Data, Interoperability and RCM - Connected Health Pulse

Leveraging Emerging Technologies to Enhance Data Integrity and Streamline Processes

Healthcare IT Today

DECEMBER 20, 2024

Emerging technologies can even detect anomalies or mistakes which can help a patient get the care they need faster or give you more accurate data. Jaimes Blunt, EVP of Infrastructure at emtelligent Healthcare data volumes continue to grow at an unprecedented rate, and most of healthcares critical data remains buried in unstructured text.

Health Information

Health Information Life Science EHR RCM

Healthcare Revenue Cycle Management – 2025 Health IT Predictions

Healthcare IT Today

JANUARY 8, 2025

Outsourcing will pivot to a more surgical, targeted strategy, focusing on high-impact, specialized areas like revenue integrity, underpayment recovery, and the more commonplace out-of-state Medicaid and small balance recovery work where RCM outsourcing supplements streamlined, automation-empowered teams instead of replacing them.

Health IT

Health IT RCM Life Science Patient Experience

Unlocking the Power of Interoperability for Revenue Cycle Management

Healthcare IT Today

MARCH 12, 2024

Interoperability is game-changing not just in a clinical setting, but it holds tremendous potential for healthcare’s financial stakeholders as well. A seamless transfer of data in the revenue cycle process results in optimal reimbursement, reduced administrative costs, and fewer surprises for patients.

Interoperability

Interoperability RCM Patient Experience EHR

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

What Your Financial Statements Are Telling You—And How to Listen!

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Weekly Roundup – December 7, 2024

Healthcare IT Today

DECEMBER 7, 2024

Read more… An Interoperability and EHR API Deep Dive with Brendan Keeler. In part two of their conversation, John and Brendan touched on the challenges and opportunities of interoperability , particularly from the perspective of prior authorization, along with what to make of information blocking court cases.

RCM

RCM Interoperability Healthcare IT Medical Billing

Weekly Roundup – October 26, 2024

Healthcare IT Today

OCTOBER 26, 2024

That said, organizations need to remember human error remains the leading cause of data breaches , noted Mike Crouse at Everfox. Read more… Breaking Down Healthcare’s Data Walls. The limitations of interoperability has made value-based care more complex , said Ashay Thakurat Cedar Gate Technologies.

RCM

RCM Leadership Healthcare IT Mental health

Weekly Roundup – November 2, 2024

Healthcare IT Today

NOVEMBER 2, 2024

Use cases described by the Healthcare IT Today community included incorporating public health data, improving behavioral health, peering into patient registries, and focusing on n=1 health. Read more… The Value of Health Data for Business Intelligence. That depends on data quality and consent management, she said.

Healthcare IT

Healthcare IT RCM Patient Experience Health Data

GenAI in Healthcare: Catalyzing the Revenue Cycle Management Transformation

Healthcare IT Today

JULY 30, 2024

Revenue Cycle Management (RCM): The Strongest Use Case of GenAI in Healthcare The financial backbone of healthcare, RCM, entails everything from payments and pre-authorization before treatment to reimbursements, compliances, and interoperability with other systems. It signifies a pivotal shift towards data-driven patient care.

RCM

RCM Medical Billing Leadership Interoperability

Weekly Roundup – January 11, 2025

Healthcare IT Today

JANUARY 11, 2025

Tellingly, 60% of recommended imaging isn’t followed up on , and panelists said the one-two punch of limited interoperability and poor engagement play a big part in that. The Healthcare IT Today community expects automation will continue transforming RCM in 2025 , with a primary focus on eliminating waste and reducing inefficiency.

RCM

RCM eHealth HIPAA Healthcare IT

Bonus Features – January 19, 2025 – 183 million patient records exposed in cyberattacks in 2024, 74% of orgs rely on manual processes for workforce management, plus 36 more stories

Healthcare IT Today

JANUARY 19, 2025

News ASTP released a draft of United States Core Data for Interoperability v6 , with six new data elements. Genomic data company Helix added three health systems to its Helix Research Network : TriHealth, Parkview Health, and Rochester Regional Health. Veradigm added SDoH and mortality data to its ambulatory EHR database.

