What You Should Know:
- Hospitals and health systems saw decreases in outpatient revenue and operating room time and increases in inpatient lengths of stay from June to July 2022, leading to a decline in financial performance after months of improvement, according to the latest National Hospital Flash Report from Kaufman Hall.
- The analysis reveals that U.S. hospitals and health systems are experiencing some of the worst margins since the beginning of the COVID-19
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
AI Provider Anomaly Launches Tech to Predict Claims Denials with 97% Accuracy
What You Should Know:
- Anomaly, a precision payments company streamlining healthcare billing and payments for providers and payers, today announced its new offering Anomaly Smart Response.
- Smart Response uses AI to enable providers and payers to reduce avoidable claim denials and rework and increase payment transparency, top priorities for healthcare stakeholders. Smart Response complements Anomaly’s planned suite of products powered by its AI claim prediction engine, including
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EMPI/MPI: An End-to-End Approach to Patient Data Integrity
Maintaining patient data integrity is more complicated than ever; cybersecurity threats loom, patients are taking more ownership of their care (self-registration, for example) and health system merger activity is on the rise. It can make the quest for the ever-elusive 1% maximum duplicate rate seem, at times, unattainable.
But a secure, accurate, and duplicate-free MPI/EMPI can be achieved. It just requires a multi-pronged approach to protect data throughout its journey into a health system
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MedAllies Selects Lyniate for EMPI & Data Management
What You Should Know:
- Lyniate, a healthcare data interoperability announced MedAllies, a multimodality connectivity services company, has chosen Lyniate Enterprise Master Patient Index (EMPI) by NextGate to better serve its healthcare clients and partners.
- This integration will bolster MedAllies’ identity data management capabilities to increase the accuracy of the data it exchanges for the benefit of all.
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Modernizing Medical Payments: Why Providers Must Enrich the Patient Financial Experience
Medical billing issues cause many consumers to shop for different providers. Customers expect a simple, automated billing experience. Insider Intelligence’s recent Spotlight on Modernizing Medical Payments looks at what drives consumers away from their medical providers, and what providers can do to modernize their billing processes.
Incorrect or Confusing Bill Cause Patients to Leave Their Doctors
According to a December 2021 report on Patient Payment Technology, 64% of respondents
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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
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
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
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
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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