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

Patient Collections Top Revenue Cycle Worries for Healthcare Providers, Salucro Report Reveals

by Fred Pennic 01/24/2024 Leave a Comment

Patient Collections Top Revenue Cycle Worries for Healthcare Providers, Salucro Report Reveals

What You Should Know: - Salucro Healthcare Solutions, a leading healthcare payment technology company, has released its inaugural Healthcare Provider Fintech Insights Report. - The insights report sheds light on the priorities and challenges faced by revenue cycle and finance professionals in the healthcare industry, offering valuable insights into where they are investing in 2024 and beyond. A Pressing Concern: Patient Collections The report paints a clear picture of the current
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Fathom’s AI Coding Solution Lands on Google Cloud Marketplace, Supercharging Healthcare Revenue Cycle

by Jasmine Pennic 01/17/2024 Leave a Comment

Fathom's AI Coding Solution Lands on Google Cloud Marketplace, Supercharging Healthcare Revenue Cycle

What You Should Know: - Fathom, the leader in AI-powered medical coding automation, has announced its groundbreaking solution will be available on Google Cloud Marketplace starting in Q1 2024. - This strategic partnership brings together two industry giants, offering healthcare organizations a powerful one-stop shop for streamlining revenue cycle management and claiming the benefits of cutting-edge technology. Fathom: Automating the Revenue Cycle: The healthcare industry faces a
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How AI is Changing the Conversation Around Hospital Denials – and Improving Financial Implications in the Process

by Tanya Sanderson, RN, BSN, MBA, MHA, CLNC, Sr. Director of Revenue Integrity at XSOLIS 01/09/2024 Leave a Comment

How AI is Changing the Conversation Around Hospital Denials – and Improving Financial Implications in the Process

Of the many complexities within the healthcare industry, medical necessity determinations can be the most challenging – and pose one of the greatest barriers to efficient revenue cycle processes and appropriate reimbursement. Complex medical necessity policies that differ between payer, diagnosis, and presentation have muddled utilization review (UR) and revenue cycle processes for years, driving waste and friction between providers and payers that has only intensified since the pandemic. In
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Ventra and ADVOCATE RCM Merge to Create Revenue Cycle Management Powerhouse

by Jasmine Pennic 01/08/2024 Leave a Comment

Ventra and ADVOCATE RCM Merge to Create Revenue Cycle Management Powerhouse

What You Should Know: - Healthcare industry leaders Ventra Health and ADVOCATE RCM announced a groundbreaking merger today, joining forces to become one of the nation's largest and most advanced providers of end-to-end revenue cycle management (RCM) services. - This strategic move expands Ventra's reach beyond its core specialties in anesthesia, emergency medicine, and hospital medicine, while ADVOCATE RCM gains access to Ventra's extensive resources and network. Merger Impact Ventra
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M&A: Veradigm Acquires Koha Health to Strengthen Ambulatory RCM

by Fred Pennic 01/02/2024 Leave a Comment

M&A: Veradigm Acquires Koha Health to Strengthen Ambulatory RCM

What You Should Know: - Veradigm Inc. (NASDAQ: MDRX), a leading healthcare data and technology solutions provider,  announced today the acquisition of Koha Health, a full-service revenue cycle management (RCM) company. - This strategic move strengthens Veradigm's position as a premier provider of RCM services in the ambulatory healthcare market. Financial details of the acquisition were not dislcosed. Expanding Ambulatory RCM Expertise and Reach The acquisition brings
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RPA Adoption: 74% of Hospitals Automate Revenue Cycle Tasks

by Jasmine Pennic 12/20/2023 Leave a Comment

What You Should Know: The healthcare revenue cycle is getting a major makeover, driven by a surge in automation and artificial intelligence (AI). A new survey by AKASA, a leading developer of AI-powered revenue cycle automation solutions, reveals that 74% of healthcare organizations are already automating some part of their revenue cycle operations, and 80% of those not currently using it plan to do so by the end of 2025. The Rise of the Robots - Automation is no longer a luxury, but a
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KAID Health Secures $9M to Drive AI-Driven Healthcare Efficiency

