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

3 Healthcare Revenue Cycle Management Drivers to Watch in 2018

by Dr. Donald Voltz 11/29/2017 Leave a Comment

Revenue Integrity Dysfunctional Patient Billing Major Distraction for Patients & Clinicians 6 Metrics to Improve Hospital Revenue Cycle ROI_revenue cycle makret

One ageless trend emerging for 2018 is the quest of hospitals, larger carriers and clinics to identify new revenue streams; not just managing revenue cycles, but creating them. The healthcare industry is now looking at revenue which can be generated through the interoperability of Annual Wellness Visits (AWV), chronic care and service care transitions between physical and behavioral health services.Hospital systems and other healthcare facilities that can connect these services with technologies
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Revint Solutions Acquires Health Check to Expand Revenue Integrity Services for Providers

by Jasmine Pennic 11/01/2017 Leave a Comment

Revint Solutions

Revint Solutions, a Chicago-based provider of revenue integrity and recovery services for healthcare providers has acquired Health Check, a provider of Zero Balance Revenue Recovery services to over 100 healthcare providers. Founded in 1995, the Florida-based company has collected over $300M in underpayment recoveries with a successful track record working with all major payers and geographic areas.For Revint Solutions, the acquisition will expands the company's broad suite of revenue integrity
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Medsphere Systems, Stockell Healthcare Merge to Form Leading EHR/RCM Solution

by Fred Pennic 10/18/2017 Leave a Comment

Medsphere OpenVista EHR

Medsphere Systems Corporation and Stockell Healthcare Systems today announced an agreement to merge the two companies, uniting under one banner a subscription-based OpenVista EHR system and suite of proven revenue cycle management (RCM) tools. Financial details of the merger was not disclosed and is expected to officially close later this month.As part of the merger, Stockell will become a division of Medsphere and continue to use the Stockell name. Medsphere and Stockell are well integrated
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Intermountain Healthcare to Deploy R1’s Revenue Capture Modular Solution Across System

by HITC Staff 10/09/2017 Leave a Comment

Intermountain Healthcare Named Winner of 2017 Hearst Health Prize

Intermountain Healthcare has expanded its relationship with R1, a technology-enabled revenue cycle management and physician advisory services. As part of the relationship expansion, Intermountain Healthcare will deploy R1’s Revenue Capture Modular Solution across its system of 22 hospitals, 180 clinics, and a Medical Group with approximately 1,500 employed physicians and advanced practitioners.R1’s Revenue Capture module provides health systems with technology-enabled services designed to ensure
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Navicure-ZirMed Appoints Matthew Hawkins as New CEO To Lead Combined Company

by HITC Staff 09/28/2017 Leave a Comment

Navicure-ZirMed Appoints Matthew Hawkins New CEO To Lead Combined Company

Following the announcement to merge together earlier this month, healthcare revenue cycle management technology companies Navicure and ZirMed Inc., today announced the appointment of healthcare technology executive Matthew Hawkins as the new CEO of the combined company. The appointment is expected to start in early November and Jim Denny, current President and CEO of Navicure, will now serve as Chairman of the Board. Prior to joining Navicure-ZirMed, Hawkins served as the President of Sunquest
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Optum360, Navicure, ZirMed Named Top Vendors for Revenue Cycle Management Solutions

by Jasmine Pennic 09/15/2017 Leave a Comment

Optum360, Navicure, ZirMed Named Top Vendors for Revenue Cycle Management Solutions

Optum360, Navicure, ZirMed and others have been named top revenue cycle management vendors in customer satisfaction and client experience, according to Black Book Market Resaerch for 2017. For the report, Black Book surveyed 6,033 hospital and health system Chief Financial Officers, Vice Presidents of Finance and RCM, Controllers, Business Office Managers, Staff and Directors to determine the top performing vendors among in-demand financial software, systems and outsourcing services, and assess
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Navicure Merges With ZirMed to Accelerate Innovation in Revenue Cycle Management

by Fred Pennic 09/14/2017 Leave a Comment

Revenue Integrity Dysfunctional Patient Billing Major Distraction for Patients & Clinicians 6 Metrics to Improve Hospital Revenue Cycle ROI_revenue cycle makret

Healthcare revenue cycle companies Navicure announced today that it has combined with ZirMed, effectively uniting two top-performing revenue cycle management solutions for the healthcare industry. The combined company will serve more than 400,000 providers and healthcare organizations and will be ideally positioned to further accelerate innovation in the industry by leveraging cloud-based solutions to help empower providers across all care settings to efficiently collect for the quality care and
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ABILITY Network Acquires Healthcare Payment Software Secure Bill Pay

by Fred Pennic 07/19/2017 Leave a Comment

ABILITY Network Acquires Healthcare Payment Software Secure Bill Pay

Ability Network has acquired Secure Bill Pay, an Eagan, MN-based healthcare payment software provider that provides an all-in-one set of tools to enable providers to facilitate patient payment throughout the revenue cycle. Financial terms of the acquisition were not disclosed. As part of the acquisition, all of the company’s employees will join the ABILITY team.ABILITY provides apps and analytics that are integral in helping with revenue cycle management, clinical management and performance
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CareCloud Launches Pay-Per-Visit Telemedicine Solution for Physician Practices

by Fred Pennic 06/29/2017 Leave a Comment

CareCloud Launches Pay-Per-Visit Telemedicine Solution to Remove Physician Practice Barriers

CareCloud, a practice management platform for medical groups has announced the launch of their new fully integrated pay-per-visit telemedicine solution. The integrated solution features a fully integrated solution that includes built-in insurance eligibility checking and scheduling tools, a unique pay-per-visit pricing model, and one-click activation. Simplifying clinical workflows, this approach to telemedicine seamlessly connects the dots between efficient practice management and secure video
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Change Healthcare: $262B in Healthcare Claims Initially Denied in 2016

by Fred Pennic 06/27/2017 Leave a Comment

Change Healthcare: $262B in Healthcare Claims Initially Denied in 2016

A new analysis by Change Healthcare of $3 trillion in medical claims submitted to payers last year revealed 9% of charges, representing $262 billion, were initially denied. For the typical health system, as much as 3.3% of net patient revenue, an average of $4.9 million per hospital, was put at risk due to denials. While 63% of these claims were recoverable on average, reworking each denial costs providers roughly $118 each, or as much as $8.6 billion in appeals-related administrative
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