Telecare

Telecare RCM Healthcare Data Security EHR

Weekly Roundup – February 15, 2025

Healthcare IT Today

FEBRUARY 15, 2025

Antoine Robiliard at Withings joined John to discuss the BPM Pro 2, which helps patients gather data and provide context to their clinical team. AI is becoming an anticipatory force in healthcare , proactively identifying treatment opportunities while also adding context to medical data, said Bhushan Jayeshkumar Patel at IEEE.

RCM

RCM Healthcare Cybersecurity Patient Experience Healthcare IT

Improving Revenue Cycle Management with True AI and Machine Learning

Healthcare IT Today

AUGUST 9, 2024

Automating tasks like data entry eases the administrative burden on staff, empowering them to operate at the top of their license and focus on higher-value activities. Ultimately, the integration of true AI and machine learning in RCM contributes to greater accuracy, reduced denials, and a better patient experience.

RCM

RCM Interoperability Healthcare IT Patient Experience

Bonus Features – March 9, 2025 – 85% of senior leaders say AI will improve RCM efficiency, 44% of patients worry AI will reduce personal interactions with their providers, plus 26 more stories

Healthcare IT Today

MARCH 9, 2025

Studies An Omega Healthcare survey found 85% of senior healthcare executives believe AI will improve RCM efficiency. Healthcare executive have had personal information exposed in an average of 40 data breaches , according to a report from privacy vendor Picnic. Surescripts processed 2.6

RCM

RCM Healthcare IT Interoperability EHR

AI and Automation in Healthcare – 2025 Health IT Predictions

Healthcare IT Today

DECEMBER 23, 2024

Kim Perry, Chief Growth Officer at emtelligent As we move into 2025, the sheer volume and complexity of healthcare data will surge beyond what any human team can realistically process. Machine learning algorithms are already automating data intake and streamlining workflows, helping providers spend less time on administrative tasks.

Health IT

Health IT EHR RCM Nursing

Bonus Features – June 2, 2024 – 55% of practices give staff more data access than they need to do their jobs, interest in DNA stool tests for colon cancer screening up 933% since 2018, plus 20 more stories

Healthcare IT Today

JUNE 2, 2024

Also, 55% of practices allow staff more data access than they actually need to do their job. Partnerships Redox is partnering with Snowflake to make data from legacy healthcare systems available in Snowflake’s Healthcare & Life Sciences Cloud. RCM vendor TruBridge received the Peer Reviewed by HFMA designation.

Life Science

Life Science Pain management Interoperability RCM

Weekly Roundup – July 13, 2024

Healthcare IT Today

JULY 13, 2024

One part of this initiative is using 30 years’ worth of data to train an internal version of ChatGPT. John Lynn sat down with Maigari Jinkiri at Celebrus to talk about bringing data together from various sources to create a “journey map” for call center agents so they are better equipped to meet patients’ unique needs.

RCM

RCM Interoperability Healthcare IT FHIR

Bonus Features – March 23, 2025 – NVIDIA expands partnerships with GE HealthCare and Lenovo, plus 25 more stories

Healthcare IT Today

MARCH 23, 2025

Quest Diagnostics is collaborating with Google Cloud to streamline data management and data analytics. RCM vendor R1 is partnering with Palantir Technologies to launch R37 , an AI lab focused on healthcare financial performance. The Sequoia Project launched the Pharmacy Workgroup as part of its Interoperability Matters program.

Interoperability

Interoperability RCM EMR Healthcare IT

Bonus Features – May 26, 2024 – Only 43% of hospitals routinely exchange data, about 70% of organizations want to change archiving vendors, plus 24 more stories

Healthcare IT Today

MAY 26, 2024

Only 43% of hospitals routinely engage in interoperable data exchange , according to the latest ONC data brief. Products Health Catalyst unveiled Health Catalyst Ignite , the next generation of its data and analytics platform. Inpatient data analytics vendor Kontakt.io appointed Michael R.

eCare

eCare RCM Healthcare IT Mental health

HIMSS 2019: The Mainstreaming of Health IT, from Jim Cramer to Opioid Risk Scores

Health Populi

FEBRUARY 9, 2019

The patient is worried about privacy and data security. The patient is growing aware of her personal “data space.” Patient’s privacy and data security. One reason is because a medical data breach is more valuable than a hack of, say, consumers’ credit card identities. The patient’s personal data-space.

