As the pandemic heads toward a second year with no further financial stimulus guaranteed, hospitals and health systems are seeking ways to reduce costs and improve revenue cycle performance. Intelligent process automation (IPA) is an emerging solution designed to optimize operations and increase productivity through a combination of process modeling, process automation, and artificial intelligence.
IPA in the revenue cycle enables healthcare organizations to shift manual, repetitive work to
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
Humana Taps Cohere Health to Modernize Prior Authorizations for Musculoskeletal Treatment
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
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
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
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
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
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
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
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
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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