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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant

Commure Launches AI-Powered Speech-to-Cursor Dictation Tool for Clinical Workflows

by Fred Pennic 04/02/2026 Leave a Comment

What You Should Know The Launch: Revenue cycle and clinical AI platform Commure has launched Commure Dictation, an AI-powered "speech-to-cursor" extension.Hardware Independence: The tool eliminates the need for expensive, dedicated dictation hardware. Clinicians can simply use the Commure Ambient mobile app as a wireless microphone. Voice as an Operating System Instead of toggling between different applications, a physician can now use their smartphone (via the Commure Ambient app) as a
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Ensemble and Cohere Partner to Build First RCM-Native Large Language Model for Healthcare

by Fred Pennic 03/31/2026 Leave a Comment

Ensemble and Cohere Partner to Build First RCM-Native Large Language Model for Healthcare

What You Should Know The Announcement: Ensemble, a top end-to-end revenue cycle managed services provider, and enterprise AI company Cohere are expanding their partnership to build the healthcare industry’s first RCM-native large language model (LLM).The Native LLM Solution: Instead of teaching the AI the rules via prompts, Ensemble and Cohere are fine-tuning a fully custom model from the ground up. It is trained on real RCM tasks, documented procedures, and deep operator expertise to power
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IKS Health Acquihires AI Startup ThinkDTM to Transform Patient Access Solutions

by Fred Pennic 03/31/2026 Leave a Comment

IKS Health Acquihires AI Startup ThinkDTM to Transform Patient Access Solutions

What You Should Know The Deal: Global care enablement leader IKS Health has executed a strategic "acquihire" of ThinkDTM, an AI-native product and digital services company.The Leadership Shuffle: ThinkDTM Founder Tij Bedi is joining the IKS Health C-suite as the new Executive Vice President and General Manager of Patient Access and Innovation. His entire team of AI engineers is coming with him. Leadership Appointment Tij Bedi, the Founder of ThinkDTM, is joining IKS Health as the
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Building an ‘AI-Ready’ Healthcare Enterprise Using NIST and ISO Frameworks

by Marty Barrack, Chief Legal and Compliance Officer, XiFin, Inc. 03/30/2026 Leave a Comment

Building an 'AI-Ready' Healthcare Enterprise Using NIST and ISO Frameworks

Technology leaders across diagnostic organizations, radiology practices, pharmacies, and specialty pharmacies are hearing a consistent message from technology providers: “Adopt AI or fall behind.” The problem is that “adopt AI” is not a strategy. It’s an activity, and too often, it turns into a series of pilots that never become fully integrated enterprise capabilities. That failure is well-documented. According to a  2025 “State of AI in Business” report on enterprise AI implementation by
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Collectly Acquires AI Automation Startup Pledge Health to Streamline Pre-Service Workflows

by Fred Pennic 03/26/2026 Leave a Comment

Collectly Acquires AI Automation Startup Pledge Health to Streamline Pre-Service Workflows

What You Should Know The Acquisition: Collectly, a dominant AI-powered patient financial experience platform that has processed over $1 billion in payments across 3,000+ facilities, has acquired Y Combinator-backed Pledge Health.The Missing Piece: Collectly has historically owned the post-visit patient billing and engagement experience. Pledge Health brings powerful, upstream pre-service automation (coverage verification, upfront cost estimates, prior auth readiness).The Tech Upgrade: Pledge
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Adonis Secures $40M for AI‑Driven Revenue Cycle Operations Platform

by Fred Pennic 03/25/2026 Leave a Comment

Adonis Secures $40M Series C Funding Led by Quadrille Capital to Scale AI-Powered RCM Platform

What You Should Know The Funding: New York-based Adonis, an AI orchestration platform for Revenue Cycle Management (RCM), has raised $40M in Series C funding. The round was led by Quadrille Capital, bringing the company's total funding to over $95M since its founding in 2022.The Financial Velocity: Adonis is scaling rapidly. The company reported achieving more than 4x revenue growth in 2025 and an impressive net retention rate above 130%.The Market Crisis: The healthcare reimbursement
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Cityblock Health CEO Dr. Toyin Ajayi Releases Blueprint for AI in Medicaid

by Fred Pennic 03/25/2026 Leave a Comment

The RCM Trap: Why Cityblock Health is Pivoting AI Investment Toward Medicaid Care

What You Should Know The Manifesto: Dr. Toyin Ajayi, CEO of Cityblock Health, has published a comprehensive report, “Medicaid + AI: A New Standard for Innovation,” arguing that the nation's most vulnerable patient population must be the proving ground for generative AI.The Investment Disconnect: Currently, roughly 60% of healthcare AI investment is directed toward revenue cycle management, billing optimization, and risk adjustment. Conversely, less than 20% of health plans use AI to develop
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AI Didn’t Fix HCC Coding—It Made It Harder. This is How to Fix It

by Ritwik Jain, Co-Founder and CRO, Martlet.AI and Senior Director, John Snow Labs 03/24/2026 Leave a Comment

AI Didn’t Fix HCC Coding—It Made It Harder. This is How to Fix It

Hierarchical Condition Category (HCC) coding is one of the areas in healthcare where AI is the obvious solution. On paper, it makes perfect sense. Use it to scan charts, identify diagnoses, group them into risk categories, and more efficiently predict future healthcare costs. In Medicare Advantage and value-based care, where risk adjustment directly impacts reimbursement, it sounds like a natural fit. But reality tells a very different story. If you want to understand what is actually
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Your Health Deploys Fathom Autonomous Medical Coding Platform Across All Service Lines

by Jasmine Pennic 03/19/2026 Leave a Comment

Your Health Deploys Fathom Autonomous Medical Coding Platform Across All Service Lines

What You Should Know The Deployment: Your Health, a rapidly growing senior-focused primary and specialty care organization, has deployed Fathom’s autonomous medical coding platform across its entire operation (spanning 14 physician offices, 278 assisted living facilities, 11 nursing homes, and telehealth).The Automation Scale: Since going live in October 2025, Fathom has achieved a staggering 95.5% encounter-level automation rate—meaning AI is completely handling the coding for the vast
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Mount Sinai Health System to Deploy Midstream Health’s AI-Powered Financial Platform

by Fred Pennic 03/18/2026 Leave a Comment

Mount Sinai Health System to Deploy Midstream Health's AI-Powered Financial Platform

What You Should Know The Collaboration: The Mount Sinai Health System has announced a strategic collaboration with Midstream Health, an AI-powered financial action platform backed by a16z and CommonSpirit Ventures.The Initial Deployment: Mount Sinai is first deploying the AI platform specifically within its supply chain system. The health system spends "well in excess of $1 billion a year" on supplies, equipment, and services.The Core Problem: Large healthcare organizations suffer from
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