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

Catholic Care Center to Deploy Medsphere’s Wellsoft EHR and RCM Cloud Solutions

by EHR Implementations 03/31/2023 Leave a Comment

Medsphere Raises $40M to Expand Suite of SaaS EHR & RCM Solutions

What You Should Know: - Medsphere Systems Corporation announced that Catholic Care Center of Bel Aire, Kansas, a Wichita suburb, will open a new senior behavioral health hospital with the company’s Wellsoft electronic health record (EHR) and RCM Cloud revenue cycle management solutions. - Medsphere’s Wellsoft EHR solution supports comprehensive care across behavioral health, urgent, and emergency care environments. The company’s RCM Cloud solution is
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Report: Razor Thin Hospital Margins Becoming The New Norm

by Jasmine Pennic 03/28/2023 Leave a Comment

Report: Razor Thin Margins Becoming New Normal for Hospitals

What You Should Know: - Hospital finances are beginning to stabilize as razor-thin margins become the new normal, according to the newest data from Kaufman Hall. The National Hospital Flash Report draws on data from more than 900 hospitals from Syntellis Performance Solutions.  - The latest National Hospital Flash Report shows that the high level of variance that plagued hospital margins over the past
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Survey Reveals Accelerating Use of AI to Overcome Workforce Challenges 

by Syed Hamza Sohail 03/24/2023 Leave a Comment

Survey by The Health Management Academy Reveals Accelerating Use of AI to Overcome Workforce Challenges

What You Should Know: - Given the severity of labor shortages and staffing constraints facing health systems nationwide, C-suite executives are turning to artificial intelligence (AI) to fill gaps and improve productivity, according to a recent survey conducted by The Health Management Academy (The Academy) with support from Outbound AI. - Almost half of executives (47.5%) report their health system is currently using AI solutions for the workforce, while all others
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Healthcare in Denial: The State of Claims in 2023

by Clarissa Riggins, Chief Product Officer, Experian Health 03/21/2023 Leave a Comment

Healthcare in Denial: The State of Claims in 2023

How do you solve a persistent and growing problem like claims denials? It’s been a hot topic for revenue cycle management professionals for years that’s only getting hotter with the increasing pressures of staffing shortages, challenges with staff turnover and training and ever-changing policies and protocols at the government and payer levels.  On the macro-economic level, denials contribute mightily to the growing problem of uncompensated care in America, currently estimated at $43
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Nuance and Microsoft Launches AI-Automated Clinical Documentation App

by Fred Pennic 03/20/2023 Leave a Comment

Nuance and Microsoft Launches AI-Automated Clinical Documentation App

What You Should Know: - Nuance Communications and Microsoft launches DAX Express, a workflow-integrated, fully automated clinical documentation application and the first to combine proven conversational and ambient AI with the newest and most capable generative AI technology, GPT4. - DAX Express creates draft clinical notes automatically and securely in seconds from exam room or telehealth patient conversations for immediate clinical review after each
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New Medical Billing Codes You Should Know About

by Jim Collins, President of Medcare MSO 03/16/2023 Leave a Comment

Physicians need to keep their billing and coding right to ensure seamless reimbursements from payers. Similarly, they should stay updated with the latest coding changes to keep their revenue cycle intact. In addition, running a successful medical practice is a daunting task as the providers need to stay updated with the industry guidelines. The year 2023 is bringing changes in medical codes to help providers reduce their burden and streamline patient care. So, providers need to stay focused on
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OpenLoop Secures $15M for White-Label Telehealth Support

by Syed Hamza Sohail 03/15/2023 Leave a Comment

OpenLoop Secures $15M for White-Label Telehealth Support

What You Should Know: - OpenLoop, a leader in white-label telehealth support services powering virtual and hybrid care across the country, today announced it has raised a $15M Series A funding. - The round was led by Nava Ventures, with participation from new investors UnityPoint Health Ventures and PrimeTime Ventures, and existing investors SpringTide Ventures and ManchesterStory. The company also announced a new nationwide insurance payer network that allows clients to offer reimbursable
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How Hospitals Can Safely & Effectively Continue Patient Care Amid Rising Cybersecurity Risks

by Andrew Brooks, M.D., Co-Founder and CMO at TigerConnect 03/14/2023 Leave a Comment

The world we live in is becoming increasingly integrated, and as it does, the amount of data also increases. It is estimated that 2.5 quintillion bytes – that’s 2,500,00,00,000 million, for perspective – are created, captured, and shared every day, and experts predict that number will grow exponentially in the coming years. Estimates show that the healthcare industry generates about 30% of the world’s data volume. That number is expected to reach a compound annual growth rate of 36% within the
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Tegria RCM Rebrands as Acclara

by Jasmine Pennic 03/14/2023 Leave a Comment

Tegria RCM Rebrands as Acclara

What You Should Know: - Tegria, a leading healthcare technology consulting and services company, announced today that Tegria RCM, its division dedicated to revenue cycle management (RCM), will operate under the Acclara brand effective immediately. - The rebrand is part of Tegria RCM's strategic focus on expanding its revenue cycle services capabilities and marks a major milestone for the organization. The Acclara name gives the team the opportunity to build on the division's strong
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Hospitals Enter 2023 Facing ‘New Normal’ of Financial Uncertainty

by Fred Pennic 02/28/2023 Leave a Comment

Hospitals Enter 2023 Facing ‘New Normal’ of Financial Uncertainty

What You Should Know: - Hospitals enter 2023 on more stable footing following the worst financial year since the start of the pandemic—but challenges persist, according to the newest data from Kaufman Hall. - The latest National Hospital Flash Report finds that hospitals continue to experience the same challenges that made 2022 the worst financial year since the start of the pandemic, including higher labor expenses, lower patient volumes, and a fundamental
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