Editor's Note: Co-written by Scott Herbst, Senior Vice President and General Manager of Provider Solutions and Ryan Miller, Senior Vice President of Strategy & Corporate Development at Availity.Prior authorizations may be as popular among providers as ants at a picnic, but they have become a common and necessary part of the reimbursement process. As a result, being able to manage prior authorizations efficiently is critical to maintaining a healthy revenue cycle and avoiding issues such as
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
Rev Cycle Startup Cedar Launches With $13M for Data-Driven Patient Payment Solution
Revenue cycle management-focused startup Cedar has announced its entry into the health IT market with a new data-driven patient payment solution. Supported by $13M in Series A funding, the Cedar platform, which powers solutions for hospitals, health systems and medical groups, delivers modern intelligence to alleviate collections challenges, improve billing operations and ensure a personalized billing experience for patients.A Data-Driven Payment Solution for Hospitals and Medical GroupsToday,
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PatientPay Secures $6M to Expand Patient Payments Platform for Specialty Care
PatientPay, a Raleigh-Durham, NC-based provider of patient payments for specialty care has secured $6 million in growth capital led by Teaghlach Family Office and existing investors, including Mosaik Partners. The revenue cycle-focused company plans to use the funding for an 85 percent company expansion in 2018, primarily in staffing and product development. The investment round stems directly from the need to grow quickly and meet healthcare demand for better patient payments methods and
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HealthiPASS Raises $7.2M for Patient-Centric Digital Payments Platform
HealthiPASS, a Chicago-based healthcare payments company, today announced it has raised a $7.2 million in Series A funding round, led by FCA Venture Partners. The round also included participation from OCA Ventures, Healthy Ventures, HealthX Ventures, Waterline Ventures and a small group of strategic investors. As high deductible health plans become more and more prevalent and patient out of pocket burden continues to increase, HealthiPASS simplifies the payments experience for both patients
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3 Healthcare Revenue Cycle Management Drivers to Watch in 2018
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
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
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
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
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
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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