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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medical coding
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.
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Nym Health Raises $25M to Expand Automated Medical Coding Platform
- Today, Nym Health, a leader in explainable AI and automated medical coding, announced an additional $25M in funding, led by Addition brings the company’s total funding to $47.5M. Addition joins existing investors GV, Dynamic Loop Capital, Tiger Global, Bessemer Venture Partners, and Lightspeed, as well as angel investors Zach Weinberg and Nat Turner.
- The new investment will be used to scale product development and accelerate the rapid adoption of Nym's automated medical coding
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RCM: How Coding Gray Areas Skew Healthcare Data
Clinical reality, the ICD-10-CM classification system, and considerations of reimbursement are three distinct worlds that are sometimes in conflict. We don’t like it when financial considerations intrude on the purity of coding, but there’s no escaping this intrusion when coding serves as both the representation of the clinical picture in healthcare data and as the basis for reimbursement.
Sepsis Definitions at Odds
Sepsis provides a great illustration of a coding gray area that can
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Olive, ASUS Partner to Bring AI-Assisted Medical Coding to 775+ Hospitals
What You Should Know:
- Olive and ASUS announced their partnership to bring AI-assisted medical coding to over 775 U.S. hospitals. Olive will bring ASUS Miraico, the AI medical coding assistant, to healthcare providers via the Olive Helps platform.
- The addition of Miraico to the Olive Helps system will allow the AI to analyze clinical terms in medical records
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Q1 2021 Health IT/Digital Health PC/VE, M&A, IPOs/ SPACs Activity
The first quarter of 2021 has been one of investor optimism as the vaccine rollout continues ahead of expectations and economic activity begins to accelerate in response. Within the Health IT industry, the already strong investment and M&A trends seen in 2020 have only accelerated. Over the course of the quarter, we observed $7 billion in private equity and venture capital investment across 158 companies.
By comparison, Q1 of 2020 saw $3.2 billion and 127 investments. Health IT
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Omega Healthcare Acquires himagine Solutions to Expand Global Delivery Model
What You Should Know:
- Omega Healthcare, a provider of outsourced revenue cycle management and other healthcare support services, today announced the acquisition of himagine Solutions, a St. Louis based provider of medical coding and registry services. The transaction expands the service capabilities and geographical footprint of both companies, enhancing the ability to service clients globally.
- Through this acquisition Omega Healthcare will be
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Can AI Pave the Path to Reducing Physician Burnout?
The timing couldn’t be more critical for us to start making serious headway to reduce the growing problem of burnout among America’s physicians. In 2018, physician burnout was already at an alarming 42%, but that number is growing as COVID-19 cases surge around the country.
While we are at a hopeful place in the virus’ trajectory with millions of vaccinations administered, the reality – even once we get through the pandemic – is quite grim for physicians and their
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Providence Combines 9 Investments & Acquisitions to Form Tegria
What You Should Know:
- Providence combines nine operating companies to form
Tegria into a comprehensive suite of offerings for organizations across the
health care sector
-Tegria will focus on three key initiatives—healthcare
consulting and technology services, revenue cycle management solutions and
software technology and platforms.
Providence, one of the nation's largest health systems announce the formation of Tegria, a new company designed to provide next-generation
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Innovaccer Unveils Risk Adjustment Solution For Improved Coding Accuracy
What You Should Know:
- Innovaccer unveils new risk adjustment solution to help providers better segment their population to refine the risk scoring process and improve coding accuracy and efficiency, thereby improving performance on risk-based contracts.
- The solution utilizes Artificial Intelligence (AI) and
Natural Language Processing (NLP) to make risk predictions.
Innovaccer, Inc., a
leading healthcare
technology company, has launched its Risk Adjustment
Solution. Leveraging
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