Providers are struggling to stay profitable while also striving to keep patient satisfaction from being negatively impacted. Denials are on an upward trend, payors are becoming tighter around what is demanded of the providers, and patients are being squeezed to pay more out-of-pocket with the ongoing shift to self-pay and high-deductible plans.What many may not realize is that these financial challenges rear their head from the moment the patient walks through the door or schedules an
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
HSBlox Unveils AI-Powered EMPI Solution to Ensure Secure Patient ID Matching & Sharing
HSBlox’s new Enterprise-wide Master Patient Index (EMPI) utilizes machine learning to improve patient safety with secure, accurate sharing of patient data throughout the healthcare landscape. HSBlox, a healthcare blockchain-focused company that is bringing innovation and transparent economics to the healthcare ecosystem, today announced the launch of its SmartMPI solution, which utilizes machine learning to provide next-generation patient ID matching and secure, transparent sharing of patient
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Kaufman Hall Unveils Comparative Financial Performance and Analytics Solutions for Healthcare CFOs
Most Chief Financial Officers (CFOs) have limited confidence in the capabilities of their planning and analytical tools, according to Kaufman Hall’s recent CFO Annual Survey. Most organizations are leveraging a combination of tools, including Excel and BI, with varying degrees of success.In order to strengthen their hand, Kaufman Hall introduced today two new products, Strategy Management and Comparative Analytics, to its Axiom Healthcare Software Suite.Axiom Strategy Management provides a
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Cedar Raises $36M for Modern Patient Financial Management Platform
Cedar, the patient financial management platform for hospitals, health systems and independent medical groups, today announced a Series B fundraising round of $36 million, led by the global investment company Kinnevik. Participants in the round include existing investors Founders Fund and Thrive Capital, as well as Lakestar, Sound Ventures, Kevin Systrom of Instagram and Nat Turner of Flatiron Health. Cedar plans to use the funding to further invest in the next generation of its innovative
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R1 RCM Inks 10-Year Contract with Amita Health for End-to-End Revenue Cycle Management
R1 RCM, a provider of revenue cycle management (RCM) services, today announced it has inked a 10-year agreement with AMITA Health, the largest health system in Illinois to provide end-to-end revenue cycle management (RCM) services across AMITA Health’s acute care hospitals and physician care settings. Formed by Adventist Midwest Health and Alexian Brothers Health System in 2015, Amita Health has 19 hospitals and more than 230 sites of care with with approximately $4 billion in annual net patient
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Baker Tilly Launches Revenue Cycle Innovation Center to Optimize Revenue Cycle Operations
Baker Tilly Virchow Krause, LLP (Baker Tilly) is a nationally recognized, full-service accounting and advisory firm, today announced a collaboration with Datawatch and Tableau to launch the Baker Tilly Revenue Cycle Innovation Center (RCIC). The RCIC is an end-to-end service offering assists healthcare organizations by providing clear visibility into actionable data for maximizing and managing revenues encompassing all aspects of revenue cycle data analysis, from self-service data preparation to
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Change Healthcare Launches Front-End Denials Management Tool for Providers
Change Healthcare today unveiled a new technology that helps providers reduce one of the leading causes of claim denials. Assurance Attach Assist™, a module of Change Healthcare Assurance Reimbursement Management™, now anticipates what documentation a payer—including Medi-Cal and seven other payers—may require to help prevent the denial of a claim due to lack of documentation. The result: Providers can now use Assurance Attach Assist’s automation as a tool to proactively decrease
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Innovaccer Unveils Financial Analytics Solution For Hospitals and Health Networks
Innovaccer, a San Francisco-based healthcare data platform company, has announced the launch of its financial analytics solution for hospitals and health systems. The new offering will be built on top of its cutting-edge healthcare data platform, InData and will be a part of the analytics module, InGraph. The new offering will be built on top of its cutting-edge healthcare data platform, InData and will be a part of the analytics module, InGraph.As healthcare providers delve deeper into evolving
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5 Telltale Signs Your Revenue Cycle Management May Need Outside Help
David Gallegos from Change Healthcare discusses 5 signs an organization should consider partnering with an outside partner to support their revenue cycle management (RCM). Are your revenue cycle management (RCM) staff and resources being stretched with the day-to-day challenges required to orchestrate claims, stay on top of regulatory changes and track payments? Are you trying to communicate more meaningfully with patients and collaborate with payers in ways you’ve never had to be
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7 Reasons Why Claims Data Cannot Drive Patient Health Improvements
With the Department of Health and Human Services' decision to tie 90 percent of Medicare payments to value based models by this year, we can expect organizations to move even faster toward streamlining their population health management programs. But a survey from Managed Healthcare Executive notes that only 12% of survey respondents say their organization is using data “very well” and it’s making a “big impact” at their organization, the same percentage as 2016. Obviously there is still a steep
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