Document and RCM - Connected Health Pulse

Technology & RCM & AI, Oh My!

Healthcare IT Today

JUNE 27, 2023

So with all of these incredible innovations, let’s take a moment to narrow our field down to Revenue Cycle Management (RCM). How can we be using technology to optimize RCM? And even more specifically, what role can data analytics and AI play in optimizing RCM? We would love to hear from all of you as well!

RCM

RCM EHR Healthcare IT Health Data

Independent Peer Review Streamlines RCM

BHM Healthcare Solutions

MARCH 15, 2023

Revenue cycle management (RCM) refers to the process of tracking patient care from registration to final payment, including all the administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue. Calls are recorded and transcribed, focusing doctors on patient care.

RCM

RCM: Fixing the Old and Adjusting to the New

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.

RCM

RCM Primary Care Leadership Healthcare IT

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Careficient Acquires Home Health, Hospice, Home Care, Palliative and RCM Solutions from Net Health

Healthcare IT Today

JANUARY 12, 2023

a leading provider of Electronic Medical Record (EMR) solutions, today announced the acquisition of Net Health ’s EMR line of home health, hospice, home care, and palliative solutions and RCM services (collectively, “home health and hospice”). Careficient Inc. , This transaction will provide real benefits to both customers and employees.

RCM

RCM EMR EHR Healthcare IT

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. Unsurprisingly, GenAI in healthcare is expected to reach USD 22.1

RCM

RCM Medical Billing Leadership Interoperability

The Challenges and Opportunities of Evolving Revenue Cycle Management Practices to Align with New Payment Models

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.

RCM

RCM Healthcare IT Leadership Health IT

Proactive Decision Making in Revenue Cycle Management with Data Analytics and Business Intelligence Tools

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.

RCM

RCM Leadership Healthcare IT Health IT

Weekly Roundup – August 10, 2024

Healthcare IT Today

AUGUST 10, 2024

Read more… The Evolution of the RCM Technology Adoption Model. Read more… Improving RCM With True AI and Machine Learning. We asked the Healthcare IT Today community a series of questions about improving RCM. Read more… How Data Analytics and BI Support Proactive RCM Decision-Making.

RCM

RCM Nursing Healthcare IT Health IT

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

5 Must-Haves in a Patient Financial Communication Platform

Healthcare IT Today

SEPTEMBER 25, 2023

By leveraging a cloud CCM platform to offer print/mail, email, and text messaging options, providers and RCM leaders can quickly close these gaps to give patients the billing and payment experiences they want. To this end, some CCM platforms accept document files in multiple formats including APIs, batch STP, and print-ready PDFs.

RCM

RCM Patient Experience HIPAA healthcare technology

Leveraging Advanced Technologies and Automation in Revenue Cycle Management

Healthcare IT Today

AUGUST 7, 2024

By automating charge capture through integrated documentation and order entry, and utilizing sophisticated rules engines for claim creation, these systems can significantly reduce administrative burdens. Intuitive tools that minimize context switching help healthcare providers maintain focus, thereby decreasing confusion and errors.

RCM

RCM Patient Experience Healthcare IT Leadership

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

For better RCM, prioritize people and track with technology

Hinduja Global Solutions

FEBRUARY 8, 2021

For better RCM, prioritize people and track with technology. Proper revenue cycle management (RCM) involves careful documentation of the entire patient journey, from pre-registering through payment collection. Across the healthcare industry, health information mismanagement is causing a loss of millions of dollars each year.

RCM

RCM Leadership Health Information

Weekly Roundup – November 9, 2024

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.

RCM

RCM eHealth Healthcare IT Medical Billing

Bonus Features – December 10, 2023 – 84% of physicians still use manual processes to manage care transitions, 70% of executives prefer managed services for RCM, plus 26 more stories

Healthcare IT Today

DECEMBER 10, 2023

Nearly all (95%) of healthcare executives are interested in end-to-end managed services to solve RCM challenges, according to a survey from Ensemble Health Partners. Sales Texas Family Wellness Clinic is adopting Sunoh.ai , the EHR-agnostic clinical documentation tool developed by eClinicalWorks.

RCM

RCM EHR HIE Healthcare IT

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

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

Unraveling the Maze: Tackling Out-of-State Medicaid Claims and Credentialing Challenges

Healthcare IT Today

NOVEMBER 13, 2024

She previously served as Director of Medicaid/Credentialing Services at FIRM RCM. About Crystal Campbell Crystal Campbell is Aspirion ’s Director of Out-of-State Medicaid and Credentialing Services. Her career spans several years in all aspects of revenue cycle management. Campbell attended the University of Nevada, Las Vegas.

