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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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
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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Salucro and Luma Health Integrate to Simplify Patient Payments
What You Should Know:
- Salucro Healthcare Solutions, a healthcare payment technology company, today announced an innovative technology partnership with Luma Health, the technology company behind the world’s first Patient Success Platform™.
- The partnership will combine Luma’s platform and Salucro’s patient-friendly financial engagement solutions to enable their clients to more efficiently collect payments throughout the patient journey.
Personalized Payment Integrations Throughout the
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Hospital Finances Down As Funding Dries Up, Report Finds
What You Should Know:
- Hospitals and health systems saw decreases in outpatient revenue and operating room time and increases in inpatient lengths of stay from June to July 2022, leading to a decline in financial performance after months of improvement, according to the latest National Hospital Flash Report from Kaufman Hall.
- The analysis reveals that U.S. hospitals and health systems are experiencing some of the worst margins since the beginning of the COVID-19
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AI Provider Anomaly Launches Tech to Predict Claims Denials with 97% Accuracy
What You Should Know:
- Anomaly, a precision payments company streamlining healthcare billing and payments for providers and payers, today announced its new offering Anomaly Smart Response.
- Smart Response uses AI to enable providers and payers to reduce avoidable claim denials and rework and increase payment transparency, top priorities for healthcare stakeholders. Smart Response complements Anomaly’s planned suite of products powered by its AI claim prediction engine, including
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EMPI/MPI: An End-to-End Approach to Patient Data Integrity
Maintaining patient data integrity is more complicated than ever; cybersecurity threats loom, patients are taking more ownership of their care (self-registration, for example) and health system merger activity is on the rise. It can make the quest for the ever-elusive 1% maximum duplicate rate seem, at times, unattainable.
But a secure, accurate, and duplicate-free MPI/EMPI can be achieved. It just requires a multi-pronged approach to protect data throughout its journey into a health system
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MedAllies Selects Lyniate for EMPI & Data Management
What You Should Know:
- Lyniate, a healthcare data interoperability announced MedAllies, a multimodality connectivity services company, has chosen Lyniate Enterprise Master Patient Index (EMPI) by NextGate to better serve its healthcare clients and partners.
- This integration will bolster MedAllies’ identity data management capabilities to increase the accuracy of the data it exchanges for the benefit of all.
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Modernizing Medical Payments: Why Providers Must Enrich the Patient Financial Experience
Medical billing issues cause many consumers to shop for different providers. Customers expect a simple, automated billing experience. Insider Intelligence’s recent Spotlight on Modernizing Medical Payments looks at what drives consumers away from their medical providers, and what providers can do to modernize their billing processes.
Incorrect or Confusing Bill Cause Patients to Leave Their Doctors
According to a December 2021 report on Patient Payment Technology, 64% of respondents
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Netsmart Acquires SNF Claims Data Analytics Solution CORE Analytics
What You Should Know:
- Netsmart announced that it has acquired CORE Analytics, the industry-leading skilled nursing facility (SNF) claims data analytics offering from Zimmet Healthcare.
- With the addition of Core Analytics, Netsmart Simple™is now the only solution suite in the market capable of calculating quality measures and Five-Star ratings leveraging Minimum Data Set (MDS), Payroll-Based Journaling (PBJ) and UB-04 claims data.
Software Solutions to Problems in
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