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

XIFIN Introduces Transformative AI-Enabled Revenue Cycle Platform

by Jasmine Pennic 02/07/2020 Leave a Comment

XIFIN Introduces Transformative AI-Enabled Revenue Cycle Platform

- The latest version of XIFIN’s flagship RCM platform optimizes cash collections, enables real-time connectivity and error correction, and provides enhanced self-service for patients and physicians.- Unlike other RCM systems that require manual efforts once the claims are denied, XIFIN RPM 11 reduces costs and delivers denials and appeals process automation, including automatic generation of payor-specific appeal forms and appeal letters.Today’s diagnostic laboratory leaders face more challenges
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R1 Expands Physician Practice Footprint with District Medical Group

by Jasmine Pennic 02/03/2020 Leave a Comment

R1 Expands Physician Practice Footprint with District Medical Group

- R1 recently announced an expansion of their revenue cycle management services to the medical group market; it has announced that District Medical Group (DMG) is the first partner in this new offering.- R1 was selected to improve the financial performance, support significant growth and navigate complex payment models, allowing DMG to focus on providing top-quality care to patients while making their organization more nimble, transparent and profitable both in the short and long-term.R1 RCM
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A Matter of Trust: 3 Tips for Outsourcing Out-of-Pocket Support

by Sue Czubala, Chief Client Success Officer, AccessOne 02/03/2020 Leave a Comment

A Matter of Trust: 3 Tips for Outsourcing Out-of-Pocket Support

The cost of family health coverage topped $20,000 this year—as much as an economy car. As consumers shoulder higher out-of-pocket costs than ever, health systems are bracing for the impact.  A recent survey found that while 81 percent of healthcare leaders say rising consumer responsibility will affect revenue, leaders of larger organizations are even more concerned about the toll on finances: - 33 percent of health system executives believe increased consumer responsibility will have a
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KLAS Names Epic, Pivot Point, Accenture Overall Best in KLAS 2020

by Fred Pennic 01/31/2020 Leave a Comment

Best in KLAS 2020

- Epic was named the top Overall Software Suite for the tenth consecutive year in the Best in KLAS 2020 Software & Services report. - Pivot Point Consulting, a Vaco Company, was named the top Overall IT Services Firm, edging out last year’s winner, Impact Advisors. - Accenture earned the award of top Overall Healthcare Management Consulting Firm.Today, KLAS Research announced released their annual Best in KLAS Software & Services that recognizes the leading vendors for solutions,
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R1 Expands Revenue Cycle Management Offering to More Medical Groups

by Jasmine Pennic 01/22/2020 Leave a Comment

R1 RCM, End-to-End Revenue Cycle Management Services Phreesia Partner to Provide Seamless Front-End Patient Experience

- R1 announced an expansion of its revenue cycle management services, making them available to large independent practices and hospital-owned groups.- Now groups beyond hospitals and health systems will be able to use R1’s industry-leading RCM tools designed to enable the best quality clinical care and financial expectation setting for even more patients.- This new slate of provider organizations and patients will also benefit from R1’s recent acquisition of SCI, offering access to the broadest
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ChristianaCare Partners with Cedar to Personalize Patient Financial Experience

by Jasmine Pennic 01/17/2020 Leave a Comment

ChristianaCare Partners with Cedar to Personalize Patient Financial Experience

- ChristianaCare partners with Cedar, a patient engagement and payment technology platform to modernize and personalize the patient financial experience for ChristianaCare patients.- Beginning this spring, the new payment experience will be implemented for most ChristianaCare services, including its primary and specialty care, imaging, labs, rehabilitation services and more.ChristianaCare today announced a new collaboration with Cedar, a patient engagement and payment technology platform that
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Medsphere Raises $40M to Expand Suite of SaaS EHR & RCM Solutions

by Jasmine Pennic 01/15/2020 Leave a Comment

Medsphere Raises $40M to Expand Suite of SaaS EHR & RCM Solutions

- Medsphere raises $40M in preferred equity investment to fund the expansion of efficient, flexible, subscription-based software solutions. - Medsphere has grown subscription revenue by over 400% using a combination of organic growth and accretive acquisitions, achieving a compounded annual growth rate of over 50%. Medsphere Systems Corporation, the leading provider of efficient and interoperable healthcare information technology (IT) software solutions, and services, today announced new $40
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How Multi-Payer Portals Incent Providers to Better Manage Their Data

by Mark Martin, Director of Payer solutions, Provider Data management for Availity 01/14/2020 Leave a Comment

Prior Authorizations: A Single Source of Truth for Provider Data Management

Mark Martin, Director of Payer Solutions for Availity Value-based healthcare demands meaningful payer-provider collaboration. However, burdensome administrative processes and inefficient solutions stunt the ability of payers and providers to share data, manage risk, validate credentials, process claims, control costs and optimize the consumer experience. These information bottlenecks are most acute in the area of provider data management (PDM). Each year, payers and providers spend more than
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Change Healthcare Unveils Breakthrough All-Payer Medical Claim Attachments Capability

by Fred Pennic 01/13/2020 Leave a Comment

Change Healthcare Unveils Breakthrough All-Payer Medical Claim Attachments Capability

- Change Healthcare unveils industry’s first nationwide solution that allows providers to submit documents and data, like claims attachments, electronically to all health plans in both the Medical and Workers’ Compensation market segments.- This new claim attachments solution also sets the stage for new additional uses of Artificial Intelligence.Today Change Healthcare announced major new enhancements to its medical claim attachments solution. These enhancements will create the industry’s first
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R1 RCM Acquires Patient Engagement Company SCI Solutions for $190M in Cash

by Fred Pennic 01/13/2020 Leave a Comment

R1 RCM Acquires Patient Engagement Company SCI Solutions for $190M in Cash

- R1 RCM announced the expansion of its tech platform capabilities through the acquisition of SCI Solutions, Inc (SCI). This acquisition enables healthcare providers to automate ordering, scheduling and authorization processes. - SCI’s capabilities integrated into R1’s revenue cycle solution will offer the broadest and deepest tech-enabled patient intake solution available. R1 RCM Inc, a provider of technology-enabled revenue cycle management (RCM) services to healthcare providers,
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