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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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
Patientco Joins Epic App Orchard Marketplace to Power Seamless Payment 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?
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
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
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
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
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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Cedar Unveils New Insurance Features for Patient Payment Platform
Cedar has announced the expansion of its patient payment and engagement solution, Cedar Pay, with innovative features designed to guide patients to the best resolution for common insurance-related issues.Patients are half as likely to pay claims with unexpected insurance adjustments (such as common denials) than they are for standard adjustments (such as a deductible), as identified by Cedar data. The gap is driven by the failure of most billing communications to proactively give patients the
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Revenue Leakage: 3 Methods to Revive Your Charge Integrity Program
Many consider a strong charge integrity program the cornerstone and heartbeat of the revenue cycle. Without an effective charge integrity program, health care providers run the risk of revenue leakage.
According to the Healthcare Financial Management Association, “one percent of net patient revenue is lost due to charge capture errors,” which can add up to multi-millions of dollars for health care organizations. Most providers have not considered or quantified the potential dollars lost when
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Change Healthcare: Applying AI Could Identify Up to 35% of Denials Prior to Submission
Change Healthcare AI can help providers identify problem claims and prevent denials before they happen, avoiding costly rework, delays, and improving revenue flow.Today Change Healthcare announced that it has applied its Claims Lifecycle Artificial Intelligence (AI) technology to its claims management suite with the introduction of Assurance Reimbursement Management™ Denial Propensity Scoring and Revenue Performance Advisor Denial Prevention. With performance enhanced by Claims Lifecycle AI,
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