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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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
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
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
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
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
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
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
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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Mayo Regional Hospital to Implement Cerner Integrated EHR
Mayo Regional Hospital has selected Cerner to implement a new integrated electronic health record (EHR) and revenue cycle solutions across its acute and ambulatory facilities. This agreement provides the hospital with sophisticated health care technology that will support Mayo doctors, nurses and staff as they work to streamline operations and improve patient care. With Cerner’s Clinically Driven Revenue Cycle™ solutions, Mayo clinicians will be able to view clinical and financial data in one
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MTBC to Acquire Assets of Orion Healthcorp That Could Increase Revenues by 50%
MTBC, a provider of cloud-based healthcare IT and revenue cycle management solutions has entered into an Asset Purchase Agreement ("APA") to acquire substantially all of the revenue cycle, practice management, and group purchasing organization assets of Orion Healthcorp, Inc. and 13 of its affiliate companies (together "Orion"), as the primary bidder in a Section 363 sale under the U.S. Bankruptcy Code. After the acquisition is closed, management expects the transaction would increase MTBC's
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