Health IT

Health IT EHR HIPAA RCM

Bonus Features, ViVE Edition – February 18, 2025 – CancerX launches latest Accelerator, Innovaccer unveils new AI agents, plus 16 more stories

Healthcare IT Today

FEBRUARY 18, 2025

RCM optimization vendor Iodine Software launched Appeals Management Workspace to support denials management. Document exchange and interoperability vendor Concord Technologies launched Concord Connect , which routes patient records to the appropriate system. New Companies HRT Club : Direct-to-consumer hormone replacement therapy.

RCM

RCM Connected Care Healthcare IT Interoperability

Weekly Roundup – November 16, 2024

Healthcare IT Today

NOVEMBER 16, 2024

Several more healthcare IT leaders took some time to share their thoughts on data integration, key use cases for AI, how to help frontline workers, and how to build trust. Read more… What’s Your Healthcare Data Strategy ? Read more… EMR and RCM in the Cloud Providing Value to HealthNet.

EMR

EMR Healthcare IT RCM Mental health

Weaving Zoom into workflow and updating EHR saves clinic during COVID-19

Healthcare IT News - Telehealth

NOVEMBER 11, 2020

The reason for this is HiMS’ prioritization of interoperability.” ” Through AXiOM, all of COPE’s technologies, including telehealth and revenue cycle management (RCM), can communicate with each other. ” Another success metric was the lack of learning curve for COPE’s staff, he added.

EHR

EHR Interoperability RCM Telehealth

WellSky Acquires Corridor, Expands Commitment to Offering Best-in-Class Coding, Revenue Cycle Management Services for Post-Acute Industry

Healthcare IT Today

OCTOBER 30, 2023

By adding Corridor to its portfolio, WellSky will expand its medical coding and revenue cycle management (RCM) offerings to help care providers increase efficiency and improve performance across clinical, financial, operational, and compliance areas.

RCM

RCM Leadership Interoperability Nursing

Bonus Features – January 28, 2024 – 49% of orgs likely to invest in RCM tech in the next 18 months, v2 drafts of TEFCA Common Agreement and QHIN Technical Framework out, plus 27 more stories

Healthcare IT Today

JANUARY 28, 2024

About half (49%) of healthcare professionals are likely to invest in new RCM technology in the next 18 months , according to Salucro’s Healthcare Provider Fintech Insights Report. MRO earned the Validated Data Stream designation in the NCQA Data Aggregator Validation program.

RCM

RCM FHIR Healthcare IT Mental health

Weekly Roundup – March 8, 2025

Healthcare IT Today

MARCH 8, 2025

We recorded many videos with members of our community and other event attendees to get expert analysis on topicssuch as AI, cybersecurity, and interoperability. Day 1 at HIMSS25 : How to make data usable and truly address clinicians’ needs. Read more… Improving RCM With AI. million in Series C funding.

RCM

RCM Life Science Healthcare IT Health Analytics

Bonus Features – April 9, 2023 – 63% of RCM departments face staffing shortages, small Stanford study shows 90% of GPT answers in clinical setting are “generally safe,” and more

Healthcare IT Today

APRIL 9, 2023

A study from CWH Advisors and Synchrony found that 63% of providers have RCM staffing shortages , and 61% expect to work with third parties for help. Product and Company News Interoperability company Lyniate rebranded as Rhapsody , which was the company’s original name before its 2019 merger with Corepoint Health.

RCM

RCM HIE Healthcare IT Primary Care

Weekly Roundup – April 13, 2024

Healthcare IT Today

APRIL 13, 2024

Read more… The Value of Sharing Data Between Acute Care and Post-Acute Care. Brian Drozdowicz and Dr. Hamad Husainy at PointClickCare sat down with Colin and discussed how TEFCA and other regulations are driving interoperability efforts – and how data-sharing is key to reaping financial benefits under value-based care.

