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

PE Firm Exploring Sale of HealthChannels’ Portfolio of 4 RCM Companies

by Fred Pennic 06/11/2019 Leave a Comment

PE Firm Exploring Sale of HealthChannels’ Portfolio of 4 RCM Companies

Vesey Street Capital Partners (VSP), a strategic private equity firm with substantial and differentiated Healthcare Services sector and sourcing expertise is exploring the sale of its portfolio company HealthChannels. With 13,000 employees across 50 states and three countries, HealthChannels is comprised of four highly specialized revenue cycle management companies:- ScribeAmerica, the nation’s most frequently used medical scribe company, with a reach of over 30 million patients through more
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Waystar Acquires Presumptive Charity Scoring Solution PARO

by Jasmine Pennic 06/06/2019 Leave a Comment

PE Firm Considering Options Including Sale for RCM Provider Waystar

Waystar, a provider of revenue cycle technology, today announced it has acquired PARO, a financial assistance predictive analytics solution designed for the healthcare industry. As part of the acquisition, the PARO solution will be integrated with Waystar’s technology platform to help hospitals better assess charity care, reduce bad debt and meet community benefit requirements.Why PARO?Nonprofit hospitals are required to make reasonable efforts to determine if patients are eligible for financial
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3 Things Patients Want From Their Healthcare Financial Experience

by Joe Polaris, Senior VP of Product and Technology at R1 RCM 06/05/2019 Leave a Comment

3 Things Patients Want From Their Healthcare Financial Experience

In most healthcare organizations, basic automation is used to complete individual revenue cycle tasks. Seldom, however, is technology used to optimize entire revenue cycle management (RCM) processes and improve the patient financial experience. The situation is dramatically different outside of healthcare in industries that have long competed for direct consumer dollars. To book an airline flight, for example, consumers simply open up an app or a website. At their convenience — any time of day
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Apprio Launches New Revenue Cycle Management Division , ApprioHealth

by Jasmine Pennic 06/03/2019 Leave a Comment

Apprio Launches New Revenue Cycle Management Division , ApprioHealth

Apprio, a provider of specialized technology solutions for the health, defense, and homeland security markets, today announced it has created ApprioHealth, a new, commercially focused business unit focused on the revenue cycle management requirements of hospitals and health systems. ApprioHealth will be led by Donny Zamora who will serve as the division’s president.ApprioHealth OverviewApprioHealth will deliver services and advanced technology solutions tailored for health organizations’ revenue
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Bon Secours Mercy Health Sells $1.2B Majority Stake in Ensemble Health

by Jasmine Pennic 05/31/2019 Leave a Comment

Bon Secours Mercy Health Sells $1.2B Majority Stake in Ensemble Health

Bon Secours Mercy Health sold their 51% majority stake in revenue cycle management company Ensemble Health to Golden Gate Capital, a private equity investment firm. Bon Secours is expected to receive $1.2 billion cash which will be reinvested in Bon Secours Mercy.  As part of the agreement, Bon Secours Mercy Health will continue as a commercial partner to Ensemble, as well as remain a minority owner in the Company and continue to serve on the Company's board.Founded in 2014, Ensemble partners
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KPMG, Waystar Integrates Social Determinants of Health Data to Clinical Intelligence Platform

by Fred Pennic 05/16/2019 Leave a Comment

IPA, IHANY, Fidelis Care Partner to Address Social Determinants of Health in Upstate New York AzHHA Taps PatientPing to Improve Care Coordination Across State of Arizona

KPMG announced it is integrating social determinants of health (SDoH) data from revenue cycle provider Waystar to KPMG’s Clinical Intelligence (KCI) platform. The integration will harness SDoH data that can help overcome obstacles to medical treatment and affect outcomes to help with care coordination.The Impact of Social Determinants of Health DataSocial, environmental and economic factors – such as transportation, housing, nutrition, and education level – can have a big impact upon medical
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BJC HealthCare Taps R1 RCM to Enhance Revenue Integrity Across Enterprise

by Fred Pennic 05/14/2019 Leave a Comment

BJC HealthCare Taps R1 RCM to Enhance Revenue Integrity Across Enterprise

BJC HealthCare, based in St. Louis, Missouri has selected revenue cycle management (RCM) services company R1 RCM to provide its Revenue Integrity Solutions (RIS), formerly known as Revenue Capture Services (RCS) to support BJC’s affiliated hospitals and affiliated physician group in ensuring appropriate payment for services provided and documented via charge capture, coding review, root cause analysis and education. In addition to R1’s Revenue Integrity Solutions, hospitals and health systems
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Quorum Health Taps R1 RCM for End-to-End Revenue Cycle Management Across 26 Hospitals

by Fred Pennic 05/09/2019 Leave a Comment

Quorum Health Taps R1 RCM for End-to-End Revenue Cycle Management Across 26 Hospitals

Quorum Health Corporation, an operator of general acute care hospitals and outpatient services has selected R1 RCM to provide end-to-end revenue cycle management services across Quorum Health’s portfolio of hospitals and outpatient centers. After conducting a competitive vendor selection, Quorum Health selected R1 and anticipates going live in the second half of 2019.Benefits for Quorum HealthR1’s platform integration with existing infrastructure is expected to improve revenue cycle operations
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Global Medical Billing Outsourcing Market to Reach $19.7B by 2026

by Fred Pennic 04/26/2019 Leave a Comment

Revenue Integrity Dysfunctional Patient Billing Major Distraction for Patients & Clinicians 6 Metrics to Improve Hospital Revenue Cycle ROI_revenue cycle makret

 The global medical billing outsourcing market size is projected to reach USD 19.7 billion by 2026 expanding at a compound annual growth rate (CAGR) of 11.8%, according to a Grand View research report. The report reveals that revenue cycle management (RCM) is one of the most complex components of healthcare IT business driven by challenges in rising healthcare costs, market consolidation, an explosion in clinical documentation, and value-based care initiatives.Key Market Drivers for Global
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PE Firm Considering Options Including Sale of RCM Provider Waystar

by Fred Pennic 04/23/2019 Leave a Comment

PE Firm Considering Options Including Sale for RCM Provider Waystar

Private multi-asset alternative investment firm Bain Capital is reportedly considering options including the potential sale of revenue cycle management (RCM) company Waystar, Bloomberg reports. In 2018, Bain rebranded RCM companies Navicure and ZirMed as Waystar after merging the two companies together in 2017.  Waystar Sale Could Value Company At More Than $3BBain has started early-stage discussions about a potential sale that could value the business at more than $3 billion, according to
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