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Pre-Authorization

OpenLoop Raises $8M to Expand Full Stack, White Label Telehealth Services

by Fred Pennic 03/15/2022 Leave a Comment

OpenLoop Raises $3M to Expand Digital Health Marketplace for Clinicians

What You Should Know: OpenLoop, a health tech startup delivering full-stack clinical support to companies launching and scaling virtual care services across the nation raises a Series A funding round of $8M led by SpringTide Ventures.  - OpenLoop, known for the quality, flexibility and breadth of services they offer to clients who are often early in their telehealth delivery journeys, will use this fresh capital to continue to expand their technology-enabled infrastructure. They will be
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The Future of Patient Access: From Appointment Reminders to Automated Patient Journeys

by Rick Halton, Vice President of Marketing, Lumeon 10/19/2020 Leave a Comment

The Future of Patient Access: From Appointment Reminders to Automated Patient Journeys

The concept of 'Patient Access' has evolved significantly. We all remember the good old days when patient access was an inbound responsive model – patients dialed into a call center phone number and were connected "round-robin" to the next available staff member with their call script. Then outbound voice and email messages and patient appointment reminders became common, and now access centers have begun to deploy more advanced communication channels such as natural language voice response,
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Designing A Digital Experience to Drive Revenue and Patient Engagement

by Bill Krause, VP and GM, Digital Experience and Consumer Engagement at Change Healthcare 08/20/2020 Leave a Comment

Designing A Digital Experience to Drive Revenue and Patient Engagement

With the rise of healthcare consumerism, people are looking to hospitals, health systems, and physician practices to deliver the same user-friendly, digital experiences they receive from other industries. A recent survey found that more than 80% of consumers surveyed believe “shopping for healthcare should be as easy as shopping for other common services.” Specifically, they want streamlined access points online where they can shop for and purchase healthcare, easily make appointments,
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How Software Solutions Can Help ASCs Maximize the Revenue Cycle in 2020

by Tara Vail, Chief Operating Officer, HST Pathways 01/09/2020 Leave a Comment

How Software Solutions Can Help ASCs Maximize the Revenue Cycle

In the modern health care environment, health care executives must be careful custodians of precious resources. Yet in December 2018, 26 percent of hospitals still lacked an effective healthcare revenue cycle solution. Other research has found that over 60 percent of hospitals and health systems are not realizing optimal value from their electronic health record (EHR ) system, causing the organizations to collaborate with other vendors and outsourcing companies to improve revenue cycle
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Waystar Acquires AI-Powered Revenue Cycle Platform Recondo Technology

by Fred Pennic 12/04/2019 Leave a Comment

Waystar Acquires Recondo Technology

- Waystar acquires Recondo Technology, a provider of revenue cycle automated solutions powered by robotic process automated (RPA). - Recondo brings additional artificial intelligence and machine-learning technologies to Waystar’s broad portfolio of solutions.- With new capabilities, improved data efficacy and a larger team, Waystar can help healthcare organizations consolidate vendors and capture more revenue.Waystar, a provider of revenue cycle technology, today announced the acquisition of
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Global Medical Billing Outsourcing Market to Reach $19.7B by 2026

by Fred Pennic 04/26/2019 Leave a Comment

Revenue Integrity Dysfunctional Patient Billing Major Distraction for Patients & Clinicians 6 Metrics to Improve Hospital Revenue Cycle ROI_revenue cycle makret

 The global medical billing outsourcing market size is projected to reach USD 19.7 billion by 2026 expanding at a compound annual growth rate (CAGR) of 11.8%, according to a Grand View research report. The report reveals that revenue cycle management (RCM) is one of the most complex components of healthcare IT business driven by challenges in rising healthcare costs, market consolidation, an explosion in clinical documentation, and value-based care initiatives.Key Market Drivers for Global
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Onera Health Raises $9.3M to Pilot Medical Grade Sleep Diagnostics Patch

by Jasmine Pennic 04/23/2019 Leave a Comment

Onera Health Raises $9.3M to Pilot Medical Grade Sleep Diagnostics Patch

Onera Health Inc., a Palo Alto, CA-based sleep diagnostic solutions and services provider announced it raised $9.3 million in Series A funding led by Jazz Pharmaceuticals, imec.xpand, as well as other investors including imec and BOM. The digital health startup’s vision is to transform sleep diagnostics with the development of the world’s first at-home medical grade sleep diagnostics patch system.1 Out of 5 People Suffer From A Sleep DisorderThe need for better sleep testing is great. One in
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CAQH Index: Healthcare Claims Automation Could Save Industry $11B Annually

by Fred Pennic 06/15/2018 Leave a Comment

CAQH Index Healthcare Claims Automation Could Save Industry $11B Annually

The U.S. healthcare industry made a modest amount of progress in healthcare claims automation, but a significant opportunity to save $11.1 billion annually remains, according to new data released today in the fifth annual CAQH Index. The report shows increased use of some manual transactions – primarily via web portals – resulting in a reversal of gains made for some of those transactions in previous years and the increase in potential savings.  The $11.1 billion industry savings opportunity is
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Fixing Healthcare’s Broken Pre-Authorization Screening & Verification Model

by Our Thought Leaders 06/27/2016 1 Comment

Fixing Healthcare’s Broken Pre-Authorization Screening & Verification Model

Editor's Note: David Dyke is the Vice President of Product Management & Business Development at RelayHealth where he is responsible for delivering innovation and value to the healthcare providers across revenue cycle management. Among the processes that influence the healthcare revenue cycle, pre-authorization stands out—but not in a good way. It lacks the foundation of a widely-adopted electronic data exchange, resulting in repeated manual, ad hoc methods of securing and confirming payer
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