Interoperability

Interoperability RCM EHR Healthcare IT

Weekly Roundup – January 18, 2025

Healthcare IT Today

JANUARY 18, 2025

Read more… The Sequoia Project’s Healthcare Interoperability Roadmap for 2025. CEO Mariann Yeager talked to John Lynn about the organization’s plans to leverage TEFCA to ramp up a national framework for trusted exchange , and to work with AHIMA to push for better data usability.

eCare

eCare Life Science Interoperability Healthcare IT

Weekly Roundup – January 21, 2023

Healthcare IT Today

JANUARY 21, 2023

Who better to talk to the Healthcare IT Today community about interoperability than the National Coordinator himself? Read more… The Role of Innovation and AI in RCM. Read more… Seeing How Patients Experience RCM. John also asked the experts what RCM looks like to patients.

RCM

RCM eCare EHR Interoperability

Weekly Roundup – August 3, 2024

Healthcare IT Today

AUGUST 3, 2024

Read more… Supercharge Population Health With Medication Data. John interviewed Dr. Weston Blakeslee at DrFirst about why patients don’t fill prescriptions and how medication history pulled from data sources beyond claims paints a more complete picture and supports better health outcomes.

RCM

RCM eHealth EHR Healthcare IT

Collaboration Across the Healthcare Ecosystem: A Key to Revenue Cycle Success

Healthcare IT Today

FEBRUARY 26, 2025

As electronic health record (EHR) systems become nearly universal and interoperability initiatives gain momentum, many healthcare providers assume their revenue cycle challenges are solved. This necessitates close cooperation between technology vendors, healthcare providers, and payers to ensure seamless data flow and process automation.

EHR

EHR Interoperability Leadership healthcare technology

Bonus Features – October 6, 2024 – Only 25% of health systems trust ROI claims from digital health vendors, behavioral health makes up 72% of telehealth volume, plus 20 more stories

Healthcare IT Today

OCTOBER 6, 2024

Partnerships Data platform Arcadia welcomed J2 Interactive and Socially Determined to its marketplace. Consumer-facing care coordination vendor Quantum Health has partnered with Embold Health , a provider of quality data. Virginia-based Mary Washington Healthcare chose Ensemble for RCM.

RCM

RCM Digital Health Telehealth Healthcare IT

Bonus Features – November 19, 2023 – Critical access hospitals 16% less likely to participate in data exchange, two-thirds of orgs plan to increase AI spending by 25% in the next three years, plus 36 more stories

Healthcare IT Today

NOVEMBER 19, 2023

Hospitals serving marginalized communities are less likely to participate in interoperable patient data exchange , according to the latest ONC research. Partnerships Interoperability service provider MedAllies was selected to the MEDITECH Alliance Innovator Program. higher rate than MA members not covered under a VBC model.

eCare

eCare Healthcare IT Interoperability Health Information

A Data Network to Tackle Real-Time Eligibility and Claims Along with Many Other Health Data Problems

Healthcare IT Today

JUNE 1, 2023

Moreover, the network and platform they have created can solve many of the data sharing issues in healthcare because you connect once to the network and you’re plugged in to the entire network of available data.

Health Data

Health Data Healthcare IT RCM Interoperability

Weekly Roundup – November 4, 2023

Healthcare IT Today

NOVEMBER 4, 2023

Answers include infrastructure management, resource utilization, data management, data protection, and security and compliance monitoring. Read more… Overcoming Obstacles to Healthcare Training Data Accuracy. AI models need to be trained on high-quality data. John Lynn talked to Mark Christensen at Xelex.ai

RCM

RCM EMR Mental health Healthcare IT

Bonus Features – January 29, 2023 – ONC says more than 70% of hospitals can use external data at the point of care, the 3 largest health info networks have indexed 90% of patients, and more

Healthcare IT Today

JANUARY 29, 2023

News and Studies HLTH Foundation formed the Techquity for Health Coalition , with a mission to help organizations consider health equity in health technology innovation and data practices. ONC’s latest data brief indicated that, as of the end of 2021, more than 60% of hospitals are actively engaged in sharing health information.

eHealth

eHealth HIE Health Information RCM

Weekly Roundup – March 1, 2025

Healthcare IT Today

MARCH 1, 2025

Colin Hung’s recap of the happenings in Nashville indicated AI messaging was more realistic and backed up by testimonials and data – a notable change from as recently as a year ago. Read more… Revitalizing Data From EHRs, Archives, and the Back Office. Read more… ViVE2025 Review: A Simpler AI Melody.

