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

Healthcare Payments: 3 Ways to Make the Experience Better for Patients and Providers Alike

by Susan Perlmutter, Chief Revenue Officer, REPAY 10/25/2022 Leave a Comment

Healthcare Payments: 3 Ways to Make the Experience Better for Patients and Providers Alike

The past few years have seen an enormous acceleration in the adoption of technologies that streamline and modernize payments across all industries. As embedded finance becomes more popular and companies begin to embrace automation technologies, there’s a clear opportunity for healthcare providers to embrace digital payments. Through the use of digital payment technology, healthcare professionals can make their services easier for their vendors, suppliers and patients. Simplifying the Patient
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Humana Taps Cohere Health to Streamline Prior Authorizations for Cardiovascular & Surgical Specialties

by Fred Pennic 10/24/2022 Leave a Comment

Cohere Health Launches with $10M to Increase Transparency Across Care Journey

What You Should Know: - Health insurer Humana has expanded its partnership with Cohere Health to streamline the prior authorization process for cardiovascular care and surgical specialties. Both these care pathways are clinically complex, involving multiple exchanges between primary care physicians and specialists, which can contribute to costly and unnecessary variations in care. - For surgical services, Humana staff will use the Cohere Unify™
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Knowtion Health Acquires Rev Cycle A/R Platform Amplus

by Fred Pennic 10/07/2022 Leave a Comment

Knowtion Health Acquires Rev Cycle A/R Platform Amplus

What You Should Know: - Knowtion Health, formerly RSource Healthcare announced today it has acquired Amplus Group, a healthcare revenue cycle A/R resolution and technology service. Financial terms of the deal were not disclosed. - For the past five years Amplus has utilized the latest in machine learning and automation to support accounts receivable (A/R) for health system revenue cycles. - The acquisition will accelerate Knowtion's plan to expand low balance recovery technologies
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AGS Health Launches AI-Powered Revenue Cycle Platform

by Fred Pennic 09/26/2022 Leave a Comment

AGS Health Launches AI-Powered Revenue Cycle Platform

What You Should Know: - AGS Health, a revenue cycle management (RCM) solutions provider and strategic growth partner to some of the largest healthcare systems in the U.S., announces the launch of the AGS AI Platform, a connected solution that blends artificial intelligence (AI) and automation with award-winning human-in-the-loop services and expert support to maximize revenue cycle performance. - The platform allows healthcare organizations to gain enhanced visibility into day-to-day
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XpertDox Secures $1.5M to Automate Medical Coding Process

by Fred Pennic 09/22/2022 Leave a Comment

XpertDox Secures $1.5M to Automate Medical Coding Process

What You Should Know: - Today, XpertDox, LLC., a Birmingham, AL-based revenue cycle company specializing in autonomous medical coding powered by artificial intelligence raises $1.5M from  TN3, LLC, an Arizona based Private Equity Capital firm. - XpertDox's XpertCoding solution harnesses the power of artificial intelligence in order to autonomously code medical claims faster, more accurately, and cheaper than traditional manual processes. XpertDox is utilizing the funding to
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Scratch Financial Raises $35M for Patient Financing Solution

by Fred Pennic 09/20/2022 Leave a Comment

Scratch Financial Raises $35M for Patient Financing Solution

What You Should Know: - Today Scratch Financial, an LA-based financial technology company connecting patients andmedical practices in the care now, pay later economy announced it has raised $35M in Series C funding led by Norwest Venture Partners. - Scratch, a business-to-business buy-now-pay-later (BNPL) fintech company helps patients focus on what’s most important - caring now - for themselves or for their pet - and paying later in a way that better meets their needs. Simplest
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Capital One Leads $2.3B Financing for R1 RCM

by Jasmine Pennic 09/07/2022 Leave a Comment

Capital One Leads $2.3B Financing for R1 RCM

What You Should Know: - Capital One Commercial Bank just announced it served as a joint lead arranger for an amended and restated credit facility for R1 RCM, a leading provider of technology-driven revenue cycle management (RCM) solutions for the healthcare industry.  - This $2.3 billion financing will help RI RCM tackle the industry’s labor and reimbursement challenges and help healthcare provider organizations reduce costs, increase revenue, and improve the patient
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Salucro and Luma Health Integrate to Simplify Patient Payments

by Jasmine Pennic 08/31/2022 Leave a Comment

Salucro and Luma Health Integrate to Simplify Patient Payments

What You Should Know: - Salucro Healthcare Solutions, a healthcare payment technology company, today announced an innovative technology partnership with Luma Health, the technology company behind the world’s first Patient Success Platform™. - The partnership will combine Luma’s platform and Salucro’s patient-friendly financial engagement solutions to enable their clients to more efficiently collect payments throughout the patient journey. Personalized Payment Integrations Throughout the
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Hospital Finances Down As Funding Dries Up, Report Finds

by Jasmine Pennic 08/29/2022 Leave a Comment

Hospital Finances Down As Funding Dries Up, Report Finds

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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AI Provider Anomaly Launches Tech to Predict Claims Denials with 97% Accuracy

by Fred Pennic 08/22/2022 Leave a Comment

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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