EHR, Medicare and RCM - Connected Health Pulse

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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

Bonus Features – November 5, 2023 – Only 24% of healthcare organizations have successfully disrupted ransomware attacks, 83% of healthcare leaders say AI is or will be an essential skill, plus 20 more

Healthcare IT Today

NOVEMBER 5, 2023

Although 90% of health systems face turnover rates of greater than 10% for roles in RCM and patient experience, only 25% of executives are looking at AI or workflow improvements to improve efficiency , an Experian Health survey found. Mississippi-based Southland Recovery selected eClinicalWorks Cloud EHR.

RCM

RCM Medicare EHR FHIR

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Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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

MORE WEBINARS

Trending Sources

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

GI care platform Ayble Health is integrating with Commure Engage to make Ayble referrals available through EHRs. Arizona-based VBCare Network selected Spatially Health for identifying barriers to health equity in Medicare and Medicaid beneficiaries. Chicago-area RML Specialty Hospital chose ScImage to support cloud-based PACS.

RCM

RCM eCare Healthcare IT Mental health

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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

MORE WEBINARS

Bonus Features – January 14, 2024 – Epic Research shows telehealth results in more follow-up visits that in-office care, Elevance Health to offer smartphones to qualified Medicaid beneficiaries, plus 21 more stories

Healthcare IT Today

JANUARY 14, 2024

The American Telehealth Association announced its policy priorities for 2024 ; they include making Medicare telehealth flexibilities permanent before the end of the year and removing the in-person requirement for the remote prescribing of controlled substances. Sales Michigan-based McKenzie Health System implemented eClinicalWorks EHR v12.

Telehealth

Telehealth EHR RCM Healthcare IT

Avoiding Red Flags: Finding the Right Productivity Balance

Healthcare IT Today

NOVEMBER 22, 2022

The following is a guest article by John Wallace, PT, OCS, Senior Vice President of RCM at WebPT. The number of Medicare TPEs and commercial payer take-back audits alone is skyrocketing. They also look to flag “items and services that have high national error rates and are a financial risk to Medicare.” Tricare and Medicare).

Medicare

Medicare Private practice RCM Nursing

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

Bonus Features – September 8, 2024 – 96% of healthcare tech leaders said effectively using AI provides a competitive edge, 72% of organizations are satisfied with their cloud migrations, plus 19 more stories

Healthcare IT Today

SEPTEMBER 8, 2024

News Among the proposals in the CMS 2025 Medicare OPPS and ASC payment system proposed rule is a one-year extension of the voluntary reporting of core clinical data elements. The EHR Association supports the extension , noting that the majority of hospitals have been struggling to meet these requirements.

RCM

RCM EHR EMR 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. Partnerships Patient education and engagement vendor Mytonomy has connected Mytonomy Cloud for Healthcare with Oracle Health EHR.

RCM

RCM EHR BioTech Mental health

Bonus Features – June 16, 2024 – 40% of patients are willing to follow medical advice generated by AI, genetic testing utilization went up 5% last year, plus 22 more stories

Healthcare IT Today

JUNE 16, 2024

The push to adopt EHR and RCM technology in acute care has left other care settings underserved , with adoption under 50% in post-acute care, primary care, and rehab, according to the latest HFS Research report. Bizmatics is integrating DrFirst ‘s RxInform patient engagement tool into its PrognoCIS EHR.

RCM

RCM EHR Healthcare IT Primary Care

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

Rehab therapy EHR vendor SPRY released SPRY Ally , a suite of AI-powered tools for tasks such as insurance verification and prior authorization. Research published in Frontiers in Aging showed digital behavior change tool Wondr helped Medicare beneficiaries with chronic conditions lose 7 points in less than 4 months.

Life Science

Life Science Pain management Interoperability RCM

Bonus Features – July 23, 2023 – Number of people impacted by data breaches up 56% compared to last year, CMS keeps temporary telehealth expansion in 2024 Medicare fee schedule, and more

Healthcare IT Today

JULY 23, 2023

News and Studies The 2024 Medicare Physician Fee Schedule Proposed Rule from CMS would continue many of the public health emergency telehealth flexibilities, such as an expanded definition of telehealth practitioners, continued payments to rural health centers and FQHCs, and the expansion of originating sites.

Medicare

Medicare Telehealth Telemedicine RCM

Bonus Features – March 24, 2024 – Data infrastructure investments have 124% ROI, 85% of healthcare workers believe AI can improve the patient experience, plus 28 more stories

Healthcare IT Today

MARCH 24, 2024

Wellth launched Wellth Northstar to support Medicare Advantage plans aiming to motivate change in hard-to-reach members. Sales Humana tapped DUOS to help the manage the health of veterans in Louisiana with chronic conditions enrolled in Medicare Advantage plans. MultiPlan selected HealthCorum to support provider network optimization.