eCare

eCare RCM Healthcare IT EHR

Bonus Features – May 5, 2024 – Kaiser Permanente taps Innovaccer (and former CTO) for AI, report finds security flaws in Merge DICOM Toolkit, plus 18 more stories

Healthcare IT Today

MAY 5, 2024

Partnerships Data vendor Veradigm is partnering with MedEvolve to make the company’s Effective Intelligence workforce automation and analytics solutions available to Veradigm clients. At its client conference, TruBridge announced a new analytics suite, an interoperability platform, and integration with Nuance Dragon.

RCM

RCM Healthcare IT Primary Care Interoperability

6 Essential Criteria for Making Confident AI Vendor Decisions

Healthcare IT Today

JUNE 4, 2024

The following is a guest article by Austin Ward, Head of Growth at Fathom In the face of workforce shortages and increasing cost pressures, many organizations are turning to AI technologies to automate revenue cycle management (RCM) processes. Automation Rate The most important criterion for AI in RCM is the automation rate.

RCM

RCM EHR Interoperability Healthcare IT

Bonus Features – May 21, 2023 – 82% of wearable users willing to share data with their physicians, 81% of Americans trust pharmacists and nurses to diagnose minor illnesses, and more

Healthcare IT Today

MAY 21, 2023

News and Research More than four in five (82%) of wearable device owners are willing to share health data with their physicians, according to a poll conducted by the Connected Health Initiative. Tellingly, 70% of organizations cite data visibility as a major supply chain issue, as it limits to understand and address risks with suppliers.

eHealth

eHealth Nursing Primary Care RCM

Claims Software Can Ease Manual Processes Related to Treating Medical Tourists from Outside the U.S.

Healthcare IT Today

JANUARY 15, 2024

Lack of Interoperability Brings Labor-Intensive Workflows Despite the high costs of healthcare in the United States relative to other nations , the country is known for its cutting-edge and innovative treatments. This lack of code interoperability creates paperwork challenges for American hospitals seeking payment from other nations.

RCM

RCM Interoperability Healthcare IT Leadership

Weekly Roundup – May 11, 2024

Healthcare IT Today

MAY 11, 2024

Several people mentioned AI and technology infrastructure ; other concerns included nurse burnout, staffing shortages, and interoperability , the age-old topic. Armando Bedoya at Duke Health told John Lynn their organizations are wary of implementing generative AI too soon while clinicians and data scientists work to understand its risks.

Nursing

Nursing Interoperability RCM Medical Billing

Bonus Features – August 6, 2023 – 83% of hospitals are collecting SDoH data, 46% of hospitals planning to use large language models in the call center, and more

Healthcare IT Today

AUGUST 6, 2023

News and Research Five in six (83%) of hospitals are collecting SDoH data , according to the latest ONC Data Brief, with 74% using structured, electronic screening tools. Another 60% of hospitals are receiving SDoH data from outside sources, primarily from HIE entities.

EHR

EHR Interoperability RCM HIE

Weekly Roundup – August 20, 2022

Healthcare IT Today

AUGUST 20, 2022

5 Lessons from the Conifer Health Solutions Data Breach. Earlier this month, the RCM vendor reported a data breach that may have impacted patients at five Texas-based providers. Read more… How Do You Make Interoperability Data Useful? You still have to know how to talk.”

Interoperability

Interoperability RCM Healthcare IT Telehealth

Bonus Features – April 28, 2024 – 22% of employers fully trust chronic condition management vendors, Common Agreement v2.0 requires support for FHIR API exchange, plus 29 more stories

Healthcare IT Today

APRIL 28, 2024

RCM outsourcing vendor Ensemble Health Partners expanded its partnership with Microsoft. Clinical data exchange vendor MRO is now automating data exchange between providers for continuity of care purposes. Risk management vendor CorVel unveiled a data and service hub for its customers in managed care.

