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

Regard Secures $61M for AI-Powered Clinical Insights Platform

by Fred Pennic 07/11/2024 Leave a Comment

WakeMed to Deploy Regard’s AI Clinical Automation Platform Across Enterprise

What You Should Know:  - Regard, an AI-powered clinical insights platform raises $61M in Series B funding led by Oak HC/FT with participation from prominent healthcare and technology investors.  - The investment will fuel the company's mission to unlock the full potential of patient data for improved clinical care. Untapped Potential in Healthcare Data The healthcare industry is experiencing a data deluge. New technologies generate mountains of patient information, but a
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Carilion Clinic Selects Ensemble Health to Outsource Revenue Cycle Operations

by Fred Pennic 07/10/2024 Leave a Comment

Carilion Clinic Selects Ensemble Health to Outsource Revenue Cycle Operations

What You Should Know:  - Carilion Clinic, a Roanoke-based non-profit health system that owns and operates several hospitals in western Virginia -- announced it has selected end-to-end revenue cycle management (RCM) provider Ensemble Health Partners as its strategic end-to-end RCM partner. - Carilion chose Ensemble for its proven track record of quickly delivering value and sustaining high performance. Notably, Ensemble has consistently met 100% of year-one client goals, exceeded 102%
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Hummingbird Healthcare Secures $10M to Streamline Patient Access, Create Jobs

by Fred Pennic 07/02/2024 Leave a Comment

What You Should Know:  - Hummingbird Healthcare Inc., a tech-driven healthcare services company raises $10M in Series A funding led by UCHealth, a leading Colorado-based health system and existing investor. The round also included participation from CU Healthcare Innovation Fund, 8VC, and Gaingels. - With this new funding, Hummingbird is poised to expand its reach and empower healthcare providers to deliver exceptional patient experiences. Focus on Patient Access and Operational
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AdvancedMD Summer Release Streamlines Revenue Cycle, Enhances EHR and Patient Engagement

by Jasmine Pennic 07/02/2024 Leave a Comment

AdvancedMD Summer Release Streamlines Revenue Cycle, Enhances EHR and Patient Engagement

What You Should Know:  - AdvancedMD, a provider of cloud-based healthcare software for independent practices, recently unveiled its 2024 summer product release.  - The update boasts over 30 new features designed to enhance efficiency, improve productivity, and ultimately, boost revenue for medical practices. Seamless Payment Processing Takes Center Stage The centerpiece of the release is the revolutionary AdvancedMD Pay terminal, a certified PAX A920 credit card processing
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Inovalon and MEDITECH Alliance Partner to Streamline Revenue Cycle Management

by Fred Pennic 06/28/2024 Leave a Comment

Inovalon and MEDITECH Alliance Partner to Streamline Revenue Cycle Management

What You Should Know:  - Inovalon, an innovator in cloud-based healthcare data solutions, announced a strategic partnership with the MEDITECH Alliance.  - The strategic collaboration empowers thousands of healthcare providers using MEDITECH's electronic health record (EHR) systems to leverage Inovalon's end-to-end revenue cycle management (RCM) solutions. Optimizing Reimbursement and Reducing Errors The partnership tackles a significant challenge in healthcare: inefficient
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Unleashing the Dynamic Force of AI and Automation to Revolutionize Revenue Cycle Management

by Arnab Sen, Chief Strategy Officer, Omega Healthcare 06/28/2024 Leave a Comment

Every year, hospitals across the United States, regardless of their size or type, face significant financial losses amounting to hundreds of billions of dollars due to uncompensated care. This staggering figure does not even consider the additional losses incurred by hospitals as a result of underpayments from government-funded healthcare programs such as Medicare and Medicaid.  As healthcare organizations grapple with rising costs, eroding financial margins, ongoing labor shortages, and
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Adonis Raises $31M to Expand AI-Powered Revenue Cycle Automation

by Fred Pennic 06/25/2024 Leave a Comment

Adonis Raises $31M to Expand AI-Powered Revenue Cycle Automation

What You Should Know:  - Adonis, a healthcare revenue intelligence and automation company raises $31M in Series B funding led by Point72 Private Investments, bringing Adonis’ total funding to $54M.  - With this new funding, Adonis plans to accelerate product innovation, expand its reach within health systems, and grow its team based in New York City.  This latest investment round follows a successful Series A round of $17.3M led by General Catalyst just twelve months ago.
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Humata Health Secures $25M for AI-Powered Prior Authorization

by Fred Pennic 06/20/2024 Leave a Comment

Humata Secures $25M for AI-Powered Prior Authorization

What You Should Know:  - Humata Health, a company revolutionizing prior authorizations in healthcare with AI and automation raises $25M co-led by Blue Venture Fund and LRVHealth with participation from Optum Ventures, .406 Ventures, Highmark Ventures, and VentureforGood further demonstrates the widespread support for Humata's innovative approach.  - With this significant investment, Humata Health will expand its AI capabilities, broaden its provider base, and partner with payers to
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Q/A: Experian Health’s CPO Talks State of Patient Access

by Syed Hamza Sohail 06/19/2024 Leave a Comment

Q/A: Experian Health’s CPO Talks Patient Access & the Health-Tech Nexus

Experian Health, a provider of solutions in revenue cycle management, identity management, patient engagement, and care management, plays a pivotal role in transforming the healthcare landscape. By leveraging advanced data analytics and innovative technology, Experian Health aids healthcare organizations in improving operational efficiency and enhancing patient access to care. The company has just released its annual “State of Patient Access Survey,” which reveals a notable shift from last
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How AI Can Increase the Success of Clinical Denials Appeals

by Steve Albert, EVP and Chief Product Officer, R1 06/05/2024 Leave a Comment

How AI Can Increase the Success of Clinical Denials Appeals

It’s a perfect storm of financial pressures facing healthcare provider organizations – from rising costs to labor shortages to constrained capacity – that stymies revenue growth. Growing challenges with payer payments only exacerbate these issues. According to a Kaufman Hall report, 73% of leaders surveyed said claims denials, which was the top revenue cycle issue in 2022, had increased in 2023. The cost of denials is staggering. A recent data analysis revealed that providers spent nearly $20
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