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Revenue Cycle| Healthcare Finance | Policy, News, Analysis, Insights - HIT Consultant

How Multi-Payer Portals Incent Providers to Better Manage Their Data

by Mark Martin, Director of Payer solutions, Provider Data management for Availity 01/14/2020 Leave a Comment

Prior Authorizations: A Single Source of Truth for Provider Data Management

Mark Martin, Director of Payer Solutions for Availity Value-based healthcare demands meaningful payer-provider collaboration. However, burdensome administrative processes and inefficient solutions stunt the ability of payers and providers to share data, manage risk, validate credentials, process claims, control costs and optimize the consumer experience. These information bottlenecks are most acute in the area of provider data management (PDM). Each year, payers and providers spend more than
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Change Healthcare Unveils Breakthrough All-Payer Medical Claim Attachments Capability

by Fred Pennic 01/13/2020 Leave a Comment

Change Healthcare Unveils Breakthrough All-Payer Medical Claim Attachments Capability

- Change Healthcare unveils industry’s first nationwide solution that allows providers to submit documents and data, like claims attachments, electronically to all health plans in both the Medical and Workers’ Compensation market segments.- This new claim attachments solution also sets the stage for new additional uses of Artificial Intelligence.Today Change Healthcare announced major new enhancements to its medical claim attachments solution. These enhancements will create the industry’s first
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R1 RCM Acquires Patient Engagement Company SCI Solutions for $190M in Cash

by Fred Pennic 01/13/2020 Leave a Comment

R1 RCM Acquires Patient Engagement Company SCI Solutions for $190M in Cash

- R1 RCM announced the expansion of its tech platform capabilities through the acquisition of SCI Solutions, Inc (SCI). This acquisition enables healthcare providers to automate ordering, scheduling and authorization processes. - SCI’s capabilities integrated into R1’s revenue cycle solution will offer the broadest and deepest tech-enabled patient intake solution available. R1 RCM Inc, a provider of technology-enabled revenue cycle management (RCM) services to healthcare providers,
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SCI Solutions Acquires Mobile Patient Data Collection & Payments Platform Tonic Health

by Fred Pennic 01/10/2020 Leave a Comment

SCI Solutions Acquires Mobile Patient Data Collection & Payments Platform Tonic Health

- SCI Solutions (SCI) acquires patient data collection and payments platform Tonic Health to meaningfully engage consumers at every step in their digital healthcare journey. - The acquisition will allow SCI to offer a comprehensive suite of patient self-service technologies to deliver maximum value to their combined client base. SCI Solutions (SCI), a Seattle, WA-based EHR-agnostic online care coordination marketplace, today announced it has acquired Tonic Health, a leading SaaS-based digital
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RUSH Taps R1 for End-to-End Revenue Cycle Management, Value-Based Care Innovation Lab

by Fred Pennic 01/10/2020 Leave a Comment

Rush University Medical Center Taps R1 for End-to-End Revenue Cycle Management, Innovation Lab

- R1 RCM and Rush University Medical Center (RUSH) announce a new end-to-end revenue cycle management partnership to achieve revenue cycle performance excellence and accelerate innovation in healthcare. - The two will also collaborate to launch an innovation lab that will focus on delivering value-based care, incorporating advanced analytics to help to educate other healthcare institutions and preparing the healthcare workforce of the future.   Rush University System for Health (RUSH) has
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How Software Solutions Can Help ASCs Maximize the Revenue Cycle in 2020

by Tara Vail, Chief Operating Officer, HST Pathways 01/09/2020 Leave a Comment

How Software Solutions Can Help ASCs Maximize the Revenue Cycle

In the modern health care environment, health care executives must be careful custodians of precious resources. Yet in December 2018, 26 percent of hospitals still lacked an effective healthcare revenue cycle solution. Other research has found that over 60 percent of hospitals and health systems are not realizing optimal value from their electronic health record (EHR ) system, causing the organizations to collaborate with other vendors and outsourcing companies to improve revenue cycle
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MTBC Acquires Cloud-based EHR Platform CareCloud

by Fred Pennic 01/08/2020 Leave a Comment

MTBC Acquires Cloud-based EHR Platform CareCloud

- MTBC acquires cloud-based, practice management EHR platform CareCloud on a cash-free, debt-free basis. - Founded in 2009, CareCloud’s integrated clinical and financial platform technology and its suite of solutions enables clients to increase profitability, streamline workflow and improve patient care outcomes nationwide.MTBC, Inc., a leading provider of cloud-based healthcare IT and revenue cycle management solutions, today announced the closing of its acquisition of CareCloud which provides
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Change Healthcare Launches API & Services Connection to Spur Healthcare Innovation

by Jasmine Pennic 01/07/2020 Leave a Comment

Change Healthcare Launches API & Services Connection to Spur Healthcare Innovation

- Change Healthcare has just announced the launch of API & Services Connection, a of library of APIs that spans the Change Healthcare broad portfolio of solutions and includes AI, Medical Network, Payments, Pharmacy, and RCM products.- Now available on the AWS Marketplace, the new library gives healthcare innovators instant access to the same clinical, financial, operational, and patient experience services that power Change Healthcare’s portfolio of HIT solutions. - Now, innovative
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Executive Insights: Top Healthcare Predictions & Trends to Watch in 2020

by Fred Pennic 12/31/2019 Leave a Comment

Executive Insights: Top Healthcare Predictions & Trends to Watch in 2020

As we close out the year, we asked several healthcare industry executives to share their predictions and trends for 2020. Robbie Hughes, Founder, and CEO, Lumeon “Following the announcement of the Trump administration's price transparency requirement – and the ensuing backlash from hospital groups – the issue of price transparency will dominate the healthcare industry next year. Regardless of the outcome of the lawsuit, I expect we'll see more attention around the importance of the
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How Back-End Technologies Will Help Improve Patient Outcomes In 2020

by Fritz Haimberger, Vice President, Global Industry Lead - Healthcare Provider, Appian Corporation 12/30/2019 Leave a Comment

How Back-End Technologies Will Help Improve Patient Outcomes In 2020

For years, healthcare organizations have faced unique barriers to technological innovation. Enterprise-wide issues of disconnected systems and data, the slow speed of application creation, implementation, and maintenance, a lack of mobile capabilities, and the challenges of ensuring security, privacy, and compliance have made it difficult to innovate quickly to improve patient outcomes. However, this paradigm is changing. In 2020, we will see big changes as healthcare organizations embrace the
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