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

JPMorgan Chase to Acquire Healthcare Payments Solution InstaMed

by Fred Pennic 05/17/2019 Leave a Comment

InstaMed Brings Apple Pay to Healthcare For First Time

JPMorgan Chase & Co., today announced its plan to acquire InstaMed, a Philadelphia-based healthcare payment network provider connecting providers, payers, and consumers on one platform. The acquisition will expand the bank's suite of payment services designed specifically for healthcare consumers, providers, and payers.Why InstaMed?U.S. healthcare spending is over $3 trillion and is challenged by significant transaction friction and inefficiency. Legacy approaches to bill pay, claims
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KPMG, Waystar Integrates Social Determinants of Health Data to Clinical Intelligence Platform

by Fred Pennic 05/16/2019 Leave a Comment

IPA, IHANY, Fidelis Care Partner to Address Social Determinants of Health in Upstate New York AzHHA Taps PatientPing to Improve Care Coordination Across State of Arizona

KPMG announced it is integrating social determinants of health (SDoH) data from revenue cycle provider Waystar to KPMG’s Clinical Intelligence (KCI) platform. The integration will harness SDoH data that can help overcome obstacles to medical treatment and affect outcomes to help with care coordination.The Impact of Social Determinants of Health DataSocial, environmental and economic factors – such as transportation, housing, nutrition, and education level – can have a big impact upon medical
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Discovery Health Partners Acquires HealthMind to Expand Revenue Integrity Solution Portfolio

by Fred Pennic 05/16/2019 Leave a Comment

Discovery Health Partners Acquires HealthMind to Expand Revenue Integrity Solution Portfolio

Discovery Health Partners, an industry leader dedicated to helping healthcare payers solve payment and revenue integrity challenges to improve financial outcomes, today announced they have acquired HealthMind, LLC (formerly known as Datametrix Inc.Founded in 2005, HealthMind specializes in pre- and post-payment services that ensure correct payment for both contracted and non-contracted providers using a continuous-looped platform with Dynamic Discovery.Rise of Healthcare SpendingWith U.S.
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Appriss Launches Machine Learning Powered Patient Matching Solution

by Jasmine Pennic 05/15/2019 Leave a Comment

Appriss Launches Machine Learning Powered Patient Matching Solution

Patient matching is essential to prevent or quickly identify patients suffering from opioid addiction. This week, Appriss Health has launched ApprissID, a patient record-matching solution based on machine learning and consolidation algorithms within PMP AWARxE, Appriss Health’s prescription drug monitoring program (PDMP) solution that serves 44 PDMPs across the U.S.ApprissID utilizes combinations and segments of various identifiers to connect multiple records together to identify a unique
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BJC HealthCare Taps R1 RCM to Enhance Revenue Integrity Across Enterprise

by Fred Pennic 05/14/2019 Leave a Comment

BJC HealthCare Taps R1 RCM to Enhance Revenue Integrity Across Enterprise

BJC HealthCare, based in St. Louis, Missouri has selected revenue cycle management (RCM) services company R1 RCM to provide its Revenue Integrity Solutions (RIS), formerly known as Revenue Capture Services (RCS) to support BJC’s affiliated hospitals and affiliated physician group in ensuring appropriate payment for services provided and documented via charge capture, coding review, root cause analysis and education. In addition to R1’s Revenue Integrity Solutions, hospitals and health systems
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Access One Integrates Patient Financing Options with Epic App Orchard

by Jasmine Pennic 05/10/2019 Leave a Comment

Access One Integrates Patient Financing Options with Epic App Orchard

AccessOne, a provider of patient financing options designed to help patients manage their healthcare costs announced that it has joined the Epic App Orchard marketplace. The integration marks AccessOne as the first patient financing company to join the App Orchard and is currently available to hospitals and health systems on the Epic platform.Consumers have reported that more payment options and access to self-service portals are among the top three process changes that would improve
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Quorum Health Taps R1 RCM for End-to-End Revenue Cycle Management Across 26 Hospitals

by Fred Pennic 05/09/2019 Leave a Comment

Quorum Health Taps R1 RCM for End-to-End Revenue Cycle Management Across 26 Hospitals

Quorum Health Corporation, an operator of general acute care hospitals and outpatient services has selected R1 RCM to provide end-to-end revenue cycle management services across Quorum Health’s portfolio of hospitals and outpatient centers. After conducting a competitive vendor selection, Quorum Health selected R1 and anticipates going live in the second half of 2019.Benefits for Quorum HealthR1’s platform integration with existing infrastructure is expected to improve revenue cycle operations
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Vericred Launches Medicare Advantage API to Support Insur Tech & Digital Health Companies

by Fred Pennic 05/06/2019 Leave a Comment

Vericred Launches Medicare Advantage API to Support Insur Tech & Digital Health Companies

Vericred, an NYC-based data services platform powering the digital distribution of health insurance and employee benefits, announced today a Medicare Advantage rating API enabling InsurTech and digital health companies to build innovative solutions that serve the fast-growing Medicare-eligible population.Growth of Medicare Advantage PlansMedicare Advantage – also known as Medicare Part C – is a program in which individuals who qualify for Medicare enroll in certified health plans offered by
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Global Medical Billing Outsourcing Market to Reach $19.7B by 2026

by Fred Pennic 04/26/2019 Leave a Comment

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

 The global medical billing outsourcing market size is projected to reach USD 19.7 billion by 2026 expanding at a compound annual growth rate (CAGR) of 11.8%, according to a Grand View research report. The report reveals that revenue cycle management (RCM) is one of the most complex components of healthcare IT business driven by challenges in rising healthcare costs, market consolidation, an explosion in clinical documentation, and value-based care initiatives.Key Market Drivers for Global
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Humana Launches First Virtual Primary Care Plan for Members

by Fred Pennic 04/25/2019 Leave a Comment

Doctor on Demand, Humana Launches First Virtual Primary Care Plan for Members

Health insurer Humana and virtual care provider Doctor On Demand has announced the launch of On Hand, an innovative and affordable health plan that centers on comprehensive virtual primary care for members. On Hand addresses the number one reason small businesses don’t offer health insurance-- cost -- by offering a plan 50% lower than the industry standard monthly premiums. On Hand Primary Care Plan Overview Employers and members who elect this primary care plan will gain access to a
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