What You Should Know: - Ensemble Health Partners, a provider of end-to-end revenue cycle outsourcing (RCM) for healthcare organizations, has announced a significant expansion of its partnership with Microsoft. - The strategic collaboration aims to accelerate the development and adoption of Ensemble's industry-leading revenue cycle intelligence platform, EIQ®. EIQ®: Powering AI-Driven Revenue Cycle Management EIQ® is a powerful platform that leverages Microsoft Azure's
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Health IT | News, Analysis, Insights - HIT Consultant
Humana Expands Use of Cohere Health’s Prior Authorization Platform
What You Should Know: - Cohere Health, a recognized leader in clinical intelligence and prior authorization automation, announced that Humana Inc. (NYSE: HUM) will expand its use of Cohere's prior authorization platform for diagnostic imaging and sleep services. - In January 2021, Cohere and Humana began a pilot
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The Future of Human Health May Require Unlocking Access to Our Health Data
The synergy of artificial intelligence (AI) and medical imaging has opened new horizons for healthcare. AI-mediated computer vision has been in use in oncology for more than 20 years; however, its arrival in other medical fields, notably dentistry, is more recent. Dentistry is particularly notable here, because while relatively few people have seen an oncologist, almost everyone sees a dentist at least every few years. The application of AI in dentistry, thus, extends to a much broader
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Lumeris Secures $100M to Expand Proven Value-Based Care Solutions
What You Should Know: - St. Louis-based, privately held Lumeris announced the completion of a $100M equity capital raise. - The funding round was led by Deerfield Management, a longstanding lender, and new investor Endeavor Health. Existing investors Kleiner Perkins, Sandbox Industries, BlueCross BlueShield Venture Partners and JDLinx
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Interoperability: How Hospitals Share Healthcare Data Can Cost Lives, We Can All Do Better
Patient data interoperability sounds like industry jargon, but it’s a vital piece of providing timely and accurate patient care. Since 1996, when the Health Insurance Portability and Accountability Act (HIPAA) became law, there have been good advances in patient data interoperability, but as a whole, the industry has not embraced them. Sharing data through faxing and CDs is still very common. As recently as 2023, between 30 and 47 percent of hospitals across all sizes reported still
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ONC Releases Common Agreement V2.0, Paving the Way for TEFCA Exchange via FHIR
What You Should Know: - The Office of the National Coordinator for Health Information Technology (ONC), along with The Sequoia Project, Inc., a Recognized Coordinating Entity (RCE), has released Common Agreement Version 2.0 (CA v2.0). What is the Common Agreement? The Common Agreement establishes a set of common rules and technical standards for secure health information exchange across different health information networks (HINs) and their users. This essentially creates a common
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ShiftMed Acquires CareerStaff Unlimited to Expand On-Demand Nursing Platform
What You Should Know: - ShiftMed, a leader in on-demand healthcare workforce technology acquires CareerStaff Unlimited from Genesis HealthCare, a national post-acute care provider. - The strategic acquisition strengthens ShiftMed's position as the industry's first platform to support health systems across all care settings, from hospitals to post-acute care facilities and even in-home care. CareerStaff Acquisition Impact The acquisition unites ShiftMed's innovative
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Availity Appoints Sean Barrett as Chief Product Officer
What You Should Know: - Availity, the nation's leading real-time health information network, has announced the appointment of Sean Barrett as its new Chief Product Officer. - Barrett boasts a distinguished background in healthcare technology, with a proven track record of driving innovation. He will spearhead Availity's product strategy and development, ensuring their solutions continue to meet the ever-evolving needs of both healthcare providers and payers. Barrett
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ABOUT Healthcare Acquires Edgility: Streamlining Patient Flow with AI-Powered Care Orchestration
What You Should Know: - ABOUT Healthcare (ABOUT®), a leader in hospital operations solutions, has announced a strategic acquisition of Edgility, an AI and analytics platform company. This move signifies a significant leap forward in patient flow management, promising to optimize hospital operations and expedite patient care. - ABOUT emphasizes that the combined platform offers the only end-to-end care orchestration solution in the market. This empowers healthcare systems to achieve
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Putting 2024’s Split/Shared Services Billing Regulations into Practice
Medicare providers in hospitals and skilled nursing facilities (SNFs) are adjusting to new split/shared services documentation and billing regulations rolled out by the Centers for Medicare and Medicaid Services (CMS) as part of the 2024 Medicare Physician Fee Schedule (MPFS) final rule. The most notable change within the new regulations, which took effect on Jan. 1, 2024, is the finalization of CMS’s definition of the “substantive portion” of a split/shared evaluation and management (E/M)
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