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.
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?
Closing cancer health equity gaps require medical breakthroughs made possible by new funding approaches.
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.
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.
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.
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.
Hear executives from Quantum Health, Surescripts, EY, Clinical Architecture and Personify Health share their views on digital transformation in healthcare.
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.
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.
Revenue cycle company R1 acquired Cerner’s RevWorks business. The company will also acquire commercial, non-federal clients as part of the deal.
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.
The future looks bright for the integrated specialty pharmacy model – for health systems, providers, and most importantly, for patients.
Rivet, a startup that helps providers keep track of insurance contracts and billing, closed an $8.25 million funding round. Technology venture capital company Menlo Ventures led the funding round.
MedPilot, a Cleveland-based startup building a platform to improve patient billing, raised another $1.5 million. The company doubled its headcount and added more patients to its platform.
Streamlining patient registration, offering more financial services and protecting patients from unexpected medical bills are proven ways to collect more revenue, improve cash flow and reduce bad debt.
The 30,000-square-foot facility in Salt Lake City will be used for evaluating, testing and designing new revenue cycle management technologies for hospitals, health systems and physician groups and will also serve as a client experience center.
MediStreams, a developer of revenue cycle management solutions for healthcare providers, is in the process raising $2 million through the sale of equity, according to a filing with the SEC. The Atlanta-based based company, started in 2009 and led by CEO James Coyle, aims to help providers capture the most revenue possible, using payment automation […]