New CMS Pilot program gives clinicians direct access to claims data, putting patients over paperwork and at the center of their care.Today, at the White House Blue Button Developers Conference (BBDC), the Centers for Medicare & Medicaid Services (CMS) announced a new pilot program for clinicians called “Data at the Point of Care” (DPC). DPC is based on an industry-standard application programming interface (API), and is part of the MyHealthEData Administration-wide initiative that is
Read More
Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
HIM Provider Ciox Health Lands $30M to Expand Health Data Repository
Ciox Health, a provider of health information management solutions has raised $30 million in equity investment capital led by Merck Global Health Innovation Fund (Merck GHIF) and private equity owner New Mountain Capital. Every record represents a real person. Each data point is a potential game-changer in someone’s life: a connection to be understood and acted upon. Ciox rapidly and securely facilitates access to clinical records on behalf of its healthcare provider customers, enabling
Read More
Largest Physician-Led Radiology Practice Radiology Partners Lands $700M
Radiology Partners, (RP), the largest physician-led and physician-owned radiology practice in the U.S. with 1400 radiologists supporting more than 1000 hospitals across 21 states, today announced that Starr Investment Holdings (SIH) has invested approximately $700M of long-duration capital in the practice to support its continued growth, including future practice and hospital system partnerships, as well as investments in clinically-focused technology and innovation. RP physicians are also
Read More
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
Read More
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
Read More
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
Read More
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
Read More
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,
Read More
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
Read More
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
Read More
