What You Should Know:
- Carilion Clinic, a Roanoke-based non-profit health system that owns and operates several hospitals in western Virginia -- announced it has selected end-to-end revenue cycle management (RCM) provider Ensemble Health Partners as its strategic end-to-end RCM partner.
- Carilion chose Ensemble for its proven track record of quickly delivering value and sustaining high performance. Notably, Ensemble has consistently met 100% of year-one client goals, exceeded 102%
Read More
Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
Hummingbird Healthcare Secures $10M to Streamline Patient Access, Create Jobs
What You Should Know:
- Hummingbird Healthcare Inc., a tech-driven healthcare services company raises $10M in Series A funding led by UCHealth, a leading Colorado-based health system and existing investor. The round also included participation from CU Healthcare Innovation Fund, 8VC, and Gaingels.
- With this new funding, Hummingbird is poised to expand its reach and empower healthcare providers to deliver exceptional patient experiences.
Focus on Patient Access and Operational
Read More
AdvancedMD Summer Release Streamlines Revenue Cycle, Enhances EHR and Patient Engagement
What You Should Know:
- AdvancedMD, a provider of cloud-based healthcare software for independent practices, recently unveiled its 2024 summer product release.
- The update boasts over 30 new features designed to enhance efficiency, improve productivity, and ultimately, boost revenue for medical practices.
Seamless Payment Processing Takes Center Stage
The centerpiece of the release is the revolutionary AdvancedMD Pay terminal, a certified PAX A920 credit card processing
Read More
Inovalon and MEDITECH Alliance Partner to Streamline Revenue Cycle Management
What You Should Know:
- Inovalon, an innovator in cloud-based healthcare data solutions, announced a strategic partnership with the MEDITECH Alliance.
- The strategic collaboration empowers thousands of healthcare providers using MEDITECH's electronic health record (EHR) systems to leverage Inovalon's end-to-end revenue cycle management (RCM) solutions.
Optimizing Reimbursement and Reducing Errors
The partnership tackles a significant challenge in healthcare: inefficient
Read More
Unleashing the Dynamic Force of AI and Automation to Revolutionize Revenue Cycle Management
Every year, hospitals across the United States, regardless of their size or type, face significant financial losses amounting to hundreds of billions of dollars due to uncompensated care. This staggering figure does not even consider the additional losses incurred by hospitals as a result of underpayments from government-funded healthcare programs such as Medicare and Medicaid.
As healthcare organizations grapple with rising costs, eroding financial margins, ongoing labor shortages, and
Read More
Adonis Raises $31M to Expand AI-Powered Revenue Cycle Automation
What You Should Know:
- Adonis, a healthcare revenue intelligence and automation company raises $31M in Series B funding led by Point72 Private Investments, bringing Adonis’ total funding to $54M.
- With this new funding, Adonis plans to accelerate product innovation, expand its reach within health systems, and grow its team based in New York City. This latest investment round follows a successful Series A round of $17.3M led by General Catalyst just twelve months ago.
Read More
Humata Health Secures $25M for AI-Powered Prior Authorization
What You Should Know:
- Humata Health, a company revolutionizing prior authorizations in healthcare with AI and automation raises $25M co-led by Blue Venture Fund and LRVHealth with participation from Optum Ventures, .406 Ventures, Highmark Ventures, and VentureforGood further demonstrates the widespread support for Humata's innovative approach.
- With this significant investment, Humata Health will expand its AI capabilities, broaden its provider base, and partner with payers to
Read More
Q/A: Experian Health’s CPO Talks State of Patient Access
Experian Health, a provider of solutions in revenue cycle management, identity management, patient engagement, and care management, plays a pivotal role in transforming the healthcare landscape. By leveraging advanced data analytics and innovative technology, Experian Health aids healthcare organizations in improving operational efficiency and enhancing patient access to care.
The company has just released its annual “State of Patient Access Survey,” which reveals a notable shift from last
Read More
How AI Can Increase the Success of Clinical Denials Appeals
It’s a perfect storm of financial pressures facing healthcare provider organizations – from rising costs to labor shortages to constrained capacity – that stymies revenue growth. Growing challenges with payer payments only exacerbate these issues. According to a Kaufman Hall report, 73% of leaders surveyed said claims denials, which was the top revenue cycle issue in 2022, had increased in 2023.
The cost of denials is staggering. A recent data analysis revealed that providers spent nearly $20
Read More
Evolent Acquires Machinify’s AI-Driven Medical Authorization Solution
- Evolent Health, Inc. (NYSE: EVH), a leader in improving health outcomes for patients with complex conditions, announced today an agreement to acquire key assets from Machinify, including the exclusive license to their AI-powered platform, Machinify Auth.
- Additionally, certain Machinify employees will join Evolent. Both companies plan to establish a long-term services agreement to ensure smooth integration and ongoing platform development. This innovative technology aims to
Read More
