The healthcare industry is facing unprecedented challenges, including severe labor shortages. According to a recent study, more than nine in 10 health systems and physician groups are experiencing a workforce shortage in revenue cycle management (RCM), with many of those reporting vacancies in over half of their RCM roles. This is one of the many reasons why there has never been a better time for health systems to think outside the box for solutions, including an RCM partnership. Often, when
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
Cedar Launches Payer Intelligence Layer to Integrate Payer-Provider Data
What You Should Know:
- To address the systemic challenges consumers face when paying for healthcare, Cedar, an enterprise healthcare engagement platform that improves the end-to-end consumer financial journey, has developed the Payer Intelligence Layer.
- With the Payer Intelligence Layer, Cedar can now integrate data from health insurers and healthcare providers to help create a single source of information for consumers managing medical bills. A game-changer for the healthcare industry,
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KLAS-Bain: Post-Pandemic Investment Priorities for Healthcare Providers
What You Should Know:
- Competition in the provider IT space shows no signs of abating: Early-stage capital, big tech, and scale EMR players continue crowding into more segments. This has significant implications for providers as they transition into a new disruptive period, for software players as they fine-tune go-to-market models for the current environment, and for private equity investors as they look to invest behind winning themes.
- A new report by KLAS Research and Bain &
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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
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
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
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
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
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
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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