RCM

RCM Mental health Medicare Healthcare IT

2022 Predictions for Revenue Cycle Management (RCM)

Healthcare IT Today

JANUARY 20, 2022

As we head into 2022, we asked the Healthcare IT Today community to share some predictions for the new year. I always find it interesting to learn what people think is coming down the road. Be sure to check out all our Health IT Predictions. One of the hottest topics thanks to COVID is associated […].

RCM

RCM Healthcare IT Health IT

Autonomous Medical Coding Engine Nym Announces $47 Million Growth Investment Led by PSG

Healthcare IT Today

NOVEMBER 8, 2024

The Company’s innovative solution for revenue cycle management (RCM) takes provider notes within patient charts and translates them into accurate diagnostic and billing charge codes, all within a matter of seconds and with zero human intervention.

RCM

RCM Leadership Health IT Healthcare IT

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. RCM company CorroHealth finalized its acquisition of Xtend , Navient’s healthcare RCM business. Read more… It’s Time to Combat “Instafraud” in Medicare Advantage. Read more… Breaking Down Healthcare’s Data Walls.

RCM

RCM Leadership Healthcare IT Mental health

A Plethora of Announcements Focused on AI at eClinicalWorks Annual Conference

Healthcare IT Today

OCTOBER 28, 2024

You could see that eCW had put a lot of focus on improving the speed of documentation including number of clicks and time spent documenting. I think time spent documenting matters a lot more than clicks even if clicks are often cited as the problem. It literally showed how much time was spend after hours documenting.

EHR

EHR RCM Patient Experience Telehealth

Computer Assisted Professional Coding is Helping St. Joseph’s Be More Resilient

Healthcare IT Today

FEBRUARY 21, 2024

Joseph’s , recently sat down with Healthcare IT Today to discuss the revenue cycle management (RCM) improvements her team has made. Efficient RCM Processes are Critical Dr. Kushner has a passion for RCM. What attracted me to this product was the partnership that AGS Health offered,” explained Dr.

RCM

RCM Healthcare IT Leadership Health IT

Steady Improvement, AI Benefits, and Reducing Burden were the Key Messages at NextGen UGM 2024

Healthcare IT Today

OCTOBER 31, 2024

Collectively tens of thousands of patient visits have now been captured and documented automatically by the system. Physicians are saving hundreds of hours of documentation allowing some to achieve a better work-life balance while others have chosen to see more patients to ease the access challenge in their community. “By

RCM

RCM Patient Experience Healthcare IT EMR

AAPC Expands Its Technology Solutions Portfolio with the Acquisition of Semantic Health

Healthcare IT Today

DECEMBER 7, 2023

” Based in Toronto , Semantic Health has made significant strides in streamlining manual auditing processes, reducing denials, and improving documentation quality for auditing teams. This will help us improve data quality, optimize revenue cycle management (RCM) efficiency, and unlock generative AI in healthcare.”

RCM

RCM healthcare technology Health Information Health Technology

Leveraging AI to Improve Revenue Cycle Management and Assist During Staff Shortages

Healthcare IT Today

DECEMBER 22, 2022

As a business, it makes sense to embrace AI in revenue cycle management (RCM) fully. Additionally, integrating AI with provider documentation reduces queries from coding professionals, which expedites claims submissions. One of the largest areas with AI-enabled products and functions for RCM is denials management.

RCM

RCM Healthcare IT

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

Broadly, the document supports a ensure standards are met in the deployment of AI. Products Oracle released the Oracle Clinical Digital Assistant , an ambient AI documentation tool, for ambulatory clinics. RCM services vendor Savista launched Sophia , a patient-facing digital agent.

eCare

eCare RCM Interoperability Healthcare IT

Bonus Features – December 24 , 2023 – 74% of orgs automating RCM operations, per-physician revenue exceeding expenses at U.S. hospitals, plus 19 more stories

Healthcare IT Today

DECEMBER 24, 2023

Partnerships Greenway Health integrated Data Dimensions’ Providerflow platform into its new release, Greenway Document Manager. Among those organizations not using automation, 80% plan to by the end of 2025.

RCM

RCM eCare Healthcare IT Mental health

New E&M Guidelines for Emergency Medicine

Healthcare IT Today

DECEMBER 9, 2022

From the perspective of revenue cycle management (RCM), the updates may create revenue uncertainty. . While any changes to the status quo can cause anxiety, especially when they tie directly into revenue, with the proper knowledge, preparation, and technology, medical organizations can stay on track to reach their 2023 RCM goals. .

