What You Should Know:
- Tegria, a leading healthcare technology consulting and services company, announced today that Tegria RCM, its division dedicated to revenue cycle management (RCM), will operate under the Acclara brand effective immediately.
- The rebrand is part of Tegria RCM's strategic focus on expanding its revenue cycle services capabilities and marks a major milestone for the organization. The Acclara name gives the team the opportunity to build on the division's strong
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Revenue Cycle| Healthcare Finance | Policy, News, Analysis, Insights - HIT Consultant
Avaneer Health Launches its Decentralized Network and Platform
What You Should Know:
- Avaneer Health, a secure digital network for healthcare, today announced that it has launched its private, peer-to-peer network with several leading healthcare organizations. With a single connection to the Avaneer Network™, participants can collaborate and share real-time data, streamlining healthcare administration and enhancing the healthcare experience for all stakeholders.
- For decades, the healthcare industry has been challenged with fragmented
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CodaMetrix Raises $55M for AI-Powered, Autonomous Medical Coding
What You Should Know:
- CodaMetrix, an AI technology platform transforming healthcare revenue cycle management, today announced that it closed a $55 million Series A round led by SignalFire. Frist Cressey Ventures (FCV), Martin Ventures, Yale Medicine, University of Colorado Healthcare Innovation Fund, and Mass General Brigham physician organizations also participated in the round.
- The capital injection will accelerate go-to-market with major provider organizations and health systems, as
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A New Way of Thinking About Interoperability in 2023
Interoperability in the U.S. healthcare system has been an ongoing challenge. While there are several industry initiatives that are going to advance the industry and make incremental progress toward interoperability, there remain several gaps that are unaddressed.
Interoperability is a much broader concept that encompasses more than protocols, APIs, and limited networks. It’s about more than exchanging data through one-to-one connections between a provider, payer, or vendor. True
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KLAS Names Chartis, Nordic, Tegria Top Performers for IT Advisory Services
What You Should Know:
- In the IT advisory space, many firms perform well, but the breadth of their expertise varies—some firms offer many services, while others focus on a specific area. KLAS's latest report examines the breadth of firms’ validated services as well as client satisfaction and performance consistency.
- To provide better transparency into IT advisory services, KLAS has broken them into the following four segments: IT planning and assessment, revenue cycle optimization,
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AGS Acquires Offshore Patient Access BPO Unit from Availity
What You Should Know:
- AGS Health, a provider for tech-enabled revenue cycle management (RCM) solutions announces the acquisition of the India-based patient access outsourcing business unit of the Florida-based healthcare technology company Availity.
- With more than half of U.S. hospitals anticipating a year of negative margins, achieving full and accurate reimbursement for services has never been more critical. With this expansion, AGS Health is positioned to provide faster, more
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Epic, Impact Advisors, Nordic, Chartis Named 2023 Overall Best in KLAS® Awards
What You Should Know:
Epic, Nordic, Impact Advisors and The Chartis Group won the 2023 Overall Best in KLAS® awards. Epic was named the top Overall Software Suite for the thirteenth straight year in 2023 Best in KLAS – Software & Services report, released, which reports on the top vendors for 2022. Epic was also named the top Overall Physician Practice Vendor. Epic won thirteen other Best in KLAS awards in various market segments.
- Impact Advisors tied with Nordic to be a
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KLAS Report Reveals Key Challenges from Provider Organizations
What You Should Know:
- In September 2022, KLAS hosted the sixth annual Digital Health Investment Symposium (DHIS). Executives from healthcare provider organizations, HIT companies, investors, and innovators came together to collaborate on important developments in healthcare technology.
- Drawing on insights from a pre-summit survey as well as insights shared at the summit in small-group discussions, KLAS published a white paper highlighting core challenges identified by summit
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5 Must-Have Features for AI Platforms in RCM
A healthy, stable revenue cycle is crucial to every healthcare organization’s success. However, managing the revenue cycle takes experienced coders, complete documentation, and timely resolution of denials.
Administrative processes account for about 30% of U.S. healthcare costs, which means that all areas of a patient encounter, from check-in to billing and claims, are potential targets to obtain greater efficiency.
In the past 20 years or so, computer-assisted coding (CAC) has become
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Half of the Patients With High-Deductible Health Plans Have Received Surprise Medical Bills
What You Should Know:
- AKASA™, the leading developer of AI for healthcare operations, released findings from a survey conducted on its behalf by YouGov.
- The findings highlight how patients with high-deductible health plans (HDHPs) suffer the downstream effects of a complex medical billing process, including surprise medical bills, inaccuThe findings highlight how patients with high-deductible health plans (HDHPs) suffer the downstream effects of a complex medical billing process,
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