What You Should Know
The Partnership: Stamford Health, a 305-bed independent health system in Connecticut, has selected Ensemble Health Partners to manage its end-to-end revenue cycle operations.The Clinical Pedigree: Stamford Health is recognized as the #1 Hospital in Fairfield County by U.S. News & World Report, holds Magnet Status for nursing excellence, and is Planetree Gold-Certified for person-centered care.The RCM Tech Stack: Ensemble will deploy its integrated operating model,
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
HIMSS26: Epic EHR Unveils ‘Agent Factory’ and Custom Foundation Models
What You Should Know
The Milestone: At HIMSS26, Epic announces that more than 85% of Epic’s customer base is now actively utilizing its suite of artificial intelligence tools.Clinical ROI (Art): Epic's clinician-facing AI, Art, is generating massive clinical and operational leverage. The ambient listening tool, Chart with Art, is now expanding into bedside nursing (live at Houston Methodist) and home care. Beyond charting, Art is actively driving clinical outcomes—such as boosting early lung
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HIMSS26: MEDITECH Expands Expanse AI Portfolio with Native Ambient Intelligence and Claim Denial Agents
What You Should Know
The Launch: At the HIMSS26 conference, MEDITECH announced a major expansion of its Expanse AI portfolio, signaling a shift toward natively embedded artificial intelligence.Native Ambient Listening: Instead of relying on third-party integrations, MEDITECH has embedded ambient listening directly into the Expanse Now app for physicians and the Expanse Point of Care app for nurses. The AI captures conversations in real time, automatically generates clinical notes, and parses
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HIMSS26: Innovaccer Launches Flow Capture to Bring Autonomous AI to Medical Coding
What You Should Know
The Launch: Innovaccer has launched Flow Capture, an autonomous medical coding solution designed to eliminate the manual bottleneck in the hospital revenue cycle.The Metric: The system is engineered to autonomously code approximately 80% of encounters without any human intervention. The remaining 20% of complex edge cases are routed to certified human coders with full AI-assisted context.The "Upstream" Advantage: Flow Capture succeeds because it doesn't wait for the visit
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Elation Health Launches AI Fast Lane to Automate Primary Care Billing Workflows
What You Should Know
The Launch: Elation Health, a clinical-first technology platform for primary care, has launched new AI-powered billing workflows featuring a "touchless fast lane" for claims.The Hard ROI: In pilot practices, 72% of eligible routine claims were created completely touchlessly directly from the visit note sign-off. Of those, over 95% were reviewed, confirmed, and submitted for reimbursement without any additional manual intervention.Smart Coding in the Encounter: The AI
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Google Cloud Showcases Agentic AI Healthcare Partnerships with CVS Health, Humana, and Waystar
What You Should Know
The Paradigm Shift: At HIMSS 2026, Google Cloud officially signaled the end of the "point-and-click" software era in healthcare, ushering in the age of "agentic AI"—systems that autonomously execute complex, multi-step workflows.The Infrastructure: These capabilities are powered by Vertex AI and the multimodal Gemini models, operating within a secure, HIPAA-compliant "walled garden" that ensures patient data is never used to train Google’s foundation models.CVS Health's
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AI in Healthcare Revenue Cycle Management: Moving from Automation to Prediction
Revenue Cycle Feels Different Now
There was a time when revenue cycle performance was judged mostly by operational benchmarks. Claims processed. Days in accounts receivable. Staffing ratios. Those measures still matter, but they no longer tell the full story.
Over the past several years, something has shifted. Denials feel less predictable. Payer interpretations vary more widely. Documentation requirements seem to tighten without much notice. Revenue cycle leaders spend more time managing
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Procode AI Exits Stealth With $4M and Acquires RCM Leader The Auctus Group
What You Should Know
The Launch: Procode Inc., an AI-powered revenue cycle management (RCM) company for private practice surgeons, has officially emerged from stealth with $4M in funding.The Acquisition: In a bold go-to-market move, the startup has already acquired The Auctus Group, the leading U.S. medical biller for plastic surgeons and a top-three biller in dermatology. The Auctus Group currently serves more than 300 providers.The Backers: The $4M investment was led by Story Ventures, with
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Qventus Launches AI-Powered Care Gap and Coding Automation Suite for EHR Workflows
What You Should Know
The Launch: Qventus has launched the Care Gap and Coding Automation Suite, an AI-powered platform embedded directly into the EHR to identify missed diagnoses, orchestrate clinical interventions, and complete documentation in real time.The First Module: The suite is debuting with Malnutrition Care Automation. Severe malnutrition is frequently overlooked in acute settings, resulting in longer hospital stays, higher readmission risks, and an average loss of $10,000 per
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RevSpring Acquires TrustCommerce to Expand Integrated Healthcare Payment Gateway
What You Should Know
The Deal: RevSpring (backed by Frazier Healthcare Partners) has acquired TrustCommerce (a portfolio company of Waud Capital Partners) to build a dominant, end-to-end healthcare payment platform.The Tech: TrustCommerce brings its enterprise gateway connectivity and deep integrations with major Electronic Health Records (EHRs). This allows RevSpring to offer a seamless, unified payment stack from the front desk to the back office.The "BYOM" Advantage: A major strategic
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