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

Tenet to Spin Off RCM Provider Conifer Health as Separate, Public Company

by Fred Pennic 07/24/2019 Leave a Comment

Tenet to Spin Off RCM Provider Conifer Health as Separate, Public Company

Tenet Healthcare Corporation has announced its intention to pursue a tax-free spin-off of its revenue cycle management business unit Conifer Health as a separate, independent publicly-traded company. The company expects to complete the spin-off by the end of the second quarter of 2021. This announcement is the culmination of the Conifer strategic review process announced in December 2017.Spin-Off ProcessThe separation process will include a thorough review of the necessary executive leadership
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John Muir Health to Outsource All Non-Clinical Operations to Optum

by Fred Pennic 07/18/2019 Leave a Comment

John Muir Health to Outsource All Non-Clinical Operations to Optum

John Muir Health has announced a strategic partnership with UnitedHealth Group’s (UHG) division, Optum to outsource their key non-clinical functions, including information technology, revenue cycle management, analytics, purchasing and claims processing. Through Optum’s operational technologies, analytic solutions and tools, and administrative services expertise, the partnership will ensure John Muir Health further advance its clinical and operational performance. The outsourcing agreement will
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TriHealth Goes Live on Kyruus’ Patient-Provider Matching Solution Across Network

by Fred Pennic 07/11/2019 Leave a Comment

TriHealth Goes Live on Kyruus’ Patient-Provider Matching Solution Across Network

TriHealth, a Cincinnati-based, not-for-profit health system, has implemented Kyruus’ patient access platform to boost online patient acquisition and engagement. Now working with Kyruus, TriHealth is empowering patients to seamlessly search for providers by a wide range of criteria across its network of five hospitals and over 100 sites of care. Formed as a partnership between Good Samaritan Hospital and Bethesda Hospital, TriHealth includes five hospitals and over 100 other sites of
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Waystar Acquires AI Firm Digitize.AI to Tackle Prior Authorizations

by Fred Pennic 07/10/2019 Leave a Comment

Waystar Acquires AI Firm Digitize.AI to Tackle Prior Authorizations

Bain-Capital-backed revenue cycle management company Waystar is acquiring Digitize.AI, an artificial intelligence firm, to enable faster and smarter prior authorizations in healthcare – one of the largest pain points for both providers and consumers.Financial Impact of Prior AuthorizationsPrior authorizations, the process by which insurance companies and payers determine if they will cover a prescribed procedure or medication, are meant to help patients avoid surprise bills and unexpected
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Patientco Joins Epic App Orchard Marketplace to Power Seamless Payment Experience

by Jasmine Pennic 07/08/2019 Leave a Comment

Patientco Lands $28M to Reimagine the Patient Financial Experience

Patientco, a next-generation patient payment tech company has joined the Epic App Orchard Marketplace with two payments solutions:1. Patientco Patient Payments is a solution that supports self-service payments via MyChart.2. Patientco Encrypted Device Integration, which allows staff to collect payments without leaving the Epic workflow. Epic App Orchard IntegrationPatientco Patient Payments is directly embedded in Epic’s MyChart, enabling patients to pay their healthcare bills how they prefer,
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KLAS: Are Revenue Cycle Outsourced Services Worth The Investment?

by Fred Pennic 07/08/2019 Leave a Comment

Revenue Integrity Dysfunctional Patient Billing Major Distraction for Patients & Clinicians 6 Metrics to Improve Hospital Revenue Cycle ROI_revenue cycle makret

One-third of providers have buyer’s remorse when it comes to purchasing revenue cycle outsourcing services, according to a recent KLAS report. Provider organizations investing in outsourced revenue cycle services to relieve cost and resource burdens need their firms to take true ownership of the complex revenue cycle and deliver accordingly.For the report, KLAS spoke to 140 provider organizations using RCO or EBOS to determine which firms are delivering and which are falling behind. The KLAS
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Net Health Acquires Post-Acute Care EHR Provider Optima Healthcare Solutions

by Fred Pennic 07/02/2019 Leave a Comment

Net Health Acquires Post-Acute Care EHR Provider Optima Healthcare Solutions

Net Health, a provider of cloud-based software solutions for specialized outpatient care, today announced it has acquired cloud-based post-acute care EHR provider Optima Healthcare Solutions. Optima post-acute care EHR platform supports contract therapy companies, skilled nursing and assisted living facilities, outpatient therapy clinics, home health therapy providers and hospice organizations.Acquisition Benefits for Net HealthOnce the acquisition closes, the combined company will serve
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AMA Grants New CPT Code for KidneyIntelX to Support Medicare & Reimbursement

by Fred Pennic 07/01/2019 Leave a Comment

5 Opportunities to Increase Electronic Exchange of Medical Documentation

The American Medical Association (AMA) has granted a CPT® Proprietary Laboratory Analyses (PLA) Code for Renayltix AI’s lead product, KidneyIntelX. The new code, 0105U, has been approved and published by the AMA CPT Editorial Panel, and is scheduled to become effective on October 1, 2019.Medicare Price for New CPT CodeA payment rate for the new code will be established for Medicare patients through the 2019 Clinical Lab Fee Schedule (CLFS) Annual Public Meeting process. Renayltix AI will shortly
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Providence St. Joseph Health Acquires Epic Consulting Firm Bluetree

by Fred Pennic 06/27/2019 Leave a Comment

Providence St. Joseph Health Acquires Epic Consulting Firm Bluetree

Providence St. Joseph Health, a national, not-for-profit Catholic health system, announced today that it will acquire Bluetree, an Epic consulting and strategy company that helps health care providers maximize their use of technology. Based in Madison, Wisconsin, and with offices in Denver and New York, Bluetree’s integrated team approach helps health care providers realize higher returns from their Epic EHR platform investment.Acquisition Benefits for Providence St. JosephBy acquiring Bluetree,
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Healthcare’s Uncertain Future: 3 Data-Driven Approaches for Payers

by Emad Rizk, M.D., President, CEO & Chairman of the Board, Cotiviti 06/27/2019 Leave a Comment

Navigating Healthcare’s Uncertain Future: Three Data-Driven Approaches for Payers

Nine out of 10 healthcare leaders expect disruptive pressures to increase tremendously in the year ahead, according to a recent survey. However, fewer than half believe their organizations are prepared to withstand these forces. In an era of transformation—in which traditional business models are continually being revamped in response to pressures such as consumerism, policy changes, and the market entrance of non-traditional healthcare players such as Amazon and Apple—payers face daunting
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