Document, Interoperability and RCM - Connected Health Pulse

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. Such applications go beyond automating repetitive tasks.

RCM

RCM Medical Billing Leadership Interoperability

Bonus Features – July 10, 2022 – Sequoia Project releases TECFA identity verification documentation, IBM Watson Health is now Merative, and more

Healthcare IT Today

JULY 10, 2022

The Sequoia Project has released additional documentation support the implementation of TEFCA , the Trusted Exchange Framework and Common Agreement for health IT interoperability. Illinois-based Midwest Orthopaedic Center went with eClinicalWorks for its patient engagement, cloud-based EHR, and RCM products.

RCM

RCM EHR EMR Healthcare IT

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. For more information visit corridorgroup.com.

RCM

RCM Leadership Interoperability Nursing

Weekly Roundup – October 26, 2024

Healthcare IT Today

OCTOBER 26, 2024

In the wrong hands, LLMs can generate false or exaggerated medical documentation in an instant. The limitations of interoperability has made value-based care more complex , said Ashay Thakurat Cedar Gate Technologies. RCM company CorroHealth finalized its acquisition of Xtend , Navient’s healthcare RCM business.

RCM

RCM Leadership Healthcare IT Mental health

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

News and Studies The Sequoia Project released a bundle of TEFCA draft documents , including v2 drafts of the Common Agreement and QHIN Technical Framework. 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.

RCM

RCM FHIR Healthcare IT Mental health

Improving Revenue Cycle Management with True AI and Machine Learning

Healthcare IT Today

AUGUST 9, 2024

We’re moving away from a world where people need to spend countless hours combing through medical documents to manually extract key information to put into a prior auth or other encounter. 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 – June 30, 2024 – 56% of organizations say shortage of IT talent is a key challenge, 87% of physicians say at-home testing improves access to diagnostic services, plus 22 more stories

Healthcare IT Today

JUNE 30, 2024

News HHS revealed disincentives for providers that commit information blocking , with organizations subject to lower scores and reduced reimbursements under the Medicare Promoting Interoperability Program and ineligible for MSSP participation for at least one year. RCM services vendor Savista launched Sophia , a patient-facing digital agent.

eCare

eCare RCM Interoperability Healthcare IT

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

Healthcare IT Today

JANUARY 15, 2024

Because many people don’t proclaim themselves as medical tourists on travel documents, reliable statistics on the prevalence of medical travel are scarce. This lack of code interoperability creates paperwork challenges for American hospitals seeking payment from other nations. But the U.S.

RCM

RCM Interoperability Healthcare IT Leadership

Healthcare AI and Automation: Good or Bad?

Healthcare IT Today

FEBRUARY 27, 2023

The market will see increased asks/attention for bots as they are critically needed in RCM to offset staff shortage, enhance staff retention, and accelerate tasks (ultimately cash flow). The World Health Organization estimates that up to 50% of all medical documentation mistakes result from administrative errors.

RCM

RCM Patient Experience EHR Pharmaceuticals

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. Products Augmedix launched Augmedix Go , ambient AI medical documentation for the ED, and announced HCA Healthcare as a pilot user. Ambient AI documentation vendor DeepScribe added Dr. Miles Snowden to its advisory board.

FHIR

FHIR RCM Healthcare IT Mental health

Weekly Roundup – November 4, 2023

Healthcare IT Today

NOVEMBER 4, 2023

Cybersecurity, privacy, and interoperability represent the biggest hurdles that vendors will need to overcome. Generative AI could support diagnosis and treatment of mental health conditions , and it can help document visits and track symptoms. RCM vendor Access Healthcare acquired Envera Health , a patient engagement vendor.

RCM

RCM EMR Mental health Healthcare IT

Leveraging Emerging Technologies to Enhance Data Integrity and Streamline Processes

Healthcare IT Today

DECEMBER 20, 2024

AI is becoming an essential tool in healthcare and is being leveraged to create new efficiencies this includes better documentation, streamlined data extraction, and predictive modeling that contribute to enhanced clinical efficiencies and higher-quality care. However, a strong foundation is crucial before leveraging such innovations.

Health Information

Health Information Life Science EHR RCM

Weekly Roundup – November 2, 2024

Healthcare IT Today

NOVEMBER 2, 2024

John connected with Angie Bass at Velatura to discuss why interoperability is about finding value in data and not just exchanging data. Also of note: Efforts to improve the speed of documentation and increased use of visual displays. RCM automation platform Candid Health announced $29 million in Series B funding.

Healthcare IT

Healthcare IT RCM Patient Experience Health Data

Weekly Roundup – July 27, 2024

Healthcare IT Today

JULY 27, 2024

Scott Sirdevan at Vorro explained how EiPaaS leads to low latency and better interoperability, all while improving security. RCM automation company Thoughtful AI raised $20 million in Series A funding. Read more… Enterprise Integration Platform as a Service Brings Scalability, Agility to Healthcare Operations.

RCM

RCM Healthcare IT Primary Care Mental health

Weekly Roundup – January 13, 2024

Healthcare IT Today

JANUARY 13, 2024

Read more… 2024 Health IT Predictions: Interoperability, Data, and the Cloud. Our experts agreed that interoperability isn’t a goal unto itself but will continue to support efforts to provide clinicians with context at the point of care and make it easier for organizations to advance their cloud strategies.