Patient Experience

Patient Experience RCM Healthcare IT Medicare

Bonus Features – November 12, 2023 – 93% of clinicians use RPM in cardiac care rehab, telehealth flexibilities remain in place until the end of 2024, plus 25 more stories

Healthcare IT Today

NOVEMBER 12, 2023

News The 2024 Medicare Physician Fee Schedule continues many telehealth flexibilities first adopted during the public health emergency, such as an expanded scope of originating sites an expanded definition of qualified practitioners. Sales Ohio-based Fisher-Titus chose RevSpring for RCM and payment processing.

Telehealth

Telehealth RCM Public Health 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

Intuity Medical received Medicare Part B coverage for POGO , its automatic blood glucose monitoring system. Integrated provider, pharmacy, and medical equipment supplier American Medical Administrators is implementing eClinicalWorks EHR and RCM. He’s currently CTO at Innovaccer.)

RCM

RCM Healthcare IT Primary Care Interoperability

Bonus Features – November 26, 2023 – 85% of healthcare orgs boosting IT spending in 2024, 70% of orgs actively considering generative AI, plus 18 more stories

Healthcare IT Today

NOVEMBER 26, 2023

This is due in large part to increased expenses (from 25$ for labor to 90% for maintenance) and revenue reductions from denials (more than 20% from commercial plans and nearly 60% from Medicare Advantage plans). Cybersecurity tops the list of investment priorities, followed by EHR modernization, virtual / digital care, and AI.

eHealth

eHealth RCM EHR FHIR

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. Truveta released a mother-child EHR dataset to drive research from pre-pregnancy through childbirth and pediatric care. In other news, Quantum Health launched Premier Oncology , a cancer care navigation tool.

FHIR

FHIR RCM Healthcare IT Mental health

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

Chicago-based RUSH University System for Health chose Cadence for remote monitoring and virtual care for Medicare and Medicaid patients with chronic conditions. California’s Orange County Migraine & Wellness Center selected eClinicalWorks Cloud EHR and healow.

EHR

EHR Interoperability RCM HIE

Bonus Features – December 4, 2022 – 34% of Americans take anti-anxiety meds during the holidays, hospital margins at -2% but show signs of hope, and more

Healthcare IT Today

DECEMBER 4, 2022

Urgent care EHR vendor Experity appointed Dr. Benjamin Barlow as Chief Medical Officer. RCM consultancy MDaudit announced three leadership team appointments : Raj Joshi as CISO, Jaenna Babajane as Vice President of Customer Experience, and Nisheet Goenka as VP of Engineering.

RCM

RCM Healthcare IT Leadership EHR

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

A Humana study found that Medicare Advantage members covered under value-based care arrangements completed preventive screenings at a 14.6% Azalea Health completed SOC 2 Type 2 Certification for its cloud-based EHR and RCM platform. Oly 51% are confident that hospital rooms are properly disinfected.

eCare

eCare Healthcare IT Interoperability Health Information

Bonus Features, HLTH Edition – October 11, 2023 – Announcements from Best Buy, General Catalyst, Google Cloud, Microsoft, Walgreens, and more

Healthcare IT Today

OCTOBER 11, 2023

Optum and Uber are partnering to make non-urgent medical transportation and healthy food delivery covered benefits for certain Medicare Advantage plans beginning in 2024. TrustCommerce integrated its patient payments platform with athenaIDX , athenahealth’s RCM product.

Life Science

Life Science EHR BioTech RCM

Bonus Features – October 8, 2023 – 67% of Women are Having Issues with Getting a Clear Diagnosis – of which 25% are Still Waiting for Diagnosis or Gave up Entirely, Health Gorilla has 17 Healthcare Organizations Commit to Joining their QHIN, and More!

Healthcare IT Today

OCTOBER 8, 2023

Claims on the community care program, Connect for Life (CFL), from Wider Circle preventing 8 ED visits per 1,000 members, saving $103 Per Engaged Member Per Month net savings for Medicare Advantage members, and more have been validated in a recent review from Milliman. People Laudio hired two new people this week!

eCare

eCare Primary Care Patient Experience RCM

Canvas Medical Achieves ONC Certification, Raises $24MM to Power Clinicians and Developers Building and Scaling Digital Health Companies

Healthcare IT Today

JULY 19, 2022

Additionally, with this certification, Canvas customers are now eligible for value-based payment models in Medicare and Medicaid programs, as well as many commercial value-based programs. . Founded in 2015, Canvas is reimagining the EMR for the future of healthcare. For more information about Canvas Medical, visit canvasmedical.com. .

