Why is true inpatient coding automation the "holy grail" – as Kerry Gillespie, a former CFO at Intermountain Health and now an executive consultant at Warbird Consulting Partners, said to me at a Healthcare Financial Management Association roundtable last year?
For decades, inpatient services have
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HIMSS24: CodaMetrix Secures $40M for AI-Driven Medical Coding Solutions
What You Should Know:
- CodaMetrix, a provider of artificial intelligence (AI) solutions for healthcare revenue cycle management, has announced the successful closing of its $40 million Series B funding round led by Transformation Capital with participation from existing investors SignalFire, Series A lead, and Frist Cressey Ventures.
- The Series B funding round will fuel further development of CodaMetrix's AI-powered platform, designed to streamline medical coding, improve data quality,
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