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

TechMatter Acquires DoctorPapers to Expand Healthcare Revenue Cycle Management Services

by Fred Pennic 07/23/2025 Leave a Comment

TechMatter Acquires DoctorPapers

What You Should Know:  - TechMatter, a leading provider of enterprise healthcare and automation solutions, acquires DoctorPapers, a California-based medical billing and revenue cycle management (RCM) company. This strategic move reinforces TechMatter’s mission to deliver scalable, tech-driven healthcare operations to providers across the United States. Financial details of the acquisition were not disclosed. - Founded in 2020, DoctorPapers has built a strong reputation for delivering
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Charta Health Secures $22M to Automate Medical Billing and Clinical Documentation with AI

by Fred Pennic 07/22/2025 Leave a Comment

Charta Health Secures $22M to Automate Medical Billing and Clinical Documentation with AI

What You Should Know:  - Charta Health, an AI-powered platform that automates and optimizes medical billing and clinical documentation workflows secures $22M in Series A funding round led by Bain Capital Ventures, with participation from Madrona, SV Angel, Refract Ventures, and South Park Commons. - The U.S. healthcare system loses over $300 billion each year due to billing errors, undercoding, and preventable claim denials. This significant financial drain often stems from slow,
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PwC Report: US Medical Cost Trend to Remain Elevated at 8.5% in 2026

by Fred Pennic 07/18/2025 Leave a Comment

PwC Report: US Medical Cost Trend to Remain Elevated at 8.5% in 2026

What You Should Know: - The U.S. healthcare system is entering 2026 with medical cost trends reminiscent of 15 years ago, facing persistent inflationary forces and significant federal policy changes, according to a  new report from PwC.  - The report, "Medical Cost Trend: Behind the Numbers 2026," projects the Group medical cost trend to remain at 8.5% in 2026 (the same level as 2025) and the Individual market trend at 7.5%. Pharmacy costs are a particular concern, projected 2.5
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Methodist Le Bonheur Selects Ensemble as Strategic RCM Partner

by Jasmine Pennic 07/18/2025 Leave a Comment

Ensemble Health Partners, Microsoft Strengthens AI-Powered Revenue Cycle Management with Expanded Partnership

What You Should Know:  - Ensemble, a revenue cycle managed services partner for healthcare organizations, announced that Methodist Le Bonheur Healthcare (MLH) has selected it as its strategic revenue cycle management (RCM) partner.  - Ensemble will assume full responsibility for end-to-end revenue cycle operations across all six hospitals in the Memphis-based health system, bringing advanced technology, deep operational expertise, and a shared commitment to delivering exceptional
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ZeOmega Partners with Massachusetts Health Data Consortium to Launch Nation’s First Statewide FHIR-Based Prior Authorization System

by Fred Pennic 07/16/2025 Leave a Comment

ZeOmega Partners with Massachusetts Health Data Consortium to Launch Nation's First Statewide FHIR-Based Prior Authorization System

What You Should Know:  - ZeOmega®, a population health and interoperability technology company announced it has been selected by the Massachusetts Health Data Consortium (MHDC), a nonprofit advancing health data sharing, to transform prior authorization and clinical data exchange across Massachusetts.  - The initiative creates the nation’s first statewide FHIR®-based system designed to streamline communication between payers and providers, reducing administrative burdens and
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What Are Healthcare’s Most Pressing Revenue Integrity Issues in The Remote-Work Era?

by Tanya Sanderson, Sr. Director of Revenue Integrity, Xsolis 07/16/2025 Leave a Comment

What Are Healthcare’s Most Pressing Revenue Integrity Issues in The Remote-Work Era?

With more and more organizations merging for scale and sustainability, revenue cycle teams are being centralized, taking these critical personnel further away from physicians at the bedside. Remote teams are finding it harder than ever to collaborate with clinicians on critical functions.  Simultaneously, more revenue cycle functions are being automated as robotic process automation and generative AI evolves. With fewer administrative personnel in general — and even fewer
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Omega Healthcare Expands Microsoft Collaboration, Launches 20+ AI Solutions to Transform Revenue Cycle Management

by Fred Pennic 07/14/2025 Leave a Comment

Omega Healthcare Expands Microsoft Collaboration, Launches 20+ AI Solutions to Transform Revenue Cycle Management

What You Should Know:  - Omega Healthcare, a provider of technology-enabled Revenue Cycle Management (RCM) services, today announced an expanded collaboration with Microsoft.  - Through the integration of Microsoft Azure's cutting-edge AI models via Azure AI Foundry and the company's proprietary Omega Digital Platform (ODP), Omega Healthcare has launched more than 20 generative and agentic AI solutions designed to enhance healthcare organizations' revenue cycle operations and
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5 Trends Reshaping Radiology RCM in 2025: AI, Automation, and The Road Ahead

by Rob Carfagno VP, Radiology Operations XiFin 07/08/2025 Leave a Comment

5 Trends Reshaping Radiology RCM in 2025: AI, Automation, and The Road Ahead

Artificial intelligence (AI) is transforming radiology practices through improved diagnostic accuracy, efficiency, and patient care. Just as it analyzes images for subtle patterns and anomalies, AI is emerging as an essential tool for streamlining billing, increasing efficiency, and maximizing collections.  CEOs, CFOs, practice managers, billing leaders, and practice owners must stay ahead of emerging trends to remain competitive, efficient, and profitable. Every radiology practice
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Abridge Secures $300M to Embed Revenue Cycle Intelligence into Clinical Conversations

by Fred Pennic 06/24/2025 Leave a Comment

Abridge Secures $300M to Embed Revenue Cycle Intelligence into Clinical Conversations

What You Should Know:  - Abridge, a generative AI platform for clinical conversations secures $300M in Series E funding led by Andreessen Horowitz (a16z), with participation from Khosla Ventures.  - The new capital will accelerate the company's efforts to transform the way care is delivered, documented, and reimbursed, starting at the point of care. Tackling Healthcare's Administrative Burden at its Source Every year, the U.S. healthcare system spends nearly $1.5 trillion
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The End of Manual RCM? How AI is Automating Claim Remediation

by Jai Pillai, COO of Red Sky Health 06/24/2025 Leave a Comment

The End of Manual RCM? How AI is Automating Claim Remediation

In the complex and often frustrating world of healthcare billing, claim denials, underpayments, and repeated resubmissions are among the most persistent and costly challenges faced by providers. The process is time-consuming, error-prone, and resource-intensive which results in wasted time and detracts from patient care. Fortunately, advanced machine learning (ML) and artificial intelligence (AI) are transforming this process, by helping providers reduce the time, cost, and frustration
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