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

What to Look for in a True Enterprise Healthcare Scheduling Solution

by Skip Hanson, EVP, Service Delivery at Carenet Health 07/21/2023 Leave a Comment

What To Look For In A True Enterprise Healthcare Scheduling Solution

Not all enterprise scheduling solutions are created equal.  Before highlighting the features that every health system should include when implementing an enterprise scheduling solution, it makes sense to level set on the topic. Using the term “enterprise” to describe a scheduling solution means that the system must be designed to access all venues of care across the full spectrum of a patient’s healthcare journey. This means consumers will be presented with an integrated scheduling platform
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M&A: Ventra Health Acquires ArcMed

by Jasmine Pennic 07/18/2023 Leave a Comment

M&A: Ventra Health Acquires ArcMed

What You Should Know:  - Ventra Health, a business solutions provider for hospital-based clinicians, announced today the acquisition of ArcMed, an India-based billing and automation services organization. This acquisition will strengthen Ventra Health’s service performance and quality, optimize operational efficiencies, and provide added scale for automation and growth. - Ventra Health's new operating model, predictive analytics platform, and intelligent process automation will enable
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Paytient Raises $7.5M in Venture Debt for Health Payment Platform

by Jasmine Pennic 07/13/2023 Leave a Comment

Paytient Raises $63M to Expand Health Payment Accounts (HPAs)

What You Should Know:  Paytient, the Health Payment Account (HPA) that helps plan members access affordable health care, officially announced Silicon Valley Bank has finalized a $7.5M venture debt facility. To date, the company has raised $55.5M in equity from leading investors including Mercato, Bertelsmann Investments, Lightbank, Felicis Ventures, Box Group, Lachy Groom, Left Lane Capital, Commerce Bank, Crossbeam Ventures, Cultivation Capital, and Inspired
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Verifiable Lands $27M to Automate Healthcare Provider Credentialing

by Fred Pennic 07/10/2023 Leave a Comment

Verifiable Lands $27M to Automate Healthcare Provider Credentialing

What You Should Know:  Verifiable,  an API-first innovator to the antiquated provider network management software category, has raised $27 million in Series B funding led by Craft Ventures to accelerate its next stage of growth and product innovation. Verifiable’s comprehensive suite of network management solutions and real-time verifications empowers healthcare organizations to expedite credentialing from multiple weeks to a matter of days. For customers, these efficiency gains can
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RCM: Average Length of Clinical Notes Continues to Increase

by Syed Hamza Sohail 07/07/2023 Leave a Comment

RCM: Average Length of Clinical Notes Continues to Increase

What You Should Know: In 2021, the Centers for Medicare and Medicaid Services (CMS) implemented changes to evaluation and management (E/M) CPT billing codes aimed to reduce the administrative documentation burden on providers.Epic Research just came out with a new study that shows the average length of clinical notes has continued to increase over the last three years. Understanding Why Clinical Notes Remain ‘Bloated’ The study evaluated 1.7 billion clinical notes written by 166,318
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Iodine Software, OpenAI Partner to Resolve Revenue Leakage

by Syed Hamza Sohail 06/29/2023 Leave a Comment

Iodine Software, OpenAI Partner to Resolve Revenue Leakage

What You Should Know: Iodine Software, a pioneer in healthcare AI technology, today announced an expanded relationship withOpenAI, an AI research and development company.As part of this collaboration, Iodine will gain access to OpenAI’s cutting edge artificial intelligence technologies, including its powerful language model GPT-4. AI-Driven Clinical Automation Tools Iodine Software has a deep-rooted history in AI technology, having developed sophisticated, industry leading
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RCM: Why Generative AI is Needed for Prior Authorization Reform

by Michael Rivers, MD, Sr. Medical Director of Ophthalmology, ModMed 06/23/2023 Leave a Comment

RCM: Why Generative AI is Needed for Prior Authorization Reform

The headline-grabbing emergence of generative AI platforms, such as ChatGPT, BARD and BingGPT, has forced leaders across all verticals to ask, “What can we optimize with AI?” The AI chatbots remain in early stages of their development, but they have shown enough promise to suggest their full arrival is imminent. Every industry is currently weighing the best way to deploy AI, and that includes healthcare, where efficiency and improved workflows can make a tangible impact on the care that patients
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Improving Medical Record Access Key to Unlocking Power of Data

by Shannon West, Chief Product Officer for Datavant 06/22/2023 Leave a Comment

Improving Medical Record Access Key to Unlocking Power of Data

Shannon West, Chief Product Officer for Datavant The healthcare industry is facing immense pressure to provide patients with seamless and compliant access to their medical records. Despite recent regulations that discourage information blocking and promote interoperability for secure access, the medical records retrieval process remains confusing and difficult. This affects both patients and healthcare providers, who need a comprehensive understanding of the patient's record and context. Even
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Revenue Cycle: 3 Reasons Why Waiting for AI Adoption is Costly

by Andrew Lockhart, CEO and Co-founder, Fathom 06/15/2023 Leave a Comment

Revenue Cycle: 3 Reasons Why Waiting for AI Adoption is Costly

Few can miss the increasing role of AI in healthcare. In revenue cycle management (RCM), the last few years have seen the emergence of new technologies for coding and billing. These tools take advantage of natural language processing, deep learning, and other advancements that enable results far superior to the rules-based robotic process automation of the prior generation. For example, take medical coding. Healthcare providers have historically relied on teams of medical coders – people
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M&A: Apixio and ClaimLogiq Merge to Minimize Reimbursement Inaccuracies

by Jasmine Pennic 06/15/2023 Leave a Comment

M&A: Apixio and ClaimLogiq Merge to Minimize Reimbursement Inaccuracies

What You Should Know:  Apixio announced it has completed its merger with ClaimLogiq, a healthcare technology business that delivers savings for health plans by reducing claim errors prior to payment. Together, the combined entity will be branded as Apixio.Together, the combination of Apixio and ClaimLogiq’s critical infrastructure, artificial intelligence, and proprietary healthcare data will accelerate the shift toward outcomes-based reimbursement models by reducing costs, minimizing
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