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

Medsphere Raises $40M to Expand Suite of SaaS EHR & RCM Solutions

by Jasmine Pennic 01/15/2020 Leave a Comment

Medsphere Raises $40M to Expand Suite of SaaS EHR & RCM Solutions

- Medsphere raises $40M in preferred equity investment to fund the expansion of efficient, flexible, subscription-based software solutions. - Medsphere has grown subscription revenue by over 400% using a combination of organic growth and accretive acquisitions, achieving a compounded annual growth rate of over 50%. Medsphere Systems Corporation, the leading provider of efficient and interoperable healthcare information technology (IT) software solutions, and services, today announced new $40
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How Multi-Payer Portals Incent Providers to Better Manage Their Data

by Mark Martin, Director of Payer solutions, Provider Data management for Availity 01/14/2020 Leave a Comment

Prior Authorizations: A Single Source of Truth for Provider Data Management

Mark Martin, Director of Payer Solutions for Availity Value-based healthcare demands meaningful payer-provider collaboration. However, burdensome administrative processes and inefficient solutions stunt the ability of payers and providers to share data, manage risk, validate credentials, process claims, control costs and optimize the consumer experience. These information bottlenecks are most acute in the area of provider data management (PDM). Each year, payers and providers spend more than
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Change Healthcare Unveils Breakthrough All-Payer Medical Claim Attachments Capability

by Fred Pennic 01/13/2020 Leave a Comment

Change Healthcare Unveils Breakthrough All-Payer Medical Claim Attachments Capability

- Change Healthcare unveils industry’s first nationwide solution that allows providers to submit documents and data, like claims attachments, electronically to all health plans in both the Medical and Workers’ Compensation market segments.- This new claim attachments solution also sets the stage for new additional uses of Artificial Intelligence.Today Change Healthcare announced major new enhancements to its medical claim attachments solution. These enhancements will create the industry’s first
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R1 RCM Acquires Patient Engagement Company SCI Solutions for $190M in Cash

by Fred Pennic 01/13/2020 Leave a Comment

R1 RCM Acquires Patient Engagement Company SCI Solutions for $190M in Cash

- R1 RCM announced the expansion of its tech platform capabilities through the acquisition of SCI Solutions, Inc (SCI). This acquisition enables healthcare providers to automate ordering, scheduling and authorization processes. - SCI’s capabilities integrated into R1’s revenue cycle solution will offer the broadest and deepest tech-enabled patient intake solution available. R1 RCM Inc, a provider of technology-enabled revenue cycle management (RCM) services to healthcare providers,
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RUSH Taps R1 for End-to-End Revenue Cycle Management, Value-Based Care Innovation Lab

by Fred Pennic 01/10/2020 Leave a Comment

Rush University Medical Center Taps R1 for End-to-End Revenue Cycle Management, Innovation Lab

- R1 RCM and Rush University Medical Center (RUSH) announce a new end-to-end revenue cycle management partnership to achieve revenue cycle performance excellence and accelerate innovation in healthcare. - The two will also collaborate to launch an innovation lab that will focus on delivering value-based care, incorporating advanced analytics to help to educate other healthcare institutions and preparing the healthcare workforce of the future.   Rush University System for Health (RUSH) has
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How Software Solutions Can Help ASCs Maximize the Revenue Cycle in 2020

by Tara Vail, Chief Operating Officer, HST Pathways 01/09/2020 Leave a Comment

How Software Solutions Can Help ASCs Maximize the Revenue Cycle

In the modern health care environment, health care executives must be careful custodians of precious resources. Yet in December 2018, 26 percent of hospitals still lacked an effective healthcare revenue cycle solution. Other research has found that over 60 percent of hospitals and health systems are not realizing optimal value from their electronic health record (EHR ) system, causing the organizations to collaborate with other vendors and outsourcing companies to improve revenue cycle
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MTBC Acquires Cloud-based EHR Platform CareCloud

by Fred Pennic 01/08/2020 Leave a Comment

MTBC Acquires Cloud-based EHR Platform CareCloud

- MTBC acquires cloud-based, practice management EHR platform CareCloud on a cash-free, debt-free basis. - Founded in 2009, CareCloud’s integrated clinical and financial platform technology and its suite of solutions enables clients to increase profitability, streamline workflow and improve patient care outcomes nationwide.MTBC, Inc., a leading provider of cloud-based healthcare IT and revenue cycle management solutions, today announced the closing of its acquisition of CareCloud which provides
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Change Healthcare Launches API & Services Connection to Spur Healthcare Innovation

by Jasmine Pennic 01/07/2020 Leave a Comment

Change Healthcare Launches API & Services Connection to Spur Healthcare Innovation

- Change Healthcare has just announced the launch of API & Services Connection, a of library of APIs that spans the Change Healthcare broad portfolio of solutions and includes AI, Medical Network, Payments, Pharmacy, and RCM products.- Now available on the AWS Marketplace, the new library gives healthcare innovators instant access to the same clinical, financial, operational, and patient experience services that power Change Healthcare’s portfolio of HIT solutions. - Now, innovative
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Top 60 Health IT/Digital Health Mergers & Acquisitions in 2019

by Fred Pennic 12/27/2019 Leave a Comment

Kareo Sells Managed Billing Services Business to Health Prime International

- From Google's acquisition of Fitbit to Philips acquisition of Carestream Health's health IT business, here is a look at some of the biggest health IT/digital health mergers & acquisitions in 2019 by each quarter. Q1 M&A Activity Johnson & Johnson Acquires Auris Health for $3.4B to Expand Digital Surgery Portfolio Johnson & Johnson acquiresAuris Health, a developer of robotic technologies for $3.4 billion in cash. Auris Health is a privately-held developer of
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New Year, New Codes: Best Practices for Keeping Your Chargemaster Up-To-Date

by Tara Bradley, Chief Operating Officer, Vitalware 12/16/2019 Leave a Comment

Price Transparency: Why Hospitals Need to Focus On Understanding Their Data

While Q4 is busy for every industry, it is especially taxing for those in the healthcare space. In addition to the quarterly update of HCPCS codes, Q4 brings the release of next year’s Current Procedural Terminology (CPT) and HCPCS codes and also sees the release of the final rules for the prospective payment systems. On top of the work going on behind the scenes, the end of the year is a notoriously busy time for hospitals as patients make a mad dash to complete their final visits for the year.
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