In the complex and often frustrating world of healthcare billing, claim denials, underpayments, and repeated resubmissions are among the most persistent and costly challenges faced by providers. The process is time-consuming, error-prone, and resource-intensive which results in wasted time and detracts from patient care. Fortunately, advanced machine learning (ML) and artificial intelligence (AI) are transforming this process, by helping providers reduce the time, cost, and frustration
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
PE Firm Harvest Partners Invest in RCM Company Med-Metrix
What You Should Know:
- Med-Metrix, LLC, a provider of technology-enabled Revenue Cycle Management (RCM) solutions has received a significant growth investment from funds managed by Harvest Partners, LP (“Harvest”).
- The investment, made in partnership with Med-Metrix's management and its prior owner, A&M Capital (“AMC”), will support the company’s next phase of development.
AMC to Retain Minority Investment
The company’s management team, led by CEO Joseph Davi, will
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HFMA25: FinThrive Launches New AI Platforms to Stop Revenue Leakage
What You Should Know:
- FinThrive, a healthcare revenue management SaaS provider, today announced the launch of FinThrive Fusion™, the first dynamic intelligence platform purpose-built on a modernized data fabric to power the future of revenue cycle management (RCM) innovation.
- The company also announced the launch of FinThrive Denials and Underpayments Analyzer, a next-generation analytics solution powered by the new platform.
Introducing the Denials and Underpayments
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Knowtion Health Acquires Switch RCM to Enhance AI-Powered Revenue Recovery Solutions
What You Should Know:
- Knowtion Health, a healthcare revenue cycle company, has acquired Switch RCM, a data- and technology-first company that uncovers and resolves overlooked reimbursement opportunities through intelligent automation and data-driven innovation.The financial terms of the transaction were not disclosed.
- The combination of Knowtion and Switch RCM is designed to address the growing challenges faced by health systems, including increasing payer complexity, shrinking
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Huron to Acquire Revenue Cycle Consulting Firm Eclipse Insights
What You Should Know:
- Huron has entered into an agreement to acquire Eclipse Insights, a revenue cycle consulting firm dedicated to helping healthcare organizations maximize revenue and improve cash flow. This acquisition is set to enhance Huron’s ability to drive revenue cycle yield and efficiencies for its clients.
- The move comes as healthcare providers continue to face significant financial challenges, including ongoing margin pressures, workforce shortages, declining
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Commure Raises $200M to Accelerate AI-Powered RCM Platform
What You Should Know:
- Commure, the fast-growing enterprise AI healthcare technology company, today announced it has secured $200M in growth financing from General Catalyst’s Customer Value Fund (CVF). The funding will be used to meet the surging demand for Commure’s full-stack AI platform, which spans revenue cycle management (RCM), ambient AI clinical documentation and workflows, and practice management solutions.
- The CVF transaction enables Commure to scale its investment in
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Collectly Launches “Billie,” an AI Agent for 24/7 Patient Billing Support
What You Should Know:
- Collectly, the AI-powered platform reshaping patient billing and revenue cycle management (RCM), today announced the launch of Billie—a breakthrough AI agent for patient billing and RCM. Billie is available to patients 24/7 across chat, email, text, and voice, providing real-time answers to complex medical billing questions and simple, one-click payment options.
- The launch comes at a critical time when patients are often overwhelmed by confusing medical
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Why Claims Data Alone Leave Gaps in Understanding the Patient Journey
In today’s precision medicine landscape, pharmaceutical companies and access teams face a critical challenge: understanding not just whether therapies work, but how they are accessed, adopted, and experienced by real-world patients. This requires going beyond traditional data sources, particularly claims data, which—while useful—often fails to capture the nuanced clinical and diagnostic steps that define the patient journey. To truly understand and improve therapy adoption, stakeholders need a
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INSIGHTS: What Leaders Expect to Hear at HFMA Annual Conference
As healthcare finance leaders prepare to gather for the upcoming HFMA Annual Conference, they face a familiar but intensified set of challenges: shrinking margins, rising operational costs, and an increasingly complex reimbursement landscape. This year, however, a dominant theme emerges from the conversation: the role of Artificial Intelligence in revolutionizing the revenue cycle. We asked six healthcare executives for insights on what key themes/trends they expect to be the most talked
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How Cyber Threats Are Reshaping Healthcare Revenue Cycle Strategy
The impact of any data breach cannot be overstated, especially in healthcare. Unlike other sectors, such as financial services or travel, healthcare records contain “one of one” data – medical history cannot simply be replaced or revoked, making this data uniquely valuable to threat actors.
Unfortunately, healthcare has seen a clear surge in data breaches in recent years.
Financially motivated hackers and insider threats are increasingly exploiting cybersecurity gaps that were
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