RCM

RCM Medical Billing Healthcare IT Health IT

Bonus Features – October 20, 2024 – Clinicians spend 28 hours per week on admin tasks, 80% of adults 18-24 willing to use generative AI in healthcare, plus 22 more stories

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. Partnerships Wolters Kluwer Health has made UpToDate available in Abridge , an AI-powered clinical documentation platform. RCM automation vendor Apprio launched Intelligent Denial Prevention.

RCM

RCM Healthcare IT EHR Digital Health

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. Most often, the resulting document is a PDF file that’s transmitted to the payer. But the U.S. has been named the top worldwide medical tourism destination.

RCM

RCM Interoperability Healthcare IT Leadership

Weekly Roundup – July 1, 2023

Healthcare IT Today

JULY 1, 2023

Read more… RCM: Fixing the Old and Adjusting to the New. We posed two questions to the Healthcare IT Today community about RCM. It starts with looking at the RCM process holistically and finding ways to improve communication, reduce confusion, give patients more payment options, and aim for a personalized approach.

RCM

RCM eHealth Healthcare IT Public Health

eClinicalWorks’ Bet on AI Paying Off for Practices

Healthcare IT Today

MAY 23, 2024

Many practices I spoke with at this year’s Enterprise Summit commented on the time and bottom-line savings being realized by having AI automatically match inbound electronic documents to the correct patient record (verified by an actual pair of eyes of course). They jumped into AI with both feet last year and have maintained that commitment.

EHR

EHR RCM Patient Experience Healthcare IT

Weekly Roundup – June 8, 2024

Healthcare IT Today

JUNE 8, 2024

When it comes to bringing AI to RCM, Austin Ward at Fathom recommended organizations consider automation rate, accuracy, EHR compatibility, adaptability, scalability, and vendor support. Business process management service provider Firstsource acquired Quintessence , a RCM outsourcing vendor.

RCM

RCM Healthcare IT EHR Leadership

First Hand Experience with Sunoh’s AI Medical Scribe

Healthcare IT Today

NOVEMBER 5, 2024

If you’ve followed us for a while, you know we’re big fans of everything that’s happening with AI Medical Scribes and the impact for good they can have on clinical documentation.

Healthcare IT

Healthcare IT RCM EMR EHR

Bonus Features – September 15, 2024 – 63% of HIE entities plan to participate in TEFCA, 19% of customer interactions with healthcare orgs get disrupted, plus 32 more stories

Healthcare IT Today

SEPTEMBER 15, 2024

SYNERGEN Health and HST Pathways are partnering to bring RCM software and services to ambulatory surgery centers. RCM and population health management vendor UnisLink launched its Clinician Wallet powered by Axuall , a workforce management vendor. Autonomous medical coding tool Fathom is available in Epic Toolbox.

HIE

HIE RCM EHR Healthcare IT

Misinformation, Trust, Charting, and Conferences – Fun Friday

Healthcare IT Today

OCTOBER 7, 2022

Great panel with @Fin_Thrive , @BannerHealth & @CenturaHealth on the future of #RCM. The documentation burden on clinicians is rough. Never underestimate the power of easy. “In In God we trust. All others must bring data.” Edwards Deming. pic.twitter.com/alxoUQHDen. Olivia Schlabach (@livschlab) October 6, 2022.

RCM

RCM EHR Healthcare IT

This Week’s Health IT Jobs – April 3, 2024

Healthcare IT Today

APRIL 3, 2024

We hope you enjoy this look at some of the health IT jobs we saw healthcare organizations trying to fill this week. Epic Cupid Analyst – Bluebird Staffing Senior EHR Analyst, Epic Beacon – Ardent Health Services Sr.

Health IT

Health IT RCM EMR Healthcare IT

Weekly Roundup – October 28, 2023

Healthcare IT Today

OCTOBER 28, 2023

John interviewed Suki CEO Punit Soni, about how ambient clinical voice is changing rapidly, including how Suki works as a voice assistant and not just a clinical documentation tool. One strategy for building this strength is digitizing and streamlining RCM. RCM vendor Alpha II acquired RCxRules , a revenue cycle automation vendor.

RCM

RCM Mental health Nursing HIPAA

Weekly Roundup – December 30, 2023

Healthcare IT Today

DECEMBER 30, 2023

Colin Hung spoke to Neighborhood Health CIO Anthony Villanueva about enabling a grassroots approach to care by giving care teams NextGen mobile technology to document encounters well beyond the clinical setting. Read more… Bringing Care to the Streets in Nashville. Read more… Taking Social Determinants of Health to New Heights.

