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

HIMSS26 Wednesday Wrap-Up: Scaling Agentic AI, Securing the Enterprise, and Fixing Hospital Finance

by HIMSS 2026 Daily Wrap Ups Announcements Insights 03/11/2026 Leave a Comment

HIMSS26 Pre-Day Recap: How Agentic AI is Taking Over Healthcare IT

Wednesday at HIMSS26 brought a necessary, pragmatic reality check to the AI fervor. As the initial hype of massive product launches settles, Day 3 conversations pivoted heavily toward the hard logistics of making these advanced systems actually work at enterprise scale. From tech giants redefining consumer triage to startups raising massive funding rounds to fix hospital finance, today was entirely about deployment-ready autonomy and the strict security required to govern it. Here is your
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Translucent Secures $27M for Healthcare Finance AI Platform

by Fred Pennic 03/11/2026 Leave a Comment

Translucent Secures $27M for Healthcare Finance AI Platform

What You Should Know The Funding: Translucent, an AI-native healthcare finance startup, has closed a $27M Series A funding round led by GV (Google Ventures), with continued participation from NEA, Virtue, and FPV Ventures. This oversubscribed round comes just months after a $7 million seed round in August 2025.The Macro Crisis: Despite U.S. healthcare spending soaring past $5.6 trillion, provider margins are collapsing. Last year, delayed financial visibility and manual reconciliation
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Stamford Health Selects Ensemble Health Partners for End-to-End RCM Operations

by Jasmine Pennic 03/11/2026 Leave a Comment

Stamford Health Selects Ensemble Health Partners for End-to-End RCM Operations

What You Should Know The Partnership: Stamford Health, a 305-bed independent health system in Connecticut, has selected Ensemble Health Partners to manage its end-to-end revenue cycle operations.The Clinical Pedigree: Stamford Health is recognized as the #1 Hospital in Fairfield County by U.S. News & World Report, holds Magnet Status for nursing excellence, and is Planetree Gold-Certified for person-centered care.The RCM Tech Stack: Ensemble will deploy its integrated operating model,
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HIMSS26: Epic EHR Unveils ‘Agent Factory’ and Custom Foundation Models

by Fred Pennic 03/10/2026 Leave a Comment

HIMSS26: Epic EHR Unveils 'Agent Factory' and Custom Foundation Models

What You Should Know The Milestone: At HIMSS26, Epic announces that more than 85% of Epic’s customer base is now actively utilizing its suite of artificial intelligence tools.Clinical ROI (Art): Epic's clinician-facing AI, Art, is generating massive clinical and operational leverage. The ambient listening tool, Chart with Art, is now expanding into bedside nursing (live at Houston Methodist) and home care. Beyond charting, Art is actively driving clinical outcomes—such as boosting early lung
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HIMSS26: MEDITECH Expands Expanse AI Portfolio with Native Ambient Intelligence and Claim Denial Agents

by Fred Pennic 03/10/2026 Leave a Comment

Commonwealth Healthcare Corporation to Deploy MEDITECH Expanse EHR

What You Should Know The Launch: At the HIMSS26 conference, MEDITECH announced a major expansion of its Expanse AI portfolio, signaling a shift toward natively embedded artificial intelligence.Native Ambient Listening: Instead of relying on third-party integrations, MEDITECH has embedded ambient listening directly into the Expanse Now app for physicians and the Expanse Point of Care app for nurses. The AI captures conversations in real time, automatically generates clinical notes, and parses
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HIMSS26: Innovaccer Launches Flow Capture to Bring Autonomous AI to Medical Coding

by Fred Pennic 03/09/2026 Leave a Comment

Innovaccer Launches Flow Capture to Bring Autonomous AI to Medical Coding

What You Should Know The Launch: Innovaccer has launched Flow Capture, an autonomous medical coding solution designed to eliminate the manual bottleneck in the hospital revenue cycle.The Metric: The system is engineered to autonomously code approximately 80% of encounters without any human intervention. The remaining 20% of complex edge cases are routed to certified human coders with full AI-assisted context.The "Upstream" Advantage: Flow Capture succeeds because it doesn't wait for the visit
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Elation Health Launches AI Fast Lane to Automate Primary Care Billing Workflows

by Fred Pennic 03/06/2026 Leave a Comment

Elation Health Launches AI Fast Lane to Automate Primary Care Billing Workflows

What You Should Know The Launch: Elation Health, a clinical-first technology platform for primary care, has launched new AI-powered billing workflows featuring a "touchless fast lane" for claims.The Hard ROI: In pilot practices, 72% of eligible routine claims were created completely touchlessly directly from the visit note sign-off. Of those, over 95% were reviewed, confirmed, and submitted for reimbursement without any additional manual intervention.Smart Coding in the Encounter: The AI
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Google Cloud Showcases Agentic AI Healthcare Partnerships with CVS Health, Humana, and Waystar

by Fred Pennic 03/05/2026 Leave a Comment

WellSky Taps Google Cloud to Build Gen AI Tools for Providers

What You Should Know The Paradigm Shift: At HIMSS 2026, Google Cloud officially signaled the end of the "point-and-click" software era in healthcare, ushering in the age of "agentic AI"—systems that autonomously execute complex, multi-step workflows.The Infrastructure: These capabilities are powered by Vertex AI and the multimodal Gemini models, operating within a secure, HIPAA-compliant "walled garden" that ensures patient data is never used to train Google’s foundation models.CVS Health's
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AI in Healthcare Revenue Cycle Management: Moving from Automation to Prediction

by Inger Sivanthi, CEO of Droidal 03/02/2026 Leave a Comment

AI in Healthcare Revenue Cycle Management: Moving from Automation to Prediction

Revenue Cycle Feels Different Now There was a time when revenue cycle performance was judged mostly by operational benchmarks. Claims processed. Days in accounts receivable. Staffing ratios. Those measures still matter, but they no longer tell the full story. Over the past several years, something has shifted. Denials feel less predictable. Payer interpretations vary more widely. Documentation requirements seem to tighten without much notice. Revenue cycle leaders spend more time managing
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Procode AI Exits Stealth With $4M and Acquires RCM Leader The Auctus Group

by Fred Pennic 03/02/2026 Leave a Comment

What You Should Know The Launch: Procode Inc., an AI-powered revenue cycle management (RCM) company for private practice surgeons, has officially emerged from stealth with $4M in funding.The Acquisition: In a bold go-to-market move, the startup has already acquired The Auctus Group, the leading U.S. medical biller for plastic surgeons and a top-three biller in dermatology. The Auctus Group currently serves more than 300 providers.The Backers: The $4M investment was led by Story Ventures, with
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