What You Should Know:
- Notable, a San Mateo, CA-based intelligent automation company for healthcare has launched expanded capabilities for comprehensive revenue cycle management (RCM) automation.
- Unlike traditional point solutions that only automate siloed parts of the revenue cycle, Notable's intelligent automation platform is the only platform that combines robotic process automation (RPA), artificial intelligence (AI), patient engagement, and no-code configurability to provide the
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
VisiQuate Lands $50M to Expand AI-Powered RCM Automation Solution
What You Should Know:
- VisiQuate, Inc., a Santa Rosa, CA-based provider of advanced analytics and AI-powered automation today announced a new $50 million equity investment from Sixth Street Growth.
- Founded in 2009, VisiQuate, Inc.’s user-friendly data management and analytics solutions let virtually anyone in a healthcare organization explore complex data from multiple sources to quickly gain insights and create actionable workflows.
- VisiQuate’s artificial intelligence
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Banjo Health Lands $5M for AI-Driven Prior Authorization Platform
What You Should Know:
- Banjo Health, a Washington-based provider of AI-driven prior authorization ("PA") solutions, announced today it has raised in excess of $5 million in Series A financing led by Epsilon Health Investors, with participation from Spark Growth Ventures and Tau Ventures. Epsilon Health Investors Co-Founder and General Partner, Gregory Epstein, will be joining Banjo Health's Board of Directors.
- Banjo Health is focused on bringing transparency and automation to PA through
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XFIN Acquires Radiology Revenue Cycle Provider CMS – Health M&A
What You Should Know:
- Health IT company XIFIN announced the acquisition of Computerized Management Services (CMS), a provider of comprehensive revenue management services for hospital-based radiology groups and imaging centers. CMS provides a comprehensive suite of outsourced financial services focused on maximizing radiology client revenue and cash flow streams. Its services leverage strong technology systems and analytics,
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Olive Secures $400M At A $4B Valuation to Support New Instant Claim Payment Solution
What You Should Know:
- Today, healthcare automation company Olive, today announced a $400M in funding round led by Vista Equity Partners with additional investment from the Base10 Partners Advancement Initiative. Olive, a provider of AI powered workforce purpose-built for healthcare, has now secured $832 million in financing since March 2020, and $902 million since the company’s inception in 2012 bringing the company’s total valuation to $4 billion.
- The company plans to use
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RCM: How Coding Gray Areas Skew Healthcare Data
Clinical reality, the ICD-10-CM classification system, and considerations of reimbursement are three distinct worlds that are sometimes in conflict. We don’t like it when financial considerations intrude on the purity of coding, but there’s no escaping this intrusion when coding serves as both the representation of the clinical picture in healthcare data and as the basis for reimbursement.
Sepsis Definitions at Odds
Sepsis provides a great illustration of a coding gray area that can
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AI + Human Intelligence — A More Effective Solution for the Healthcare Payment Lifecycle
Much has been written about the advent of Artificial Intelligence (AI) in the healthcare payment lifecycle, but has it been oversimplified? The straightforward answer is yes.
Many articles have characterized AI as the end-means antidote that will solve all revenue cycle management (RCM) issues and easily streamline the reimbursement process from beginning to end. In fact, many of the products in today’s marketplace promise a complete solution based almost entirely on AI. But, looking at this
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Iodine Acquires Clinical Documentation Solution ChartWise – Health M&A
What You Should Know:
- Iodine Software, a healthcare AI company, today announced it has acquired clinical documentation integrity company ChartWise Medical Systems. Financial details of the acquisition were not disclosed.
- The acquisition comes just two weeks after Iodine completed an acquisition of Artifact Health, a mobile-based physician query platform that was in 300+ hospitals. Now, after both acquisitions, Iodine will now support more than 800 of top U.S. health systems,
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TailorMed Nabs $20M for Patient Financial Navigation Platform, Backed by Providence Ventures
What You Should Know:
- TailorMed Medical Ltd., a New York City-based patient financial navigation technology company, today announced a $20 million investment led by Providence Ventures. The round included new investors UnityPoint Health Ventures, Almeda Ventures, Bridges Israel and Discount Capital with participation from existing investors Accelmed, Sanara Ventures and Triventures.
- Founded in 2016, TailorMed is focused on ensuring patients get the care they need in a difficult
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33% of Hospital Execs Reported Average Denial Rates of More than 10%
What You Should Know:
According to a recent survey of over 130 hospital executives across the nation, the average denials rate is between 6% and 13%, and over 1/3 of hospital reimbursement executives surveyed responded that their organizations are nearing the denials danger zone of 10%.
The key findings from Harmony Healthcare reflects the need for stronger denials prevention and recovery solutions. Research shows that approximately 85% of denials are preventable, but
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