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

Revenue Cycle Startup Medpilot Nabs $1.7M to Expand Patient Financial Engagement Platform

by Fred Pennic 11/29/2018 Leave a Comment

Revenue Cycle Startup Medpilot Nabs $1.7M to Expand Patient Financial Engagement Platform

MedPilot, a patient financial engagement platform working with outpatient facilities, hospitals, revenue cycle management companies, and practice management systems, announced it has raised $1.7 million in funding led by Hudson River Capital Partners, Valley Growth Ventures, Cedars-Sinai, TechStars, and investor Tom Hirschfeld. MedPilot’s will use the latest round of funding to further bolster their team and roll out additional new functionality in their patient financial engagement platform for
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Revenue Leakage: How Big Data Can Address Challenging Denials at Academic Medical Centers

by Todd Langer, VP of TransUnion Healthcare Ops 11/12/2018 Leave a Comment

Hospital CFO_New Financing Program Minimizes Impact of ICD-10 Revenue Delay for Private Practices_revenue cycle management

It’s no secret that many hospitals find themselves in faltering fiscal health lately. According to the Harvard Business Review, since the start of 2016, some of the nation’s top hospitals have lost hundreds of millions of dollars of income.These challenges can be especially pressing for academic medical centers (AMCs), who process a large volume of complex, high-ticket medical claims and generate revenue from direct patient care.Today, AMCs are finding themselves less insulated from changes in
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R1 and Automation Anywhere Team Up to Apply Enhanced AI to Revenue Cycle Management

by Jasmine Pennic 11/07/2018 Leave a Comment

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

R1, a provider of revenue cycle management (RCM) services is teaming up with Automation Anywhere to incorporate their Robotic Process Automation (RPA) technologies into the healthcare revenue cycle. This move supports the industry’s call for digital transformation across hospitals, health systems and physician practices alike. Benefits of Applying AI in Revenue Cycle ManagementR1’s technology solutions currently leverage RPA, driving improved results for its clients, such as increasing net
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Today’s Behavioral Health Providers are Failing: Why Data Analytics is the Solution

by Ali Beheshti, Founder and CEO of Zealie 11/06/2018 Leave a Comment

Behavioral Health Can We Balance Civil Liberties with Mental Health Treatment?

Today, behavioral health is more important than ever. Major news outlets, from The New York Times to The Wall Street Journal, constantly cover the mental health epidemics wracking the nation, be it widespread opioid abuse or the steady, upward creep of suicide and self-harm.Spurred on by the scope and severity of these societal problems (as well as new legislation passed to address them), the behavioral health sector has grown exponentially. Yet this field is not without its problems: despite
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Oncology Analytics Raises $21M to Provide Health Plans With Evidence-Based Analytics for Utilization Management

by Jasmine Pennic 11/05/2018 Leave a Comment

Oncology Analytics Raises $21 to Provide Health Plans With Evidence-Based Analytics for Utilization Management

Oncology Analytics, an Atlanta-based digital health startup that provides health plans, providers and patients with an evidence-based, analytics focused approach to utilization management for oncology, today announced it has raised $21 million in Series B funding. The Series B round was led by Oak HC/FT and was joined by new investor McKesson Ventures along with returning investors Blue Cross Blue Shield Venture Partners and Sandbox Advantage Fund. The startup plans to use the capital to expand
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Patient Leakage Trends: Understanding the Gap Between Priority and Action

by Fred Pennic 10/31/2018 Leave a Comment

Patient Leakage Report: Understanding the Gap Between Priority and Action

The vast majority of healthcare executives recognize the importance of referral management; however, their ability to analyze and address patient leakage lags behind, according to a new survey conducted by Fibroblast, a referral management platform. The survey reveals almost a quarter (23%) of healthcare executives do not even track patient leakage at all. All this despite almost 9 in 10 who say it’s a priority.Survey Report BackgroundHealthcare organizations have many strategic priorities, but
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Why Healthcare Marketers Should Care about the Patient Financial Experience

by Will Reilly, VP of Consumer and Client Marketing at VisitPay 10/23/2018 Leave a Comment

Hospital CFO_New Financing Program Minimizes Impact of ICD-10 Revenue Delay for Private Practices_revenue cycle management

What comes to mind when you think of health system marketing? For most people, it’s dynamic content on the organization’s latest clinical advancements, philanthropic efforts, wellness management and relationship-building efforts within the community it serves. It’s also understanding patients and their motivations, using consumer research and analysis, focus groups, surveys, and other tools.  You probably don’t think about the healthcare billing experience.It’s understandable. Frank discussions
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R1 Expands Physician Practice Footprint with CarePoint Health and Holston Medical Group

by Jasmine Pennic 10/22/2018 Leave a Comment

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

Hatred of billing and payment processes is a time-honored tradition in healthcare. Two of the biggest reasons it’s so frustrating as a patient are the lack of transparency and digital elements that we expect out of any typical consumer experience. R1, a provider of technology-enabled revenue cycle management (RCM) services is working to change this, announcing today its continued expansion into the physician practice market with the addition of CarePoint Health, one of the largest privately-held
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Waystar Acquires UPMC’s Ovation Transaction Services Business for Enhanced Claims Monitoring Capabilities

by Fred Pennic 10/03/2018 Leave a Comment

Waystar Acquires UPMC’s Ovation Transaction Services Business for Enhanced Claims Monitoring Capabilities

Waystar(formerly known as ZirMed), a provider of healthcare revenue cycle management services, today announced it will be acquiring a major part of the transaction services technology business of Ovation, a health information management and management cycle solution currently owned and operated by University of Pittsburgh Medical Center (UPMC). Financial details of the acquisition were not disclosed.Ovation Transactions uses advanced algorithms to monitor claims at many health systems and
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Top 10 Challenges, Issues and Opportunities for Healthcare Executives in 2019

by Jasmine Pennic 09/28/2018 Leave a Comment

Top 10 Challenges, Issues and Opportunities for Healthcare Executives in 2019

After 2.5 days of thought leadership discussions during its 30th Anniversary Annual Forum, executive participants of the HealthCare Executive Group (HCEG) voted on and ranked the 2019 HCEG Top 10 critical challenges, issues and opportunities they expect to face in their organizations in the coming year. Background/MethodologyThe rankings were developed in partnership with Change Healthcare and have been published for the last seven years. Executives from the payer, provider, and technology
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