The Revenue Cycle Needs Surgery, Not Band-Aids
As we see companies release more solutions targeting the revenue cycle, it’s time to distinguish excitement from impact.
Data-Driven Decisions: Unlocking Strategic Financial Performance in Healthcare
Data is not optional; it is essential to financial stability and strategic growth. The organizations that thrive will be those that use data to lead, not follow.
The Power of One: Redefining Healthcare with an AI-Driven Unified Platform
In a landscape where complexity has long been the norm, the power of one lies not just in unification, but in intelligence and automation.
Why Hospitals Must Rethink Operations Before Banking on AI
Some hospitals are turning to AI to help manage declining revenue and financial pressure, but one expert says success depends on more than just buying new tech. Prashant Karamchandani of Chartis urges health systems to pair AI adoption with foundational work like change management, continuous improvement and operating model redesign.
Revenue Cycle Automation: 3 Considerations For Optimal ROI
As healthcare leaders look for the low-hanging fruit for AI and automation investments in the revenue cycle, there are three things that should be considered to achieve maximum impact on labor effectiveness.
Want to Maximize Rev Cycle Efficiencies? Here are 3 Considerations
Whether trying to see more patients, retain more staff, expand the organization’s technology stack or bring more dollars in the door, it’s not uncommon for professionals to want to maximize their resources amidst a market influx.
Unlocking Hidden Revenue: Transforming RCM Challenges into Financial Wins
As our industry continues its path toward value-based care, evolving payer models, and increasingly stringent regulations, revenue cycle processes will become even more complex. Providers can prepare by following these steps.
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MedCity News Pivot Podcast: How Emergency Departments Are Using Real-Time Data to Improve Outcomes
How can AI benefit and improve patient outcome in the emergency department? Watch the latest episode to find out.
VBC, MA, FHIR and Modern Care
We know from everyday purchasing of goods and services that you have to combine what you’re getting with what you’re paying for that good or service. But how does this basic consumer supplier concept play out in US healthcare?
Payers Are Putting Profit Over Patients with Denials and Prior Auth Policies, Hospitals Say
Hospitals are facing increasingly burdensome policies from commercial insurers, leading to problems with cash flow and patient safety. Hospital executives think federal regulators need to enact stricter policies that require payers to operate on faster timelines, as well as provide more transparency into their reasons for denying claims.
How Embedded Finance Creates a Better Patient Experience
In an age where consumers have more options than ever about where to receive their care, improving the financial experience through embedded finance can give providers an advantage in an increasingly competitive marketplace.
Preserving Profitability: Why Financial Redundancy Is Vital in Healthcare
While hospitals have contingency plans for events like power outages and extreme weather — backup generators, secondary chillers, and fiber for internet coverage — they can typically neglect vulnerabilities in the revenue cycle. Here are five proactive measures for hospitals and revenue cycle management/clearing house partners.
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Enhanced Direct Enrollment: Georgia Access and the Power of Partnership
Across the nation, state-based health insurance exchanges are searching for ways to better serve their communities while making enrollment easier, more personal, and more accessible for everyone.
SmarterDx Rakes In $50M For Its AI That Helps Hospitals Capture More Revenue
SmarterDx — an AI startup that provides clinical review and quality audits for medical claims — closed a $50 million Series B funding round, bringing its total funding to date to $71 million.
How Atrium Health Made Payment a Part of Its Digital Front Door
A health system's failure to offer patients with digital payment options could lead to slower collection times, create a disjointed patient financial experience, and result in decreased patient satisfaction and loyalty. At HIMSS23, Atrium Health's vice president of revenue cycle management shared how his system integrated payment into its digital front door and gave pointers to hospitals looking to do the same.
Overhauling prior authorization: How to achieve better outcomes at a lower cost
An intelligent authorization platform relies on AI and machine learning to extract patient-specific data from a number of sources including the EHR. This helps health plans better anticipate, manage and optimize member outcomes.
Cerner sells revenue cycle outsourcing business
Revenue cycle company R1 acquired Cerner’s RevWorks business. The company will also acquire commercial, non-federal clients as part of the deal.
Startup automating healthcare administration raises $51M
Olive AI, a startup that uses AI to automate error-prone administrative tasks, raised $51 million in funding. The company has experienced a recent growth spurt, expanding to more than 500 hospitals across the U.S.