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

Humana Taps Cohere Health to Modernize Prior Authorizations for Musculoskeletal Treatment

by Fred Pennic 10/22/2020 Leave a Comment

Cohere Health Launches with $10M to Increase Transparency Across Care Journey

What You Should Know: - Cohere Health partners with health insurer Humana to modernize the prior authorization process for musculoskeletal treatment across 12 states. - In addition, the company has closed an additional $10M in funding led by Flare Capital Partners and Define Venture, bringing the company’s total funding to $20M. Health insurer Humana has signed an agreement with healthcare collaboration company Cohere Health to improve the prior authorization process for
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Impact of COVID-19: 2020 State of Healthcare Performance Improvement Report

by Jasmine Pennic 10/19/2020 Leave a Comment

Impact of COVID-19: 2020 State of Healthcare Performance Improvement Report

What You Should Know: - Nearly three-quarters of hospital leaders are either moderately (52%) or extremely (22%) concerned about the financial viability of their organizations without an effective treatment or vaccine for COVID-19, according to a new report from Kaufman Hall entitled, “2020 State of Healthcare Performance Improvement Report: The Impact of COVID-19” - One-third of respondents saw operating margin declines in excess of 100% in the second quarter of 2020 compared with the
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The Future of Patient Access: From Appointment Reminders to Automated Patient Journeys

by Rick Halton, Vice President of Marketing, Lumeon 10/19/2020 Leave a Comment

The Future of Patient Access: From Appointment Reminders to Automated Patient Journeys

The concept of 'Patient Access' has evolved significantly. We all remember the good old days when patient access was an inbound responsive model – patients dialed into a call center phone number and were connected "round-robin" to the next available staff member with their call script. Then outbound voice and email messages and patient appointment reminders became common, and now access centers have begun to deploy more advanced communication channels such as natural language voice response,
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Cedar Joins Epic App Orchard to Enable Patient-First Billing Experience in MyChart

by Jasmine Pennic 10/13/2020 Leave a Comment

Cedar Joins Epic App Orchard to Enable Patient-First Billing Experience in MyChart

What You Should Know: - Patient financial engagement platform Cedar announced the availability of its patient billing solution, Cedar Pay in the Epic App Orchard marketplace. - Cedar engages patients through a frictionless billing experience that is embedded in MyChart using single sign-on. By tailoring in-app messaging and balance resolution workflows. Cedar, a leading patient financial engagement platform, today announced that Cedar Pay, its flagship patient billing solution, is
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Clearwave Acquires Digital Patient Access Solutions Odoro

by Jasmine Pennic 10/13/2020 Leave a Comment

Clearwave Acquires Digital Patient Access Solutions Odoro

What You Should Know: - Clearwave acquires Odoro, a provider of digital patient-access solutions that makes the scheduling process easier and more efficient for both healthcare providers and patients. - Clearwave, a pioneer in digital check-in is poised to deliver the industry’s most comprehensive patient-engagement platform with the addition of Odoro’s rich, multi-channel scheduling capabilities. Clearwave, a healthcare industry leader in digital check-in and eligibility
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Providence Combines 9 Investments & Acquisitions to Form Tegria

by Fred Pennic 10/12/2020 Leave a Comment

Providence Combines 9 Investments & Acquisitions to Form Tegria

What You Should Know: - Providence combines nine operating companies to form Tegria into a comprehensive suite of offerings for organizations across the health care sector -Tegria will focus on three key initiatives—healthcare consulting and technology services, revenue cycle management solutions and software technology and platforms. Providence, one of the nation's largest health systems announce the formation of Tegria, a new company designed to provide next-generation
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Innovaccer Unveils Risk Adjustment Solution For Improved Coding Accuracy

by Jasmine Pennic 10/08/2020 Leave a Comment

What You Should Know: - Innovaccer unveils new risk adjustment solution to help providers better segment their population to refine the risk scoring process and improve coding accuracy and efficiency, thereby improving performance on risk-based contracts. - The solution utilizes Artificial Intelligence (AI) and Natural Language Processing (NLP) to make risk predictions. Innovaccer, Inc., a leading healthcare technology company, has launched its Risk Adjustment Solution. Leveraging
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AMA Adds New CPT Codes Multi-Virus Tests to Detect COVID-19 and Flu

by Fred Pennic 10/07/2020 Leave a Comment

AMA Approves 2 New CPT Codes to Support Response to COVID-19

What You Should Know: - AMA announces new CPT codes for multi-virus tests to detect COVID-19 and flu for immediate use.  The American Medical Association (AMA) today published an update to the Current Procedural Terminology (CPT®) code set that includes new code additions and editorial revisions for reporting medical services sparked by the public health response to the COVID-19 pandemic. The update to the CPT code set was approved by the CPT Editorial Panel, the
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Intermountain to Deploy AI-Powered Digital Assistants Across Clinically Integrated Network

by Jasmine Pennic 10/06/2020 Leave a Comment

Intermountain to Deploy AI-Powered Digital Assistants Across Clinically Integrated Network

What You Should Know: - Intermountain Healthcare announced it will scale Notable’s AI-driven platform across the health system’s clinically integrated network to support thousands of providers, automate administrative workflows, streamline the check-in experience for patients, and simplify provider follow-up. - The Notable Platform uses intelligent automation to identify and engage more patients in need of care and enables staff and clinicians to better serve patients by eliminating
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Getting Beyond the Telehealth ‘Stop-Gap’ Mentality

by Roland Therriault, President, InSync Healthcare Solutions 10/06/2020 Leave a Comment

Getting Beyond the Telehealth's ‘Stop-Gap’ Mentality

Since COVID-19 emerged as a major health threat, virtual care has taken off. As many as 46% of patients reported in late April that they had used telehealth to replace a canceled healthcare visit in 2020, while 48% of physicians said they had started using telehealth to treat patients.   While a shift in care models was necessary to address business continuity amid the pandemic, these trends also represent positive movements as a growing body of evidence supports the real-life benefits of
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