RCM

RCM Life Science Mental health Healthcare IT

Weekly Roundup – November 2, 2024

Healthcare IT Today

NOVEMBER 2, 2024

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. Read more… A Plethora of AI Announcements at the eClinicalWorks Annual Conference.

Healthcare IT

Healthcare IT RCM Patient Experience Health Data

Weekly Roundup – October 12, 2024

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. More than 80% said they would recommend a scribe to colleagues.

RCM

RCM Healthcare IT Telehealth Patient Experience

Bonus Features – March 31, 2024 – 55% of Change Healthcare customers expect adverse impacts on patient care, a mobile app helped 84% of seniors lower their blood pressure after 6 months, plus 19 more stories

Healthcare IT Today

MARCH 31, 2024

ONC released its Draft 2024-2030 Federal Health IT Strategic Plan and is accepting public comments on the document until May 28. Company News Urgent care software maker Experity migrated about 300 practices to RCM vendor Waystar in response to the disruption of claims submission from the Change Healthcare hack.

RCM

RCM Healthcare IT HIPAA Health Data

From Chaos to Control: Managing Healthcare Claims Backlogs Following a Cyberattack

Healthcare IT Today

NOVEMBER 4, 2024

Maintain Thorough Documentation Proper documentation is the cornerstone of successfully appealing denials. A systematic approach to documentation not only streamlines revenue cycle management but also positions your organization to recover more efficiently once systems are restored.

RCM

RCM Healthcare IT Health IT

Technology & RCM & AI, Oh My!

Independent Peer Review Streamlines RCM

Webinars

Trending Sources

RCM: Fixing the Old and Adjusting to the New

Webinars

Careficient Acquires Home Health, Hospice, Home Care, Palliative and RCM Solutions from Net Health

GenAI in Healthcare: Catalyzing the Revenue Cycle Management Transformation

The Challenges and Opportunities of Evolving Revenue Cycle Management Practices to Align with New Payment Models

Proactive Decision Making in Revenue Cycle Management with Data Analytics and Business Intelligence Tools

Weekly Roundup – August 10, 2024

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

5 Must-Haves in a Patient Financial Communication Platform

Leveraging Advanced Technologies and Automation in Revenue Cycle Management

Improving Revenue Cycle Management with True AI and Machine Learning

For better RCM, prioritize people and track with technology

Weekly Roundup – November 9, 2024

Bonus Features – December 10, 2023 – 84% of physicians still use manual processes to manage care transitions, 70% of executives prefer managed services for RCM, plus 26 more stories

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

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

Unraveling the Maze: Tackling Out-of-State Medicaid Claims and Credentialing Challenges

2022 Predictions for Revenue Cycle Management (RCM)

Autonomous Medical Coding Engine Nym Announces $47 Million Growth Investment Led by PSG

Weekly Roundup – October 26, 2024

A Plethora of Announcements Focused on AI at eClinicalWorks Annual Conference

Computer Assisted Professional Coding is Helping St. Joseph’s Be More Resilient

Steady Improvement, AI Benefits, and Reducing Burden were the Key Messages at NextGen UGM 2024

AAPC Expands Its Technology Solutions Portfolio with the Acquisition of Semantic Health

Leveraging AI to Improve Revenue Cycle Management and Assist During Staff Shortages

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

Bonus Features – December 24 , 2023 – 74% of orgs automating RCM operations, per-physician revenue exceeding expenses at U.S. hospitals, plus 19 more stories

New E&M Guidelines for Emergency Medicine

Bonus Features – October 20, 2024 – Clinicians spend 28 hours per week on admin tasks, 80% of adults 18-24 willing to use generative AI in healthcare, plus 22 more stories

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

Weekly Roundup – July 1, 2023

eClinicalWorks’ Bet on AI Paying Off for Practices

Weekly Roundup – June 8, 2024

First Hand Experience with Sunoh’s AI Medical Scribe

Bonus Features – September 15, 2024 – 63% of HIE entities plan to participate in TEFCA, 19% of customer interactions with healthcare orgs get disrupted, plus 32 more stories

Misinformation, Trust, Charting, and Conferences – Fun Friday

This Week’s Health IT Jobs – April 3, 2024

Weekly Roundup – October 28, 2023

Weekly Roundup – December 30, 2023

Weekly Roundup – November 2, 2024

Weekly Roundup – October 12, 2024

Bonus Features – March 31, 2024 – 55% of Change Healthcare customers expect adverse impacts on patient care, a mobile app helped 84% of seniors lower their blood pressure after 6 months, plus 19 more stories

From Chaos to Control: Managing Healthcare Claims Backlogs Following a Cyberattack

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