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

Change Healthcare Launches Front-End Denials Management Tool for Providers

by Fred Pennic 06/25/2018 Leave a Comment

Change Healthcare Launches Front-End Denials Management Tool

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

by Fred Pennic 06/21/2018 Leave a Comment

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

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

by David Gallegos, Senior VP of Consulting Services at Change Healthcare 06/19/2018 Leave a Comment

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

by Dr Natalie Hodge, Chief Medical Officer at PreventScripts 06/19/2018 Leave a Comment

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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CAQH Index: Healthcare Claims Automation Could Save Industry $11B Annually

by Fred Pennic 06/15/2018 Leave a Comment

CAQH Index Healthcare Claims Automation Could Save Industry $11B Annually

The U.S. healthcare industry made a modest amount of progress in healthcare claims automation, but a significant opportunity to save $11.1 billion annually remains, according to new data released today in the fifth annual CAQH Index. The report shows increased use of some manual transactions – primarily via web portals – resulting in a reversal of gains made for some of those transactions in previous years and the increase in potential savings.  The $11.1 billion industry savings opportunity is
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GPB Capital Acquires Revenue Cycle Provider Health Prime International

by Jasmine Pennic 06/12/2018 Leave a Comment

GPB Capital Acquires Revenue Cycle Provider Health Prime International

GPB Capital, today announced it has acquired a majority ownership take in Health Prime International (HPI), a National Harbor, MD-based provider of practice management and revenue cycle management solutions for medical practices. GPB Capital plans to optimize HPI’s product offerings by integrating HPI with its existing healthcare IT portfolio companies including Cantata Health, Itelagen Healthcare, MDS Medical, Meta Healthcare IT Solutions. Financial terms of the acquisition were not
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Advocare to Replace GE Centricity with eClinicalWorks EHR & Revenue Cycle Platform

by Jasmine Pennic 06/05/2018 Leave a Comment

Advocare to Replace GE Centricity with eClinicalWorks EHR & Revenue Cycle Platform

Advocare, LLC (“Advocare”), a physician-owned and physician governed multi-specialty medical group, today announced that it will replace GE Centricity with eClinicalWorks EHR and revenue cycle management platform. eClinicalWorks cloud-centric platform V11 will provide Advocare, one of the largest independent health systems, with the latest evolution of the core EHR to streamline and improve overall efficiency and communications and encourage preventive care for its patients. Advocare has nearly
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Methodist Health Systems Taps VisitPay for Patient’s Financial Experience Platform

by Fred Pennic 05/15/2018 Leave a Comment

Methodist Health System in Dallas has selected VisitPay to deploy its market-leading, cloud-based patient financial experience platform. The solution will provide Methodist patients with a simplified billing experience and more flexible financing options tailored to their specific needs. Through VisitPay, patients will have access to a Methodist-branded portal that displays a comprehensive accounting of their financial responsibilities. This helps patients understand what they owe and provides
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Complete HealthCare Solutions, Inc. Acquires PDQ Billing Services

by Fred Pennic 05/11/2018 Leave a Comment

Complete HealthCare Solutions, Inc. has announced the acquisition of PDQ Billing Services, Myrtle Beach, South Carolina. Founded in 1993, PDQ Billing Services provides revenue cycle management and credentialing services to the ambulatory healthcare segment. Complete HealthCare Solutions, Inc.'s offering includes a robust set of clinical and financial solutions supporting the full scope of care delivery processes — including Revenue Cycle Management Services, Credentialing, Patient Pay Solutions, Lytec and Medisoft (PM software) UnifiMD (EHR solution); Updox (Patient Portal and Engagement), and Rcopia4 (DrFirst Erx). This strategic acquisition further advances Complete HealthCare Solutions' strategy to offer a single source for the most comprehensive, high performing Revenue Cycle Management services and health information technology solutions. Complete HealthCare Solutions, Inc. delivers industry-leading RCM services including lowest days in A/R, superb denial management and clean aging, resulting in increased practice revenue. "This transaction is expected to directly benefit our existing clients and the PDQ Billing Service clients and team members we'll welcome to our family. Complete HealthCare Solutions, Inc. is a critical strategic partner to thousands of private provider practices and healthcare organizations and our highest priority is to successfully meet their needs, allowing them to focus on healthcare

Complete HealthCare Solutions, Inc. has announced the acquisition of PDQ Billing Services, Myrtle Beach, South Carolina. Founded in 1993, PDQ Billing Services provides revenue cycle management and credentialing services to the ambulatory healthcare segment. Complete HealthCare Solutions, Inc.'s offering includes a robust set of clinical and financial solutions supporting the full scope of care delivery processes — including Revenue Cycle Management Services, Credentialing, Patient Pay Solutions,
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Reimbursify Launches New App for Out-of-Network Reimbursement Claims

by Jasmine Pennic 05/10/2018 Leave a Comment

Reimbursify Launches New App for Out-of-Network Health Insurance Reimbursement

Reimbursify, a healthcare-focused technology company providing app-centric solutions for consumers, healthcare providers & businesses has launched a new app that gives patients a quick and easy way to file out-of-network reimbursement claims with their insurance company in less than 60 seconds. Users can also monitor their current, pending, and past claims from the app. Reimbursify is currently being used by patients in 21 states as well as Puerto Rico."Visits to healthcare providers who
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