Interoperability

Interoperability Healthcare IT RCM Health IT

Weekly Roundup – October 5, 2024

Healthcare IT Today

OCTOBER 5, 2024

Fern Cowan at DeepCura AI talked to John about applying lessons from hospitality to healthcare AI , as well as the benefits of deep EHR integration for clinical documentation. Read more… Harness Ambient Listening to Revolutionize Documentation. Read more… Marrying Ambient Clinical Voice and Clinical Automation.

EHR

EHR Mental health RCM Healthcare IT

Bonus Features – May 7, 2023 – Less than 1% of all medical claims include an ICD-10 Z code, 78% of consumers say virtual health is important when considering health plans, and more

Healthcare IT Today

MAY 7, 2023

News CMS has opened the Hardship Exception application period for eligible hospitals and critical access hospitals (CAHs) that participated in the Medicare Promoting Interoperability Program in 2022. EHR and RCM vendor for therapy and rehab practices Raintree released Raintree Payments.

RCM

RCM EHR Mental health BioTech

Weekly Roundup – October 15, 2022

Healthcare IT Today

OCTOBER 15, 2022

A bad UI can leave physicians distracted and frustrated, which takes theis attention away from the patient in the room and can lead to errors in documentation or prescribing. Read more… Interoperability’s Role in Value-Based Drug Pricing. Read more… A Healthcare Security Reality Check.

EHR

EHR RCM Healthcare IT Interoperability

Bonus Features – April 23, 2023 – 77% of doctors are confident in a chatbot’s ability to assess patients’ symptoms, only 7% of executives very satisfied with patient-facing payment products, plus additional news from HIMSS 2023

Healthcare IT Today

APRIL 23, 2023

Hospital interoperability platform Olinqua is partnering with FiveP , maker of a a role-based messaging app for Microsoft Teams called Baret. Partnerships Augmedix and HCA Healthcare are jointly developing ambient documentation products for the acute care setting; HCA is also making a financial investment in Augmedix.

Interoperability

Interoperability RCM Healthcare Cybersecurity Healthcare IT

Weekly Roundup – November 16, 2024

Healthcare IT Today

NOVEMBER 16, 2024

Read more… EMR and RCM in the Cloud Providing Value to HealthNet. Document exchange and interoperability vendor Concord Technologies acquired Opero , which develops business process improvement applications for Salesforce. Real-time location systems vendor Cognosos acquired Cox Prosight , an RTLS platform for hospitals.

EMR

EMR RCM Healthcare IT Mental health

Healthcare Workforce – 2024 Health IT Predictions

Healthcare IT Today

JANUARY 10, 2024

This frees up staff to focus on more complex and strategic aspects of RCM. Bill Charnetski, EVP, Health System Solutions and Government Affairs at PointClickCare HIT incentives and staying consistent with federal interoperability standards will be key in solving the nation-wide staffing crisis.

Health IT

Health IT Nursing Interoperability RCM

Bonus Features – January 15, 2023 – 80% of consumers want a clearer process for dealing with billing errors, USCDI update would add 20 more elements, and more

Healthcare IT Today

JANUARY 15, 2023

ONC released the Draft United States Core Data for Interoperability (USCDI) v4 and its accompanying Standards Bulletin. IoT data analytics company CenTrak launched Workflow , a platform for automating clinical documentation and reporting. EHR, RCM, and practice management vendor ModMed appointed Jody Beaverson as Chief People Officer.

RCM

RCM Healthcare IT Primary Care Interoperability

The Role of RCM in Health Equity

Healthcare IT Today

NOVEMBER 25, 2022

Involving revenue cycle management (RCM) is necessary for any comprehensive SDoH/health equity strategy. These metrics are a vital part of a patient’s SDoH story when this information is documented in the patient’s chart. One of CMS’ most important SDoH tenets is data collection and reporting.

RCM

RCM Medicare Interoperability Patient Experience

Connected Health Pulse

GenAI in Healthcare: Catalyzing the Revenue Cycle Management Transformation

Bonus Features – July 10, 2022 – Sequoia Project releases TECFA identity verification documentation, IBM Watson Health is now Merative, and more

Trending Sources

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

Weekly Roundup – October 26, 2024

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

Improving Revenue Cycle Management with True AI and Machine Learning

Bonus Features – June 30, 2024 – 56% of organizations say shortage of IT talent is a key challenge, 87% of physicians say at-home testing improves access to diagnostic services, plus 22 more stories

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

Healthcare AI and Automation: Good or Bad?

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

Weekly Roundup – November 4, 2023

Leveraging Emerging Technologies to Enhance Data Integrity and Streamline Processes

Weekly Roundup – November 2, 2024

Weekly Roundup – July 27, 2024

Weekly Roundup – January 13, 2024

Weekly Roundup – October 5, 2024

Bonus Features – May 7, 2023 – Less than 1% of all medical claims include an ICD-10 Z code, 78% of consumers say virtual health is important when considering health plans, and more

Weekly Roundup – October 15, 2022

Bonus Features – April 23, 2023 – 77% of doctors are confident in a chatbot’s ability to assess patients’ symptoms, only 7% of executives very satisfied with patient-facing payment products, plus additional news from HIMSS 2023

Weekly Roundup – November 16, 2024

Healthcare Workforce – 2024 Health IT Predictions

Bonus Features – January 15, 2023 – 80% of consumers want a clearer process for dealing with billing errors, USCDI update would add 20 more elements, and more

The Role of RCM in Health Equity

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