A quick, efficient, and well-managed revenue cycle creates a solid foundation for a profitable medical organization. That’s why if you’re responsible for ensuring the health of your organization's revenue cycle and you are not using AI for medical coding, you are not doing your job. Let me explain. Some RCM professionals may see medical coding as a small portion of the revenue cycle; however, its reach is wide. The quality and accuracy of medical coding can either negatively or
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Fathom Secures $46M for AI Medical Coding Automation Platform
What You Should Know: - Fathom, an AI-powered medical coding automation platform raises $46M in Series B funding co-led by Alkeon Capital and Lightspeed Venture Partners with participation from Vituity’s Inflect Health, Cedars-Sinai, ApolloMD, Jonathan Bush, and other healthcare executives. - The company plans to use the funding to advance the standard in automated medical coding in response to critical challenges facing providers. The Series B round brings Fathom’s total funding to
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KLAS-Bain: Post-Pandemic Investment Priorities for Healthcare Providers
What You Should Know: - Competition in the provider IT space shows no signs of abating: Early-stage capital, big tech, and scale EMR players continue crowding into more segments. This has significant implications for providers as they transition into a new disruptive period, for software players as they fine-tune go-to-market models for the current environment, and for private equity investors as they look to invest behind winning themes. - A new report by KLAS Research and Bain &
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Why Data is at the Heart of Value-Based Care Success
The saying “you cannot manage what you cannot measure” applies to all aspects of healthcare delivery, but it is especially true in value-based care. After all, payers, providers, and the patients they care for need to know what high-value care looks like at an individual level – and how it can be applied at the population level. Delivery and technology infrastructure. All too often, data is captured in disparate systems, forcing administrative staff – or, worse, physicians and nurses – to
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XpertDox Secures $1.5M to Automate Medical Coding Process
What You Should Know: - Today, XpertDox, LLC., a Birmingham, AL-based revenue cycle company specializing in autonomous medical coding powered by artificial intelligence raises $1.5M from TN3, LLC, an Arizona based Private Equity Capital firm. - XpertDox's XpertCoding solution harnesses the power of artificial intelligence in order to autonomously code medical claims faster, more accurately, and cheaper than traditional manual processes. XpertDox is utilizing the funding to
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HFMA: DeliverHealth Launches AI-Driven Autonomous Coding
What You Should Know: - DeliverHealth, a provider of technology-enabled solutions for hospitals, health systems and group practices launches artificial intelligence (AI) driven autonomous coding for a simpler, more efficient way to accelerate revenue cycle optimization. - The autonomous coding platform removes inherent complexities clinicians and care teams face while helping administration and operations obtain the realization of their EHR investments. Combating the Impact of the
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KAID Health Raises $4.25M for AI-Powered Provider/Payer Whole Chart Analysis Platform
What You Should Know: KAID Health,makers of anartificial intelligence-enabled clinical analysis and provider engagement platform,today announced its $4.25M in Series A funding bringing their total capital raised to $6.45M. - The funding will fuel growth of the provider/payer platform that integrates with the electronic medical records (EMR) to identify high-value tactical care and coding interventions. The company will also expand its Boston, MA office and will hire new team
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Olive Partners with Magenta to Revolutionize Risk Adjustment Process
What You Should Know: - Olive, the automation company creating the Internet of Healthcare, today announced its partnership with Magenta Care Continuum, a HIPAA-compliant health records vault that includes care gap analytics. - Through the Olive Library, payers and providers can access Magenta's solutions to help close care gaps, improve billing and claims occurrence and ensure compliance and revenue integrity for value-based population management. Automating the Risk
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Fathom Receives Strategic Investment for Medical Coding Automation Platform
What You Should Know: - Fathom, the first medical coding automation company to receive an investment from a national physician group, Inflect Health the innovation hub of Vituity and one of the largest physician-led provider groups in the United States. - Fathom will also leverage Vituity’s expertise in the revenue cycle as it refines the Fathom platform to alleviate staffing challenges, reduce denials and mitigate audit risk. Fathom is the only medical coding platform that can fully and
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Clamping Down on Upcoding Risk: 3 Steps to Ensure Proper Payment & Compliance
A recent report from the HHS Office of the Inspector General (OIG) turned heads across the healthcare industry after pointing to a notable rise in inpatient hospital stays where upcoding was believed to be the culprit. Compliance professionals who have been in the healthcare industry any length of time know what's next: targeted billing reviews by the Centers for Medicare and Medicaid Services (CMS) around hospital stays that are vulnerable to upcoding. More
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