Healthcare IT Today

MARCH 11, 2025

Amy Brown, Founder and CEO at Authenticx Currently, the focus on AI in healthcare is related to the clinical side of the equation, which leverages data sources that are highly structured, such as diagnostics, labs, and claims data. The way to understand the patient experience is to leverage conversation data.

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Healthcare IT Today

DECEMBER 7, 2024

Colin interviewed Eric Musser at NCQA about efforts to advance USCDI and reach consensus on necessary data sets. Read more… Finding Success With RCM Amid Evolving Challenges. Read more… The Benefits of an Effective Health Data Archiving Partner. Read more… Bonus Features for December 1, 2024: TEFCA v2.1

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Healthcare IT Today

MAY 1, 2024

Revenue Cycle Management (RCM) is hot topic right now due to the cybersecurity incident at Change Healthcare. Hear honest answers to tough questions related to that incident and how AI will impact RCM. Watch as Michael Quinn answers these three tough RCM-related questions: AI is the hottest technology at the moment.

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RCM Healthcare Cybersecurity Healthcare IT 81

Healthcare IT Today

JUNE 29, 2023

Revenue Cycle Management (RCM) is like a one of those huge Lego sculptures. Having a well executed RCM strategy is crucial to keep your organization running because it impacts everything. From the outside it looks one thing, but upon further inspection there are a million tiny little pieces that fit together to create the whole.

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RCM Primary Care Leadership Healthcare IT 105

Healthcare IT Today

AUGUST 7, 2024

Making well-informed decisions is very important in the healthcare space, especially for areas that are necessary for your organization to function, like revenue cycle management (RCM). Here’s how: Unmasking Hidden Trends: Data analytics can analyze vast amounts of RCM data to identify trends and patterns invisible to the naked eye.

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Healthcare IT Today

AUGUST 16, 2024

At the past HFMA Conference, we reached out to our brilliant Healthcare IT Today Community to ask them two questions about change: What change in RCM (besides AI) is happening now that everyone should be watching and why? & What Change in RCM (Besides AI) is Happening Now that Everyone Should be Watching and Why?

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Healthcare IT Today

OCTOBER 15, 2024

For providers, this also substantially reduces claim denials for their finance and RCM teams. ” Nirvana’s innovative technology transforms outdated insurance data structure, originally designed in the 1970s for specialized billers and lengthy phone calls, into a modern verification standard.

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Patient Experience RCM EMR Primary Care 120

Healthcare IT Today

NOVEMBER 9, 2024

Read more… Balancing AI and Humans in RCM to Produce Clear ROI. Navaneeth Nair and Lora Pada at Infinx talked to John about AI’s role in improving RCM efficiency and reimbursement rates , along with finding a good balance between automation and human expertise. Read more… Decoding This Year’s Cybersecurity Landscape.

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Healthcare IT Today

OCTOBER 12, 2024

Colin interviewed John Anilraj and Ryan Christensen at AGS Health about the company’s Intelligent RCM Engine, which optimizes workflows and improves efficiency while preventing claims denials and boosting cash flows. Read more… The Balance Between Data Sharing and Data Privacy. for secure third-party access to data.

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Healthcare IT Today

AUGUST 15, 2023

After conducting in-depth research with health system finance leaders across the country, FinThrive realized there was a significant market need for an adoption model that could show the impact of technology on RCM. This is unique compared to many adoption models which don’t consider the value of implementing technology.

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Healthcare IT Today

NOVEMBER 24, 2024

Payment vendor RevSpring launched Forms Blast to assist with digital collection of patient data. Thoughtful AI launched six specialized AI agents for RCM workflows. Pennsylvania-based Independence Health System chose Ensemble as the RCM provider for four of its facilities.

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Healthcare IT Today

OCTOBER 20, 2024

Nearly two-thirds (65%) of RCM leaders believe generative AI will substantially impact medical coding operations , according to an AKASA survey. Products Oracle announced Oracle Health Clinical Data Exchange , which streamlines claims processing between providers and payers.

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Healthcare IT Today

JULY 11, 2024

These factors have made the already complex activity of revenue cycle management (RCM) – the process of tracking care from patient registration to claims submission to final payment – significantly more challenging. Conversely, RCM inefficiencies can severely diminish the quality of care and lead a provider to financial ruin.

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Healthcare IT Today

AUGUST 25, 2023

In search of that answer, we reached out to our wickedly smart Healthcare IT Today Community to see what trends in RCM they are keeping their eyes on and why. Comment down below or on social media what trend in RCM we should be keeping an eye on and why. We’ve compiled all of their answers together in the video down below.

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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.

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Healthcare IT Today

MARCH 12, 2024

A seamless transfer of data in the revenue cycle process results in optimal reimbursement, reduced administrative costs, and fewer surprises for patients. Prioritize Intake for Effective RCM Patient intake is an important part of the revenue cycle process. Ultimately, streamlined data and processes improve the patient experience.

