What You Should Know:
- A new national survey from CancerCare reveals how insurance utilization management practices, particularly prior authorization, create serious and stressful barriers to care for cancer patients. The report, titled "The Health Insurance Maze: How Cancer Patients Get Lost in the Red Tape of Utilization Management," found that these requirements frequently delay diagnosis and treatment, adding significant "time toxicity" to patients' lives.
- The
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
Scalability in Revenue Cycle: Building a Flexible Model for Sustainable Growth
The demands on revenue cycle management (RCM) today are unrelenting. Healthcare providers are navigating ongoing regulatory shifts while financial constraints and growing patient volumes place immense pressure. The average internal cost of running an RCM operation has increased from 4% to 5%, even with the advances in technology and automation. To be successful, providers must maintain efficiency while delivering quality care.
With this current landscape, RCM must be built for adaptability;
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Smarter Technologies Launches AI-Driven Platform to Tackle Hospital RCM Inefficiencies
What You Should Know:
- Smarter Technologies, an automation and insights platform focused on healthcare efficiency, announced its official launch.
- The new company brings together the strengths of Access Healthcare, SmarterDx, and Thoughtful.ai, three entities that recently received strategic growth investments from New Mountain Capital, LLC, a growth investment firm with over $55B in assets under management.
- Smarter Technologies debuts as the industry’s first
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Iodine Software Launches Next-Gen Pre-Bill Solution
What You Should Know:
- Iodine Software, the leader in healthcare AI for revenue cycle optimization, today launched the next generation of its pre-bill solution, AwarePre-Bill, designed to help health systems close critical revenue gaps before claims are submitted.
- Built on years of proven success, the solution enables health systems to conduct financially targeted retrospective reviews, improving code accuracy and documentation to help right-size reimbursement. With Iodine, clients
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IKS Health and GI Alliance Partner to Optimize Gastroenterology RCM and Clinical Efficiency
What You Should Know:
- IKS Health, a global leader in care enablement solutions designed to support clinicians, staff, and patients throughout the care journey announced a significant partnership with GI Alliance, the largest independent gastroenterology (GI) services organization in the United States.
- The collaboration aims to deploy advanced AI-enabled technology and human intelligence to create a best-in-class revenue cycle management (RCM) process specifically tailored
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Infinx Acquires i3 Verticals’ Healthcare Revenue Cycle Management Business
What You Should Know:
- Infinx Healthcare, a leading provider of AI-powered solutions for patient access and revenue cycle management (RCM), today announced it has acquired the Healthcare Revenue Cycle Management Business of i3 Verticals, Inc. (NASDAQ: IIIV).
- The transaction strengthens Infinx’s market presence in the healthcare RCM space and expands its footprint into new customer segments, including academic medical centers and other large provider groups.
Infinx Enhances AI-Driven
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Cedar Launches ‘Kora’ AI Voice Agent to Automate Patient Billing Calls
What You Should Know:
- Cedar, a patient financial platform for healthcare providers announced the launch of Kora, its advanced AI voice agent designed to automate patient billing calls.
- Developed in collaboration with communications platform Twilio and already being implemented at leading providers such as ApolloMD, Kora leverages Cedar's deep healthcare expertise and proprietary billing data to deliver efficient and empathetic call resolution at scale.
Kora: An AI Voice
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Cleveland Clinic Taps AKASA to Launch AI Tools for the Revenue Cycle
What You Should Know:
- Cleveland Clinic and AKASA have established a strategic collaboration to deploy generative AI tools to support efficient and accurate medical coding practices.
- Through this partnership, Cleveland Clinic will apply multiple AKASA AI-powered tools during the mid-revenue cycle – the phase between patient care and billing, where documentation and coding occur – across its U.S. locations.
Cleveland Clinic Advances Revenue Cycle Operations with AI-Powered Coding
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Kiwi Launches with $10M to Tackle LATAM Healthcare Financing Gap
What You Should Know:
- Kiwi, a healthcare financial platform, announced its official launch, bolstered by a $10M seed funding round. The $10M seed round comprises $2M in pre-seed equity financing and $8M in debt financing allocated initially for Peru, with a potential extension planned for Mexico. The round saw leadership from key industry figures: Tyler Johnson (CEO at HFD, General Partner at MVRK Capital), Beau Woodward (Director at HFD, General Partner at MVRK Capital and WDC Genesis),
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Lyric Acquires ClaimShark to Bolster AI-Powered Payment Accuracy Platform
What You Should Know:
- Lyric, a recognized leader in solutions for healthcare payment accuracy and integrity, has officially announced its acquisition of ClaimShark. ClaimShark is known for its innovative technology platform designed to enhance integration, transparency, and precision in payment integrity for health plans.
- The strategic move will see ClaimShark's solutions integrated into the Lyric 42 Platform, Lyric's flagship AI-driven offering, significantly advancing Lyric's
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