In most healthcare organizations, basic automation is used to complete individual revenue cycle tasks. Seldom, however, is technology used to optimize entire revenue cycle management (RCM) processes and improve the patient financial experience.
The situation is dramatically different outside of healthcare in industries that have long competed for direct consumer dollars.
To book an airline flight, for example, consumers simply open up an app or a website. At their convenience — any time of day
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
Apprio Launches New Revenue Cycle Management Division , ApprioHealth
Apprio, a provider of specialized technology solutions for the health, defense, and homeland security markets, today announced it has created ApprioHealth, a new, commercially focused business unit focused on the revenue cycle management requirements of hospitals and health systems. ApprioHealth will be led by Donny Zamora who will serve as the division’s president.ApprioHealth OverviewApprioHealth will deliver services and advanced technology solutions tailored for health organizations’ revenue
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Bon Secours Mercy Health Sells $1.2B Majority Stake in Ensemble Health
Bon Secours Mercy Health sold their 51% majority stake in revenue cycle management company Ensemble Health to Golden Gate Capital, a private equity investment firm. Bon Secours is expected to receive $1.2 billion cash which will be reinvested in Bon Secours Mercy. As part of the agreement, Bon Secours Mercy Health will continue as a commercial partner to Ensemble, as well as remain a minority owner in the Company and continue to serve on the Company's board.Founded in 2014, Ensemble partners
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Baystate Health Taps Artifact Health to Streamline Physician Query Process
Baystate Health, a not-for-profit integrated healthcare system serving over 800,000 people throughout western Massachusetts has selected Artifact Health's mobile query solution to improve workflow for its clinicians and expedite the accurate coding of patient records. Artifact will be rolled out as part of Baystate Health’s strategy to expand Clinical Documentation Improvement (CDI) initiatives across its health system.Transforming Time-Consuming Physician Query ProcessTraditionally, the query
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JPMorgan Chase to Acquire Healthcare Payments Solution InstaMed
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
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
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
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
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
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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