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

Netsmart Acquires SNF Claims Data Analytics Solution CORE Analytics

by Syed Hamza Sohail 08/08/2022 Leave a Comment

Netsmart Acquires SNF Claims Data Analytics Solution CORE Analytics

What You Should Know: - Netsmart announced that it has acquired CORE Analytics, the industry-leading skilled nursing facility (SNF) claims data analytics offering from Zimmet Healthcare. - With the addition of Core Analytics, Netsmart Simple™is now the only solution suite in the market capable of calculating quality measures and Five-Star ratings leveraging Minimum Data Set (MDS), Payroll-Based Journaling (PBJ) and UB-04 claims data. Software Solutions to Problems in
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Annexus Health Raises $33M to Optimize Patient Access and Affordability

by Syed Hamza Sohail 08/04/2022 Leave a Comment

Annexus Health Raises $33M to Optimize Patient Access and Affordability

What You Should Know: - Annexus Health, Inc. has announced its Series B financing of $33 million, which was led by leading digital health growth equity firm Transformation Capital. - The funding is set to advance Annexus Health's mission to improve access to care and combat patient financial toxicity amid ever-rising healthcare costs Re-Imagining the Healthcare Ecosystem by Increasing Access To Care Annexus Health strives for a better healthcare experience for patients, more
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A Hybrid, Technology-Driven Approach to Overcome Coding and RCM Staff Shortages

by Cheryl Cruver, Chief Revenue Officer, AGS Health 08/03/2022 Leave a Comment

A Hybrid, Technology-Driven Approach to Overcome Coding and RCM Staff Shortages

Exacerbated by pandemic-induced burnout, resignations, and even terminations1, chronic coding and revenue cycle management (RCM) staffing shortages have healthcare organizations struggling to find ways to keep revenue flowing despite a lack of qualified professionals to handle critical processes. It is a situation that has been brewing for years, as too few qualified professionals are entering professions that are expanding more rapidly than ever before. According to the American Hospital
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Zelis Acquires Healthcare Cost Control Provider Payer Compass

by Fred Pennic 08/01/2022 Leave a Comment

Zelis Acquires Healthcare Cost Control Provider Payer Compass

What You Should Know: - Healthcare payments company Zelis today announced an agreement to acquire Payer Compass, a healthcare provider of reimbursement and claims pricing, administration, and processing solutions. Financial terms of the transaction were not disclosed. - Through the acquisition, Zelis will integrate Payer Compass into its existing solution suite to further help clients and their members manage rising healthcare costs and establish more transparent and affordable
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Sutter Health Signs 10-Year Contract with R1 RCM for End-to-End RCM

by Fred Pennic 07/18/2022 Leave a Comment

What You Should Know: - Sutter Health, a not-for-profit integrated health system that provides high-quality care across Northern California has signed a 10-year agreement with R1 RCM to serve as their exclusive provider of enterprise revenue cycle management services. - The parties believe that the partnership will help improve Sutter’s overall financial performance with an estimated $400M in cost savings over the next 10 years, helping Sutter achieve more sustainable labor costs and
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Geisinger Taps Cohere Health to Streamline Prior Authorizations

by Fred Pennic 07/13/2022 Leave a Comment

Geisinger Taps Cohere Health to Streamline Prior Authorizations

What You Should Know: - Today Geisinger Health Plan (GHP) and Cohere Health, a provider of utilization management (UM) technology, announced they are joining forces to streamline the prior authorization process for providers. - Cohere’s collaborative UM platform will help GHP support value-based care delivery, reduce administrative costs, and lead the nation in aligning quality improvement initiatives across all its lines of business, including
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Olive Launches Autonomous Revenue Cycle (ARC) Suite

by Fred Pennic 06/27/2022 Leave a Comment

Olive Launches Autonomous Revenue Cycle (ARC) Suite

What You Should Know: - Olive, the automation company creating the Internet of Healthcare, today launched its Autonomous Revenue Cycle (ARC), the company's flagship Revenue Cycle Management (RCM) suite of solutions. - Olive's ARC is designed to handle tedious, time-consuming administrative tasks in the revenue cycle, allowing healthcare organizations to get paid quicker while reducing the risk of uncompensated care. Automate the Revenue Cycle Management Process Managing revenue
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HFMA: DeliverHealth Launches AI-Driven Autonomous Coding

by Jasmine Pennic 06/27/2022 Leave a Comment

HFMA: DeliverHealth Launches AI-Driven Autonomous Coding

What You Should Know: - DeliverHealth, a provider of technology-enabled solutions for hospitals, health systems and group practices launches artificial intelligence (AI) driven autonomous coding  for a simpler, more efficient way to accelerate revenue cycle optimization. - The autonomous coding platform removes inherent complexities clinicians and care teams face while helping administration and operations obtain the realization of their EHR investments. Combating the Impact of the
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LumaPay Launches for Patients to Pay Med Bills in An SMS Text

by Jasmine Pennic 06/06/2022 Leave a Comment

LumaPay Launches for Patients to Pay Med Bills in An SMS Text

What You Should Know: - Luma Health today announced the launch of LumaPay, a new service for healthcare systems that provides patients a better and more transparent financial journey. - LumaPay™ lets patients pay bills from anywhere via text as the inaugural module of LumaFinancial, which provides better, simpler, and more transparent financial journeys Offering Patients an Easy to Pay Their Bills LumaPay enables healthcare organizations to offer patients an easy, text-first way to
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Buried Under Dirt or Under Debt: Can Patients Survive the Struggle of Getting Care?

by Srulik Dvorsky, TailorMed CEO and Founder 05/25/2022 Leave a Comment

BURIED UNDER DIRT OR UNDER DEBT: Can Patients Survive the Struggle of Getting Care?

New patients at a cancer center in Michigan receive a 79-page handbook when their treatments commence. The handbook includes needed advice on what to eat and the side effects of chemotherapy drugs. One double-sided page features information about how to navigate the financial aspects of cancer treatment, including who to contact for help with medical bills.  For Leslie Vreeland-Corpe of Michigan, one double-sided page couldn’t contain all the information she needed. After being diagnosed
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