What You Should Know:
- A new survey conducted by Becker's Healthcare and Net Health reveals that healthcare leaders are making strategic technology investments to ensure financial resilience amid ongoing regulatory and reimbursement shifts.
- The survey, which polled 100 health system and hospital CFOs, finance VPs, and clinical technology leaders, highlights that leaders are concerned about payer integration challenges and view Artificial Intelligence (AI) as a key tool for
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
CareCloud Acquires HFMA’s MAP App to Infuse AI into Hospital Benchmarking
What You Should Know:
- CareCloud, a leader in AI-driven healthcare technology solutions, has announced a definitive agreement to acquire MAP App, an industry-leading hospital benchmarking tool created by the Healthcare Financial Management Association (HFMA).
- The acquisition, which is scheduled to close on October 1, 2025, is supported by a long-term joint marketing agreement that will enable the expansion of MAP App’s capabilities, particularly through the introduction of
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The State of Claims 2025: Why AI Adoption is Lagging in Healthcare Revenue Cycle Management
What You Should Know:
- According to the Experian Health 2025 State of Claims survey, healthcare providers are grappling with a persistent cycle of rising claim denials, data errors, and staffing shortages. The survey was conducted among 250 healthcare professionals responsible for financial, billing, or claims management decisions.
- The survey found that 41% of providers now experience denial rates of 10% or higher, a problem that has grown annually since 2022. Despite widespread
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Inbox Health Secures $20M to Modernize Patient Billing with AI
What You Should Know:
- Inbox Health, a leader in patient billing and support technology, has announced that it has secured $20 million in growth equity funding and debt led by Ten Coves Capital with participation from existing investors.
- The latest round brings Inbox Health’s total funding to $55M capital. The funding will be used to accelerate the company's mission to modernize patient billing through intelligent automation.
AI-Powered Patient Billing
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KLAS Report: Ensemble and Guidehouse Lead in Revenue Cycle Outsourcing
What You Should Know:
- A new KLAS report, "End-to-End Revenue Cycle Outsourcing 2025," examines client satisfaction with firms that handle all or key components of patient access, HIM, and business office departments for hospital-based organizations.
- The report helps organizations identify the right firm for their needs by focusing on key revenue cycle outcomes, client satisfaction, and the impact of AI in the space. The research found that many healthcare organizations are
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Medical Debt Laws Are Changing Fast. Is Your Revenue Cycle Ready?
The medical debt regulation landscape is poised to change drastically over the next few years. Laws in Texas, New York, and New Jersey are key case studies of this shift, imposing stricter rules on billing transparency, debt collection practices, and patient financial assistance. Providers may or may not be ready for the shift, but those that embrace it will find a real opportunity to improve the financial experience of their patients, build lasting relationships and protect their bottom
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Oracle Health to Launch AI-Powered Solutions for Payers and Providers
What You Should Know:
- Oracle Health has unveiled a new strategy to strengthen the collaboration between healthcare providers and payers.
- The company plans to introduce a comprehensive suite of AI-powered apps and agents designed to automate prior authorizations, reduce claims denials, and improve care coordination. These solutions aim to significantly cut down on administrative costs, which are estimated at approximately $200B annually, and enhance value-based care
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M&A: Cohere Health Acquires ZignaAI to Transform Payment Integrity
What You Should Know:
- Cohere Health, a leader in clinical intelligence solutions, has acquired ZignaAI and launched a new Payment Integrity (PI) Suite, which is anchored by Cohere Validate™. Financial details of the acquisition were not disclosed.
- Cohere Health’s approach is designed to provide transparency, accuracy, and control to claims payments through clinical intelligence. The new solution is already delivering faster payments, 30% efficiency gains, and 8-9x ROI to health
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Ransomware in RCM: Why Your Billing System Is an Overlooked Cybersecurity Risk
When a major healthcare payment processor was hit by a ransomware attack in early 2024, medical practices across the country were thrown into chaos. Routine billing processes, like eligibility checks, claims submissions, and payments, all ground to a halt. Some providers waited weeks to get paid. Others struggled to reassure anxious patients amid financial uncertainty. For small and midsize practices, the disruption wasn’t just inconvenient; it was existential.
The incident exposed an
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Phreesia to Acquire AccessOne for $160M to Expand Healthcare Payment Solutions
What You Should Know:
- Phreesia, Inc., a company specializing in patient activation, has entered into a definitive agreement to acquire AccessOne Parent Holdings, Inc., a portfolio company of Frontier Growth.
- The all-cash transaction is valued at $160M and is expected to close in the third or early fourth quarter of Phreesia’s 2026 fiscal year.
AccessOne Background
AccessOne is a market leader in providing financing solutions for healthcare receivables, working
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