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Healthcare IT Today

AUGUST 12, 2024

Andy Adams, Managing Director, Performance Improvement and Advisory Services at Nordic Consulting The transition to value-based care (VBC) requires a fundamental shift in RCM practices to align with new payment models that prioritize patient outcomes and quality over volume.

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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.

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RCM Medical Billing Leadership Interoperability 126

Healthcare IT Today

JANUARY 12, 2025

HCPro launched its Provider Education Microlearning Series , which offers training on clinical documentation integrity, coding, and RCM. Inovalon completed its three-year transition to cloud-based software and data services , along with divesting its legacy services and intervention operations.

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EHR RCM Healthcare IT Nursing 87

Lloyd Price

AUGUST 19, 2024

RCM software helps hospitals, doctors and other healthcare groups bill for services and collect payments. Private equity play One major tailwind that provides RCM companies with a large and growing addressable market is the aging of the American population, adds Siano. In April, Model N agreed to a USD 1.28

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Healthcare IT Today

OCTOBER 23, 2023

Lean into an Evidence-Based Cadence for Communications There is a science to communicating with patients about their financial responsibility for care—one that incorporates data such as the patient’s past history of medical payment, how likely they are to respond to a particular form of communication, like digital versus paper, and how quickly.

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Healthcare IT Today

MARCH 15, 2025

Ethical Considerations For Implementing AI Solutions While Protecting Patient Data Privacy. Key advice: Source diverse data sets, implement transparent models, and require vendors to sign a BAA. Russell Graney at Aidin outlined how looking at the right data can drive decision-making.

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Life Science RCM Leadership Healthcare IT 66

Healthcare IT Today

FEBRUARY 21, 2025

Having recently completed an overhaul of its data infrastructure to be optimized for AI applications, Raintree now welcomes the Yoomi team to its rapidly growing AI Center of Excellence to deliver products designed to transform outcomes for practices and patients.

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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.

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RCM Interoperability Healthcare IT Patient Experience 125

Healthcare IT Today

JANUARY 11, 2025

The Healthcare IT Today community expects automation will continue transforming RCM in 2025 , with a primary focus on eliminating waste and reducing inefficiency. But does everyone agrees that outsourcing RCM will continue ? Read more… 2025 Predictions: Data and Analytics. AI was part of many expert predictions.

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Healthcare IT Today

AUGUST 7, 2024

Additionally, RPA bots capture and validate data from various sources like medical records and insurance data, minimizing manual errors and costly patient dissatisfaction reviews. It cross-checks patient information against payer databases to identify uninsured patients, reducing denials and patient complaints accurately.

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RCM Patient Experience Healthcare IT Leadership 126

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

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Healthcare IT Today

JUNE 3, 2024

This strategic acquisition further strengthens Firstsource’s RCM solutions offerings, providing more comprehensive and AI-enabled RCM solutions for health systems, and growing its offshore capabilities.

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Healthcare IT Today

SEPTEMBER 1, 2023

I challenge the RCM industry to personalize interactions, when possible, approach patients with sensitivity and empathy, educate and inform them, and resolve issues with a human touch. She utilizes a data-driven approach to align processes, people, and technology to create a positive impact for our colleagues and clients.

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Healthcare IT Today

FEBRUARY 23, 2023

Many healthcare providers find themselves wondering whether a revenue cycle management (RCM) partner would benefit their organizations. Streamline the billing process The right RCM partner will help providers optimize revenue by creating faster, easier processes to identify insurance coverage.

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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.

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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.

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Healthcare IT Today

AUGUST 9, 2024

So let’s turn our attention for a moment to financial management and RCM to see what our current challenges are in those areas. At the past HFMA Conference, we asked our incredible Healthcare IT Today Community – what’s a financial management or RCM challenge that not enough people are talking about and why?

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Healthcare IT Today

MARCH 2, 2025

A survey from emtelligent found less than 40% of healthcare organizations have a “perfect” solution in place for working with unstructured data to gain insights, reduce operating costs, or develop new products. Rural hospital financial optimization company Cibolo Health selected TruBridge as its preferred RCM partner.

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Healthcare IT Today

JANUARY 18, 2023

Analyzing conversational data helps identify human coding errors, reduce disruptive billing claim processes, prevent fraud and guide decision-making. AI capabilities can speed through burdensome RCM tasks to help healthcare providers avoid denials, reduce coding errors and improve price transparency for patients. Dawn Crump, Sr.

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Healthcare IT Today

OCTOBER 31, 2024

By making key performance metrics available to its customers in a data warehouse, practices are able to see how they are performing relative to organizations of similar type, size, geography and along dozens of other vectors. “By It is a powerful tool that allows us to partner more closely with our clients.”

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Healthcare IT Today

OCTOBER 27, 2024

Recently launched medical imaging and clinical data network Avandra is collaborating with Datavant to support data exchange. RCM vendor TruBridge elected Amy O’Keefe to its Board of Directors. Net Health is integrating Tali , a voice-enabled AI assistant, into four of its restorative care EHR offerings.

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