FHIR

FHIR RCM Healthcare IT Mental health

Leveraging Emerging Technologies to Enhance Data Integrity and Streamline Processes

Healthcare Revenue Cycle Management – 2025 Health IT Predictions

Webinars

Trending Sources

Unlocking the Power of Interoperability for Revenue Cycle Management

Webinars

Weekly Roundup – December 7, 2024

Weekly Roundup – October 26, 2024

Weekly Roundup – November 2, 2024

GenAI in Healthcare: Catalyzing the Revenue Cycle Management Transformation

Weekly Roundup – January 11, 2025

Bonus Features – January 19, 2025 – 183 million patient records exposed in cyberattacks in 2024, 74% of orgs rely on manual processes for workforce management, plus 36 more stories

Weekly Roundup – February 15, 2025

Improving Revenue Cycle Management with True AI and Machine Learning

Bonus Features – March 9, 2025 – 85% of senior leaders say AI will improve RCM efficiency, 44% of patients worry AI will reduce personal interactions with their providers, plus 26 more stories

AI and Automation in Healthcare – 2025 Health IT Predictions

Bonus Features – June 2, 2024 – 55% of practices give staff more data access than they need to do their jobs, interest in DNA stool tests for colon cancer screening up 933% since 2018, plus 20 more stories

Weekly Roundup – July 13, 2024

Bonus Features – March 23, 2025 – NVIDIA expands partnerships with GE HealthCare and Lenovo, plus 25 more stories

Bonus Features – May 26, 2024 – Only 43% of hospitals routinely exchange data, about 70% of organizations want to change archiving vendors, plus 24 more stories

HIMSS 2019: The Mainstreaming of Health IT, from Jim Cramer to Opioid Risk Scores

Bonus Features, ViVE Edition – February 18, 2025 – CancerX launches latest Accelerator, Innovaccer unveils new AI agents, plus 16 more stories

Weekly Roundup – November 16, 2024

Weaving Zoom into workflow and updating EHR saves clinic during COVID-19

WellSky Acquires Corridor, Expands Commitment to Offering Best-in-Class Coding, Revenue Cycle Management Services for Post-Acute Industry

Bonus Features – January 28, 2024 – 49% of orgs likely to invest in RCM tech in the next 18 months, v2 drafts of TEFCA Common Agreement and QHIN Technical Framework out, plus 27 more stories

Weekly Roundup – March 8, 2025

Bonus Features – April 9, 2023 – 63% of RCM departments face staffing shortages, small Stanford study shows 90% of GPT answers in clinical setting are “generally safe,” and more

Weekly Roundup – April 13, 2024

Weekly Roundup – January 18, 2025

Weekly Roundup – January 21, 2023

Weekly Roundup – August 3, 2024

Collaboration Across the Healthcare Ecosystem: A Key to Revenue Cycle Success

Bonus Features – October 6, 2024 – Only 25% of health systems trust ROI claims from digital health vendors, behavioral health makes up 72% of telehealth volume, plus 20 more stories

Bonus Features – November 19, 2023 – Critical access hospitals 16% less likely to participate in data exchange, two-thirds of orgs plan to increase AI spending by 25% in the next three years, plus 36 more stories

A Data Network to Tackle Real-Time Eligibility and Claims Along with Many Other Health Data Problems

Weekly Roundup – November 4, 2023

Bonus Features – January 29, 2023 – ONC says more than 70% of hospitals can use external data at the point of care, the 3 largest health info networks have indexed 90% of patients, and more

Weekly Roundup – March 1, 2025

Bonus Features – May 5, 2024 – Kaiser Permanente taps Innovaccer (and former CTO) for AI, report finds security flaws in Merge DICOM Toolkit, plus 18 more stories

6 Essential Criteria for Making Confident AI Vendor Decisions

Bonus Features – May 21, 2023 – 82% of wearable users willing to share data with their physicians, 81% of Americans trust pharmacists and nurses to diagnose minor illnesses, and more

Claims Software Can Ease Manual Processes Related to Treating Medical Tourists from Outside the U.S.

Weekly Roundup – May 11, 2024

Bonus Features – August 6, 2023 – 83% of hospitals are collecting SDoH data, 46% of hospitals planning to use large language models in the call center, and more

Weekly Roundup – August 20, 2022

Bonus Features – April 28, 2024 – 22% of employers fully trust chronic condition management vendors, Common Agreement v2.0 requires support for FHIR API exchange, plus 29 more stories

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