- IllumiCare’s new research found thousands of dollars in disparities among providers of the same specialties taking care of the same type of patients, both across different hospitals and within the same hospital. - The variations stem from costs providers make judgment calls about — such as ordering medications, lab tests and radiological exams.-The report sheds light at how provider choices in medications, labs, and radiology tests create big differences in spend on a similar diagnosis/patient
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
Simplee Integrates Patient Financial Engagement Platform with Cerner RCM Solution
- Simplee integrates their patient financial engagement platform with Cerner’s revenue cycle management portfolio and consumer technology. - The integration makes it simple, efficient for providers to transform medical billing and payments into consumer-friendly experience.Simplee and Cerner Corporation today announced a new relationship aimed at price transparency, convenient billing and personalized payments options for consumers. Healthcare organizations will soon be able to use this
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Walmart Health Taps Zotec Partners to Power Patient Financial Experience
- Walmart Health has formed an end-to-end RCM technology and services relationship with Zotec Partners to simplify the healthcare financial experience processes for its customers, including primary care, dental, vision, and mental health services.
- Zotec’s technology will enable Walmart Health patients to schedule and register for appointments ahead of time, confirm or change insurance and demographic information, see estimated cost for services, receive text and email updates, efficiently
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Allscripts Certifies Redox as First Global Integration Engine of Allscripts Developer Program
- Allscripts has certified Redox as the first global integration engine of the Allscripts Developer Program (ADP).- Redox provides a single, global connection to Allscripts Unity APIs that digital health vendors can use to integrate and exchange data with approved Allscripts client sites.- All digital health vendors that are part of the Redox Interoperability Network will automatically be eligible for Allscripts Unity API access; these digital health vendors benefit from faster implementation
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Change Healthcare Unveils AI-Infused Charge Capture for Providers
- Change Healthcare unveils a new AI solution, Charge Capture Advisor that will help providers capture more revenue—automatically.
- Charge Capture Advisor identifies potentially missing charges for services that providers performed before claims are submitted.
- Change Healthcare’s AI for charge capture is trained on more than 500 million service lines and 180 million unique, de-identified claims that touch $245 billion in charges.
Change Healthcare today introduced Charge
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Baptist Health South Florida Launches Spanish and English Patient Access Solutions
Quick Glance- Baptist Health South Florida launches new online patient access experience for consumers with technology from Kyruus- Solution enhances digital capabilities for Both English- and Spanish-Speaking consumers in the greater Miami areaKyruus announced that Baptist Health South Florida is now leveraging its ProviderMatch for Consumers and ProviderMatch® for Consumers in Spanish solutions. As a result, English- and Spanish-speaking patients in the Greater Miami Area can easily search for
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Dysfunctional Patient Billing Major Distraction for Patients & Clinicians
Dysfunctional patient billing is a major distraction for both patients and clinicians, according to recent research conducted by HIMSS in partnership with OODA Health. The research report reveals patients are distracted by bills and payment concerns resulting in a lower level of compliance and adherence to medical plans. Clinicians are distracted by clerical/financial tasks that limit time with or take time away from patients. This research complicates the simple construct of patient billing as
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How Will FY2020 IPPS Proposed Rule Affect Hospital CDI Programs?
In April, Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2020 inpatient prospective payment systems (IPPS) proposed rule. The proposed rule notably includes approximately 1,500 complications or comorbidities (CC)/major complications or comorbidities (MCC) designation changes and 324 changes to International Classification of Diseases (ICD)-10-CM codes, along with several other updates. The designation changes are an effort to respond to the notion that the
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10 Considerations for Success In A Post-MACRA Value-Based Healthcare Reality
The first two years of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Quality Payment Program (QPP) are in the books and many organizations are wondering if their strong performances will ever be met with a significant upside adjustment.
Year 1 (2017) enjoyed very high participation levels, 95% of eligible clinicians, but very low upside adjustments. Between the Test Pace option, artificially low bar (3 points) for an upside adjustment, and numerous opportunities to score
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Report: Health Systems Are Struggling to Simplify Patient Billing & RCM Processes
Today’s health systems are prioritizing patient financial experiences, yet many still struggle to simplify patient billing and align it with revenue cycle management (RCM), according to an in-depth study, commissioned by patient payment and engagement platform Cedar and conducted by The Health Management Academy (The Academy). The Cedar and Academy study examined practices at 20 of the top 100 U.S. health systems including qualitative and quantitative analyses of 23 senior executives
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