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

Healthcare Embraces Generative AI: 70% of Organizations Actively Explore its Revenue Cycle Potential

by Fred Pennic 11/17/2023 Leave a Comment

Healthcare Embraces Generative AI: 70% of Organizations Actively Explore its Revenue Cycle Potential

What You Should Know: - AKASA, a leading developer of AI-powered automation for the revenue cycle, released new survey results showing that more than 70 percent of healthcare organizations are actively considering the use of generative AI. - In the same survey of more than 250 CFOs and financial leaders at health systems and hospitals across the U.S., nearly 60% percent of respondents indicated they are actively considering these new technologies for their revenue cycle
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M&A: AAPC Acquires Semantic Health’s AI-Powered Medical Auditing Solution

by Fred Pennic 11/16/2023 Leave a Comment

AAPC Acquires Semantic Health’s AI-Powered Medical Auditing Solution

What You Should Know: - AAPC, a leading global solutions provider in healthcare revenue cycle management, has acquired Semantic Health, an early-stage healthcare technology company focused on creating AI-powered inpatient medical auditing software for health insurance plans and hospitals. - This acquisition will allow AAPC to offer its members innovative tools to streamline auditing processes, reduce denials, and improve documentation quality. AI-Powered Inpatient Medical
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Particle Health, Hona Integrate to Deliver Longitudinal Data for Informed Clinical Decisions

by Jasmine Pennic 11/07/2023 Leave a Comment

Particle and Hona Partner to Deliver Longitudinal Data for Informed Clinical Decisions

What You Should Know: - Particle Health, an intelligent data platform that aggregates and delivers actionable patient data and insights and Hona have formed a strategic partnership to enhance Hona's AI-driven healthcare solution. Hona is a customizable, HIPAA-compliant artificial intelligence product that searches and converts thousands of health records into one simple patient overview for healthcare providers, - The collaboration between Particle Health and Hona aims to simplify patient
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Healthcare Staffing Shortages Take Toll on Revenue Cycle Management & Patient Engagement

by Fred Pennic 11/03/2023 Leave a Comment

Healthcare Staffing Crisis Takes Toll on Revenue Cycle Management & Patient Engagement

What You Should Know:  - 100 percent of hospital and health system respondents stated that staffing shortages have significantly affected revenue cycle management (RCM) and patient engagement efforts, according to a new survey by Experian Health.  - A significant 69 percent of the surveyed healthcare executives responsible for RCM staffing foresee ongoing challenges in the long term. Challenges Present Urgent Need for Solutions The findings highlight the urgent need for
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Understaffed RCM Payment Teams Need a New Way Forward

by Shantanu Gangal, CEO, Prodigal 11/02/2023 Leave a Comment

Understaffed RCM Payment Teams Need a New Way Forward

Last year, only 8% of healthcare executives said their RCM or billing departments were adequately staffed, and a stunning 48% said the employee shortage was “severe,” according to a survey cited in MedCityNews. RCM teams are the engine that allows the machinery of healthcare organizations to run. Without effective billing and payment processes that deliver positive patient financial experiences, everything grinds to a halt. These staffing woes can’t continue. The cascade of problems that
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Waystar Postpones U.S. IPO in Response to Market Turbulence

by Fred Pennic 11/02/2023 Leave a Comment

Waystar Postpones U.S. IPO in Response to Market Turbulence

What You Should Know: - Waystar, a healthcare payments company, has decided to postpone its initial public offering (IPO) due to the ongoing market turmoil in the United States, according to a confidential source. Reuters first reports the company plans to revive its IPO efforts, but it is likely to wait until December at the earliest or possibly until 2024. -  The decision to delay the IPO was made in response to the volatility in the broader market. Despite receiving positive
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First CPT Code for AI Prostate Cancer Imaging Issued for Avenda Health

by Fred Pennic 11/02/2023 Leave a Comment

First CPT Code for AI Prostate Cancer Imaging Issued for Avenda Health

What You Should Know:  - Avenda Health's AI mapping tool for prostate cancer, Unfold AI™, has received significant recognition by obtaining a new Category III CPT code in the 2024 Current Procedural Terminology (CPT) code set, signifying its status as a cutting-edge medical technology. - The new Category III CPT code, X237T, outlines the tool's capabilities, describing it as a non-invasive prostate cancer estimation map that is derived from an augmented analysis of image-guided fusion
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Olive Shutters Business After Sale to Waystar and Humata Health

by Fred Pennic 10/31/2023 Leave a Comment

Olive Secures $400M At A $4B Valuation to Support New Instant Claim Payment Solution

What You Should Know:  - Healthcare automation company Olive today announced it will shut down its business after selling its Clearinghouse and Patient Access business units to Waystar and its Prior Authorization business unit to Humata Health. Olive sold off its utilization management solution and business unit to Availity and business intelligence solution to BurstIQ earlier this year. - Founded in 2012, Olive is a developer of an artificial intelligence workforce, automated
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Automation Fills Gaps Left by Revenue Cycle Talent Shortage

by Noel A. Felipe, CRCR, SVP & Revenue Cycle Practice Leader, Firstsource 10/31/2023 Leave a Comment

Automation Fills Gaps Left by Revenue Cycle Talent Shortage

Healthcare providers are feeling the industry’s talent shortage in their administrative functions as well as clinical areas. One case in point: revenue cycle management. In a recent study, 63% of healthcare providers reported an inability to fill key revenue management roles. Reduced revenues and cash reserves are almost inevitable when providers don’t have sufficient staff to follow up on claims, manage appeals and help patients understand their financial responsibilities and
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Autonomous Coding Highly Trusted by Healthcare Finance Pros, But Not Well Understood

by Fred Pennic 10/26/2023 Leave a Comment

Autonomous Coding Highly Trusted by Healthcare Finance Pros, But Not Well Understood

What You Should Know: - Autonomous coding enjoys a high level of trust among healthcare finance professionals who use or plan to use the technology, according to new survey from the Healthcare Financial Management Association (HFMA) on behalf of AGS Health. - The survey reveals 45 percent of healthcare financial professionals indicate autonomous coding often works well and 16 percent place their complete trust in it. However, despite its emergence as a powerful tool for streamlining and
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