- HMS Holdings Corp acquires Accent, a payment accuracy, and cost containment business from Intrado Corporation for approximately $155 million.- Accent’s offerings include comprehensive prospective and retrospective claims accuracy solutions, which incorporates both cost avoidance and overpayment recovery services.- Addition of service provider to commercial and Medicare Advantage health plans to expand the breadth of HMS’ prospective and retrospective claims accuracy services.HMS Holdings Corp.
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
Why HCAPHS Is Archaic In Healthcare Today
Hospitals Want HCAHPS revised. Here’s Why.
The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey hasn’t changed since its inception in 2006. Healthcare leaders have long wanted to see it reformed. Now, hospital groups are making the case for a major HCAHPS overhaul.
Here’s what they’re are asking for, and what their requests mean for the future of patient experience.
A Useful Tool, But An Outmoded One
Leaders at the American Hospital Association, the
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Kareo Sells Managed Billing Services Business to Health Prime International
- Karo sells Karo Managed Billing services business to Health Prime International, an independent supplier of outsourced medical billing services. - The sale enables Kareo to retain its focus on advancing it's industry-leading cloud-based clinical and business management software platform for both independent medical practices and medical billing companies.Kareo, a provider of cloud-based clinical and business management software for independent medical practices and medical billing companies
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RCM: Getting the Most from Your State’s All-Payer Claims Database
This past year, California became the latest (and largest) state to legislatively mandate an all-payer claims database (APCD). As the name implies, an APCD is a statewide repository of all claims information from a state’s health care payers, including both commercial and government.
The intent of an APCD is to help policymakers and others better understand the drivers of health care use and costs and spot usage trends across networks, facilities, and geographies. An APCD could also help assess
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Commonwealth Healthcare Corporation to Upgrade to Medsphere’s CareVue EHR
- Commonwealth Healthcare Corporation (CHCC) will implement Medsphere’s CareVue electronic health record (EHR) and revenue cycle management (RCM) platform. - Based on Saipan, the capital of the Commonwealth of the Northern Mariana Islands, CHCC is the primary organizer of acute and ambulatory healthcare services for the islands of Rota, Saipan, and Tinian.Commonwealth Healthcare Corporation (CHCC) will implement the Medsphere’s CareVue electronic health record (EHR) and revenue cycle management
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Price Transparency: Why Hospitals Need to Focus On Understanding Their Data
This year, hospital price transparency took a front seat after CMS issued a new set of rules and requirements. While they haven’t been written into law just yet, these rules will help set a framework for the kinds of requirements that are likely to become standard soon. With that in mind, now is the time to begin preparing for the inevitable. Creating a proactive response to the new changes as well as the evolving competitive environment and expected a response from consumers is essential for
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Research: October Health IT M&A Activity, Public Company Performance
- Healthcare Growth Partners (HGP) summary of Health IT/digital health merger & acquisition (M&A) activity, and public company performance during the month of October 2019
During the month of October, Health IT continued its evolution into an amorphous market that is increasingly trending away from a specialized niche of healthcare and into a key component of larger sectors such as Enterprise Software, HR Administration, Insurance, Care Delivery, Suppliers, and BioPharma.
The
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Payment Integrity: Is AI The Real Answer to Reducing Overutilization?
Some experts estimate that $200 billion is wasted each year on unnecessary or excessive medical testing and treatment. This could be up to 40% of the unnecessary spending in the system today.
Despite the extreme focus to reduce the total amount spent on healthcare, why does extensive spending on unnecessary or excessive tests or procedures continue? The easy answer is because it is often difficult to spot what is unnecessary or excessive.
There are certainly moments when overutilization of
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DAS Health Acquires Health IT Company Automated Medical Systems
- DAS Health acquires health IT company Automated Medical Systems to strengthen its position in the U.S. health IT market. - The acquisition enhances its product offerings, including adding Henry Schein’s MicroMD® to their Electronic Health Records (EHR) portfolio.DAS Health, a Tampa, FL-based provider of health IT and management solutions announced the acquisition of Automated Medical Systems, a healthcare IT company based in Valdosta, GA, with clients in Florida, Georgia, Tennessee, Texas and
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How Intelligent Automation Can Address 3 Revenue Cycle Challenges
Artificial intelligence (AI) has received a lot of buzz and been positioned as the central healthcare technology needed to solve many financial challenges and digitally transform internal operations. However, if you’re looking for practical solutions that can address variable activities and complete work with a high level of quality, today, healthcare organizations should look to intelligent automation.
Here’s why: True AI attempts to mimic human cognition. As such, AI remains
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