by Fred Pennic 12/19/2023 Leave a Comment

What You Should Know: - KAID Health, the AI-powered healthcare solutions pioneer, has secured a significant $9 million in funding led by Activate Venture Partners, Martinson Ventures, Boston Millennia Partners, and Brandon Hull, alongside KAID Health's Board of Directors. - With this new funding, KAID Health plans to expand its reach to more providers and their payer partners and develop new service offerings. Unlocking the Power of Whole Chart Analysis KAID Health's flagship platform, Whole Chart Analysis, leverages cutting-edge natural language processing (NLP) to unlock the true potential of electronic medical records (EMRs). Unlike traditional NLP solutions that focus on specific data points, KAID Health goes beyond, analyzing every available piece of information within a patient's chart, including notes, conditions, medications, and lab results. This comprehensive approach enables: • Improved coding accuracy and capture: KAID Health demonstrably boosts coding accuracy, ensuring providers receive proper financial compensation while improving data-driven decision-making. • Streamlined quality reporting: Effortlessly fulfilling complex quality reporting requirements, freeing up valuable time for clinicians. • Enhanced care management: KAID Health identifies key patient needs, facilitating proactive care interventions and optimizing clinical outcomes. Real-World Impact, Proven Results KAID Health's impact extends beyond theoretical promises. To date, the platform has already: • Revolutionized Medicare Advantage coding for large provider groups nationwide. • Simplified chart review for prior authorization and clinical trial enrollment. • Outperformed physicians in identifying surgical risks at a major medical center. "KAID Health continues to deploy technology that makes clinicians more efficient, translates that efficiency into more cost-effective care, and grows revenues," explained Kevin Agatstein, CEO of KAID Health. "By combining best-in-class, scalable, flexible, secure technology with deep clinical workflow and market expertise, we can partner with each customer to meet their informatics needs while alleviating chronic staff shortages."

What You Should Know: - KAID Health, the AI-powered healthcare solutions pioneer, has secured a significant $9 million in funding led by Activate Venture Partners, Martinson Ventures, Boston Millennia Partners, and Brandon Hull, alongside KAID Health's Board of Directors. - With this new funding, KAID Health plans to expand its reach to more providers and their payer partners and develop new service offerings. Unlocking the Power of Whole Chart Analysis KAID Health's flagship
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TREND Health Acquires Advent for AI-Powered Healthcare Payment Accuracy

by Fred Pennic 12/15/2023 Leave a Comment

TREND Health Acquires Advent for AI-Powered Healthcare Payment Accuracy

What You Should Know: - TREND Health Partners, a rapidly growing provider of AI-driven solutions, has acquired Advent Health Partners, an AI-driven platform identifies and standardizes clinical attributes from itemized bills and medical records, expediting critical information presentation and ensuring timely and appropriate reimbursement. - This strategic combination brings together two industry powerhouses, creating a comprehensive platform for payers and providers seeking to optimize
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Rise of RCM Managed Services: 95% of Healthcare Execs Embrace RCM Outsourcing

by Fred Pennic 12/08/2023 Leave a Comment

Rise of RCM Managed Services: 95% of Healthcare Execs Embrace RCM Outsourcing

What You Should Know: - Ensemble Health Partners, a provider of revenue cycle management services, has released its 2024 Healthcare Business Trends Report, revealing a shift in priorities among healthcare executives. - The report, based on a survey of over 100 senior executives, highlights a growing focus on outsourcing revenue cycle management and leveraging external expertise to drive performance, improve financial health, and achieve long-term growth. 4 Trends Driving the Next 4
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R1 RCM Acquires Acclara for $675M, Secures 10-Year RCM Partnership with Providence Health System

by Fred Pennic 12/08/2023 Leave a Comment

R1 RCM Acquires Acclara for $675M, Secures 10-Year RCM Partnership with Providence Health System

What You Should Know: - R1 RCM Inc. (NASDAQ: RCM), a provider of technology-driven solutions for healthcare providers, announced a significant strategic partnership involving the acquisition of Acclara and a 10-year revenue cycle management agreement with Providence, one of the nation's largest health systems. - The acquisition of Acclara for $675M in cash and warrants will bolster R1's offerings and position it as the "trusted partner of choice" in comprehensive revenue cycle management.
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