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

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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CodaMetrix Raises $55M for AI-Powered, Autonomous Medical Coding

by Fred Pennic 02/27/2023 Leave a Comment

CodaMetrix Raises $55M for AI-Powered, Autonomous Medical Coding

What You Should Know: - CodaMetrix, an AI technology platform transforming healthcare revenue cycle management, today announced that it closed a $55 million Series A round led by SignalFire. Frist Cressey Ventures (FCV), Martin Ventures, Yale Medicine, University of Colorado Healthcare Innovation Fund, and Mass General Brigham physician organizations also participated in the round. - The capital injection will accelerate go-to-market with major provider organizations and health systems, as
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A New Way of Thinking About Interoperability in 2023

by Stuart Hanson, CEO of Avaneer Health 02/24/2023 Leave a Comment

A New Way of Thinking About Interoperability in 2023

Interoperability in the U.S. healthcare system has been an ongoing challenge. While there are several industry initiatives that are going to advance the industry and make incremental progress toward interoperability, there remain several gaps that are unaddressed.   Interoperability is a much broader concept that encompasses more than protocols, APIs, and limited networks. It’s about more than exchanging data through one-to-one connections between a provider, payer, or vendor. True
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Ambience Healthcare Launches Automated AI Medical Scribe Platform

by Jasmine Pennic 02/23/2023 Leave a Comment

Ambience Healthcare Launches Automated AI Medical Scribe Platform

What You Should Know: - Ambience Healthcare, an AI company developing technology to supercharge healthcare providers launches its fully automated AI medical scribe, Ambience AutoScribe. - Already in use by provider organizations across North America, AutoScribe is revolutionizing the way healthcare providers document patient visits. How AutoScribe Works AutoScribe comprehensively captures the nuances of each patient story, without the need for a virtual or in-person human scribe.
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AGS Acquires Offshore Patient Access BPO Unit from Availity

by Jasmine Pennic 02/21/2023 Leave a Comment

Availity

What You Should Know: - AGS Health, a provider for tech-enabled revenue cycle management (RCM) solutions announces the acquisition of the India-based patient access outsourcing business unit of the Florida-based healthcare technology company Availity. - With more than half of U.S. hospitals anticipating a year of negative margins, achieving full and accurate reimbursement for services has never been more critical. With this expansion, AGS Health is positioned to provide faster, more
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Experian Health Launches AI-Driven Predictive Denials Management

by Jasmine Pennic 02/15/2023 Leave a Comment

Experian Health Launches AI-Driven Predictive Denials Management

What You Should Know: - Experian Health launches a new AI-Powered solution, AI Advantage that will help providers recoup the billions in lost dollars due to insurance claim denials.  - These new solutions leverage AI and help healthcare providers prioritize their claims reimbursement process and decrease denials overall, saving time and money across the entire healthcare value chain and ultimately improving care and service for patient consumers. AI Advantage One of the top
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