Mounting financial pressures for healthcare organizations mean sustainability hinges on reducing the cost to collect. Ongoing challenges associated with declining reimbursements, higher clinical and administrative costs and staffing shortages in the billing department leave providers without a lot of recourse for improving operational margin. Yet within the growing list of negative bottom-line issues, there is one area where healthcare leaders have some control to improve the outlook: increasing
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
KODE Health Raises $27M for On-Demand Medical Coding Platform
What You Should Know:
- KODE Health, a leading provider of on-demand medical coding solutions, today announced a $27M in Series B funding round led by Noro-Moseley Partners with participation from Mercury, FCA Venture Partners, Epsilon Innovation Fund, and 111 West Capital.
- The funding will fuel the company's mission to transform medical coding through its innovative platform that connects healthcare systems with certified coding professionals and leverages AI to optimize
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Streamlining VA Claims Processing: Guide for Healthcare Providers
Healthcare providers navigating Veterans Administration (VA) claims face complex eligibility requirements, multiple payer systems, and stringent documentation demands. These challenges create significant operational burdens for facilities and can impact veterans' access to timely care. With VA claims representing less than 5% of most hospitals' patient revenue, providers often struggle to allocate sufficient resources to master these intricate processes, leading to delayed reimbursements,
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Beyond Chargemaster Rates: Rethinking Revenue Generation in Healthcare
In the ever-evolving landscape of healthcare, one constant remains: the need for financial stability and growth. Healthcare providers, facing rising operational costs, regulatory changes and increased competition, must evolve their financial strategies to ensure long-term sustainability.
Historically, healthcare providers have relied heavily on chargemaster rates—the set list prices for medical services—as a primary method for revenue generation. However, as the industry faces increasing
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HCA Healthcare UK Deploys Hyland’s AI-Driven AP Solutions
What You Should Know:
- Hyland, a leading provider of content management solutions, today announced a strategic partnership with HCA Healthcare UK to optimize financial operations and enhance data accessibility through its AI-driven Accounts Payable (AP) solutions.
- The collaboration leverages several cornerstone products of Hyland's unified Content Innovation Cloud, empowering HCA Healthcare UK to streamline processes, reduce costs, and drive scalability for future
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The Future of Revenue Cycle Management (RCM) in Healthcare: 4 Key Trends to Watch in 2025
The revenue cycle management (RCM) landscape for healthcare is poised for significant transformation over the next few years. As the industry continues to evolve, RCM providers and their customers face a complex web of challenges and opportunities. Among the key trends shaping RCM in 2025 are:
Rising Costs Driven by Cybersecurity and Regulatory Compliance Demands and Increasing Patient Bad Debt Rates The cost of doing business is increasing. RCM providers invest in robust
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Knack RCM Acquires HealthyBOS, Expanding Global Footprint and DME Expertise
What You Should Know:
- Knack RCM, a provider of tech-enabled revenue cycle management (RCM) services, today announced the acquisition of HealthyBOS, a prominent U.S. and Philippines-based RCM provider specializing in the durable medical equipment (DME) sector.
- The strategic move significantly expands Knack RCM's global footprint and strengthens its position in the rapidly growing RCM market. Financial details of the acquisition were not disclosed.
Strategic
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8 Way AI Can Optimize Revenue Cycle Management in 2025
Revenue Cycle Management (RCM) is essential to healthcare operations, yet today's complex environments add increasing challenges. Too often, providers are in a difficult position to finance care due to growing challenges, such as experiencing over 30% of claims being denied and over a third of accounts receivable aged beyond 90 days, which can lead to a financially unsustainable situation. But there is promising news: Artificial Intelligence (AI) can be a game-changer for RCM. Today, healthcare
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Waystar Launches AltitudeAI to Combat Claim Denials with AI-Powered Automation
What You Should Know:
- Waystar (Nasdaq: WAY), a provider of leading healthcare payment software, today announced the launch of Waystar AltitudeAI™, a comprehensive set of AI capabilities for providers, including AltitudeCreate™, a new generative AI innovation focused on appealing denied claims.
- By autonomously generating appeal letters, Waystar aims to help providers recover a substantial portion of payments tied to more than 450 million annually denied claims, ultimately enabling
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Q/A: Cedar Exec Talks The Untapped Potential of AI in Healthcare Call Centers in 2025
What if AI could dramatically reduce call volume, improve patient satisfaction, and empower your call center staff? In this exclusive interview, Dugan Winkie, Head of Commercial Strategy at Cedar, sheds light on the often-overlooked opportunity of leveraging AI in healthcare call centers.
Winkie explores the unique challenges and opportunities AI presents for providers, highlighting the potential for increased efficiency, improved patient experiences, and significant financial gains. He
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