What You Should Know:
- Cleveland Clinic and AKASA have established a strategic collaboration to deploy generative AI tools to support efficient and accurate medical coding practices.
- Through this partnership, Cleveland Clinic will apply multiple AKASA AI-powered tools during the mid-revenue cycle – the phase between patient care and billing, where documentation and coding occur – across its U.S. locations.
Cleveland Clinic Advances Revenue Cycle Operations with AI-Powered Coding
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
Kiwi Launches with $10M to Tackle LATAM Healthcare Financing Gap
What You Should Know:
- Kiwi, a healthcare financial platform, announced its official launch, bolstered by a $10M seed funding round. The $10M seed round comprises $2M in pre-seed equity financing and $8M in debt financing allocated initially for Peru, with a potential extension planned for Mexico. The round saw leadership from key industry figures: Tyler Johnson (CEO at HFD, General Partner at MVRK Capital), Beau Woodward (Director at HFD, General Partner at MVRK Capital and WDC Genesis),
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Lyric Acquires ClaimShark to Bolster AI-Powered Payment Accuracy Platform
What You Should Know:
- Lyric, a recognized leader in solutions for healthcare payment accuracy and integrity, has officially announced its acquisition of ClaimShark. ClaimShark is known for its innovative technology platform designed to enhance integration, transparency, and precision in payment integrity for health plans.
- The strategic move will see ClaimShark's solutions integrated into the Lyric 42 Platform, Lyric's flagship AI-driven offering, significantly advancing Lyric's
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John Snow Labs Unveils New AI-Powered HCC Coding Engine
What You Should Know:
- John Snow Labs, a company specializing in artificial intelligence for healthcare, today announced the launch of its new, end-to-end Hierarchical Condition Category (HCC) coding engine.
- Introduced during the company’s annual Healthcare NLP Summit, this solution is engineered to assist healthcare providers and payers in significantly improving risk adjustment accuracy and strengthening revenue integrity.
Addressing Critical Gaps in Risk
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Youlify Raises $4.3M to Optimize Medical Billing with Generative AI
What You Should Know:
- Youlify, a physician-founded AI company rebuilding the financial backbone of healthcare, today announced $4.3 million in seed funding to help hospitals and doctors get paid faster and more accurately.
- The platform replaces traditional billers with AI and provides an end-to-end revenue cycle management platform that completely automates coding, claims, and denial recovery. The round was led by Brett Queener at Bonfire Ventures, with participation from Top Harvest
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Protecting Margins in Home-Based Care with Smarter Revenue Cycle Management
Healthcare providers are heading into another year where financial uncertainty remains a top concern. While many for-profit and nonprofit organizations reported improved margins in 2024, industry analysts warn that rising expenses and process inefficiencies could put those gains at risk. Home-based care agencies, in particular, continue to face workforce shortages, changing reimbursement structures and administrative challenges – making revenue cycle management (RCM) a critical tool for
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RISA Labs Raises $3.5M for AI-Powered Oncology Prior Authorizations Platform
What You Should Know:
- Cancer patients don’t just fight the disease - they fight the system. Today, life-saving treatments are routinely delayed by days or even weeks due to manual, error-prone workflows
- To solve this, RISA Labs has raised a $3.5M funding round to help healthcare organizations eliminate one of the most persistent barriers to timely cancer care: prior authorization delays. RISA Labs has already proven that faster care is possible by dramatically reducing manual
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Thoughtful.ai Secures Strategic Investment to Advance AI-Powered Revenue Cycle Automation
What You Should Know:
- Thoughtful.ai, a company specializing in artificial intelligence (AI)-powered revenue cycle automation has received a strategic investment from New Mountain Capital, a growth-oriented investment firm with over $55B in assets under management.
The investment aims to support Thoughtful.ai’s continued growth and accelerate the adoption of automation and AI solutions to address the complex challenges faced by healthcare
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CareCloud Acquires RevNu Medical Management to Expand Audiology RCM
What You Should Know:
- CareCloud, a provider of practice management, healthcare technology, and AI-driven solutions for medical practices acquires RevNu Medical Management (RevNu), an emerging revenue cycle management (RCM) company specializing in audiology.
- Financial details of the acquisition were not disclosed.
Expanding in the Audiology Market
This acquisition represents a strategic move by CareCloud to expand its presence in the U.S. audiology market. The U.S.
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With RCM Staff in Short Supply, Is AI the Missing Piece?
A hefty 63% of healthcare providers are grappling with revenue cycle management (RCM) staffing shortages, causing significant operational and patient-care challenges across the healthcare system.
The staffing deficit has created a challenging cycle: understaffed RCM departments struggle to handle claims denials, leading to delayed reimbursements and increased administrative costs. When staff members spend excessive time investigating and correcting denied claims, it prevents them from
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