What You Should Know: - Cedar, a New York City-based innovative healthcare financial technology platform, announced it has named Krishna Rao as Cedar's first Chief Financial Officer (CFO). - Rao brings over 15 years of experience growing businesses, most recently serving as Global Head of Corporate and Business Development for Airbnb. In this role, he led and supported financings totaling over $10 billion in equity and debt capital, including the company's initial public offering last
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
3M Taps Waystar to Automate Revenue Capture Processes for its Clients
What You Should Know: - Healthcare payments company Waystar, today announced a partnership with 3M Health Information Systems to help 3M clients improve their payment operations. - As part of the strategic partnership, 3M will leverage Waystar’s AI-powered solutions that will allow providers, health systems, and hospitals to improve operational efficiency and compliance and collect appropriate, fuller reimbursement. Why It Matters Revenue integrity remains a top concern for hospital
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Nym Health Raises $25M to Expand Automated Medical Coding Platform
- Today, Nym Health, a leader in explainable AI and automated medical coding, announced an additional $25M in funding, led by Addition brings the company’s total funding to $47.5M. Addition joins existing investors GV, Dynamic Loop Capital, Tiger Global, Bessemer Venture Partners, and Lightspeed, as well as angel investors Zach Weinberg and Nat Turner. - The new investment will be used to scale product development and accelerate the rapid adoption of Nym's automated medical coding
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Notable Launches End-to-End Revenue Cycle Workflow Automation Solution
What You Should Know: - Notable, a San Mateo, CA-based intelligent automation company for healthcare has launched expanded capabilities for comprehensive revenue cycle management (RCM) automation. - Unlike traditional point solutions that only automate siloed parts of the revenue cycle, Notable's intelligent automation platform is the only platform that combines robotic process automation (RPA), artificial intelligence (AI), patient engagement, and no-code configurability to provide the
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VisiQuate Lands $50M to Expand AI-Powered RCM Automation Solution
What You Should Know: - VisiQuate, Inc., a Santa Rosa, CA-based provider of advanced analytics and AI-powered automation today announced a new $50 million equity investment from Sixth Street Growth. - Founded in 2009, VisiQuate, Inc.’s user-friendly data management and analytics solutions let virtually anyone in a healthcare organization explore complex data from multiple sources to quickly gain insights and create actionable workflows. - VisiQuate’s artificial intelligence
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Banjo Health Lands $5M for AI-Driven Prior Authorization Platform
What You Should Know: - Banjo Health, a Washington-based provider of AI-driven prior authorization ("PA") solutions, announced today it has raised in excess of $5 million in Series A financing led by Epsilon Health Investors, with participation from Spark Growth Ventures and Tau Ventures. Epsilon Health Investors Co-Founder and General Partner, Gregory Epstein, will be joining Banjo Health's Board of Directors. - Banjo Health is focused on bringing transparency and automation to PA through
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XFIN Acquires Radiology Revenue Cycle Provider CMS – Health M&A
What You Should Know: - Health IT company XIFIN announced the acquisition of Computerized Management Services (CMS), a provider of comprehensive revenue management services for hospital-based radiology groups and imaging centers. CMS provides a comprehensive suite of outsourced financial services focused on maximizing radiology client revenue and cash flow streams. Its services leverage strong technology systems and analytics,
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Olive Secures $400M At A $4B Valuation to Support New Instant Claim Payment Solution
What You Should Know: - Today, healthcare automation company Olive, today announced a $400M in funding round led by Vista Equity Partners with additional investment from the Base10 Partners Advancement Initiative. Olive, a provider of AI powered workforce purpose-built for healthcare, has now secured $832 million in financing since March 2020, and $902 million since the company’s inception in 2012 bringing the company’s total valuation to $4 billion. - The company plans to use
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RCM: How Coding Gray Areas Skew Healthcare Data
Clinical reality, the ICD-10-CM classification system, and considerations of reimbursement are three distinct worlds that are sometimes in conflict. We don’t like it when financial considerations intrude on the purity of coding, but there’s no escaping this intrusion when coding serves as both the representation of the clinical picture in healthcare data and as the basis for reimbursement. Sepsis Definitions at Odds Sepsis provides a great illustration of a coding gray area that can
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AI + Human Intelligence — A More Effective Solution for the Healthcare Payment Lifecycle
Much has been written about the advent of Artificial Intelligence (AI) in the healthcare payment lifecycle, but has it been oversimplified? The straightforward answer is yes. Many articles have characterized AI as the end-means antidote that will solve all revenue cycle management (RCM) issues and easily streamline the reimbursement process from beginning to end. In fact, many of the products in today’s marketplace promise a complete solution based almost entirely on AI. But, looking at this
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