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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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
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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Geisinger Taps Cohere Health to Streamline Prior Authorizations
What You Should Know:
- Today Geisinger Health Plan (GHP) and Cohere Health, a provider of utilization management (UM) technology, announced they are joining forces to streamline the prior authorization process for providers.
- Cohere’s collaborative UM platform will help GHP support value-based care delivery, reduce administrative costs, and lead the nation in aligning quality improvement initiatives across all its lines of business, including
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Olive Launches Autonomous Revenue Cycle (ARC) Suite
What You Should Know:
- Olive, the automation company creating the Internet of Healthcare, today launched its Autonomous Revenue Cycle (ARC), the company's flagship Revenue Cycle Management (RCM) suite of solutions.
- Olive's ARC is designed to handle tedious, time-consuming administrative tasks in the revenue cycle, allowing healthcare organizations to get paid quicker while reducing the risk of uncompensated care.
Automate the Revenue Cycle Management Process
Managing revenue
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HFMA: DeliverHealth Launches AI-Driven Autonomous Coding
What You Should Know:
- DeliverHealth, a provider of technology-enabled solutions for hospitals, health systems and group practices launches artificial intelligence (AI) driven autonomous coding for a simpler, more efficient way to accelerate revenue cycle optimization.
- The autonomous coding platform removes inherent complexities clinicians and care teams face while helping administration and operations obtain the realization of their EHR investments.
Combating the Impact of the
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LumaPay Launches for Patients to Pay Med Bills in An SMS Text
What You Should Know:
- Luma Health today announced the launch of LumaPay, a new service for healthcare systems that provides patients a better and more transparent financial journey.
- LumaPay™ lets patients pay bills from anywhere via text as the inaugural module of LumaFinancial, which provides better, simpler, and more transparent financial journeys
Offering Patients an Easy to Pay Their Bills
LumaPay enables healthcare organizations to offer patients an easy, text-first way to
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Buried Under Dirt or Under Debt: Can Patients Survive the Struggle of Getting Care?
New patients at a cancer center in Michigan receive a 79-page handbook when their treatments commence. The handbook includes needed advice on what to eat and the side effects of chemotherapy drugs. One double-sided page features information about how to navigate the financial aspects of cancer treatment, including who to contact for help with medical bills.
For Leslie Vreeland-Corpe of Michigan, one double-sided page couldn’t contain all the information she needed. After being diagnosed
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KAID Health Raises $4.25M for AI-Powered Provider/Payer Whole Chart Analysis Platform
What You Should Know:
KAID Health,makers of anartificial intelligence-enabled clinical analysis and provider engagement platform,today announced its $4.25M in Series A funding bringing their total capital raised to $6.45M.
- The funding will fuel growth of the provider/payer platform that integrates with the electronic medical records (EMR) to identify high-value tactical care and coding interventions. The company will also expand its Boston, MA office and will hire new team
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Olive Partners with Magenta to Revolutionize Risk Adjustment Process
What You Should Know:
- Olive, the automation company creating the Internet of Healthcare, today announced its partnership with Magenta Care Continuum, a HIPAA-compliant health records vault that includes care gap analytics.
- Through the Olive Library, payers and providers can access Magenta's solutions to help close care gaps, improve billing and claims occurrence and ensure compliance and revenue integrity for value-based population management.
Automating the Risk
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