EMR

EMR Digital Health Primary Care RCM

Bonus Features – November 13, 2022 – HCA extends 30-year relationship with MEDITECH, cost of care replaces pandemic as top reason to defer care, and more

Healthcare IT Today

NOVEMBER 13, 2022

HCA Healthcare signed a new agreement for a large-scale deployment of MEDITECH Expanse , continuing a relationship with the EHR vendor that has spanned three decades and been recognized with the 2021 CHIME Collaboration Award. News and Research. healthcare system to keep them healthy.

EHR

EHR RCM Healthcare IT Mental health

Bonus Features – January 8, 2023 – Omnibus bill extends telehealth expansion through end of 2024, 60% of solution providers pouring all event marketing money into in-person events, and more

Healthcare IT Today

JANUARY 8, 2023

The biggest news for healthcare IT was the extension of telehealth expansion under Medicare through the end of 2024. The first quarterly Healthcare IT Market Report from Pivot Point Consulting hinted at a continued need for providers to develop long-term strategies around virtual care, customer relationship management, and RCM optimization.

Telehealth

Telehealth Primary Care Healthcare IT Medicare

Weekly Roundup – July 29, 2023

Healthcare IT Today

JULY 29, 2023

Helping clinicians troubleshoot within the EHR can improve workflows and job satisfaction , Bill Lewkowski at HCTec pointed out. Bonus Features for July 23, 2023: Number of people impacted by data breaches up 56% compared to last year, while CMS keeps temporary telehealth expansion in 2024 Medicare fee schedule. CloudMD sold its U.S.-based

eHealth

eHealth Healthcare IT Leadership RCM

Weekender 4/26/19

HIStalk Weekender

APRIL 26, 2019

Bain Capital hires financial advisors to help it assess the potential sale of RCM vendor Waystar. HHS announces CMS Primary Cares, two value-based care payment models launching in 2020 that it says will cover at least 25% of Medicare beneficiaries and providers. Athenahealth lays off 200 employees.

RCM

RCM Primary Care Nursing EHR

Healthcare Revenue Cycle Management – 2025 Health IT Predictions

Bonus Features – November 5, 2023 – Only 24% of healthcare organizations have successfully disrupted ransomware attacks, 83% of healthcare leaders say AI is or will be an essential skill, plus 20 more

Webinars

Trending Sources

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

Webinars

Bonus Features – January 14, 2024 – Epic Research shows telehealth results in more follow-up visits that in-office care, Elevance Health to offer smartphones to qualified Medicaid beneficiaries, plus 21 more stories

Avoiding Red Flags: Finding the Right Productivity Balance

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 – September 8, 2024 – 96% of healthcare tech leaders said effectively using AI provides a competitive edge, 72% of organizations are satisfied with their cloud migrations, plus 19 more stories

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

Bonus Features – June 16, 2024 – 40% of patients are willing to follow medical advice generated by AI, genetic testing utilization went up 5% last year, plus 22 more stories

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

Bonus Features – July 23, 2023 – Number of people impacted by data breaches up 56% compared to last year, CMS keeps temporary telehealth expansion in 2024 Medicare fee schedule, and more

Bonus Features – March 24, 2024 – Data infrastructure investments have 124% ROI, 85% of healthcare workers believe AI can improve the patient experience, plus 28 more stories

Bonus Features – November 12, 2023 – 93% of clinicians use RPM in cardiac care rehab, telehealth flexibilities remain in place until the end of 2024, plus 25 more stories

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

Bonus Features – November 26, 2023 – 85% of healthcare orgs boosting IT spending in 2024, 70% of orgs actively considering generative AI, plus 18 more stories

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

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

Bonus Features – December 4, 2022 – 34% of Americans take anti-anxiety meds during the holidays, hospital margins at -2% but show signs of hope, and more

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

Bonus Features, HLTH Edition – October 11, 2023 – Announcements from Best Buy, General Catalyst, Google Cloud, Microsoft, Walgreens, and more

Bonus Features – October 8, 2023 – 67% of Women are Having Issues with Getting a Clear Diagnosis – of which 25% are Still Waiting for Diagnosis or Gave up Entirely, Health Gorilla has 17 Healthcare Organizations Commit to Joining their QHIN, and More!

Canvas Medical Achieves ONC Certification, Raises $24MM to Power Clinicians and Developers Building and Scaling Digital Health Companies

Bonus Features – November 13, 2022 – HCA extends 30-year relationship with MEDITECH, cost of care replaces pandemic as top reason to defer care, and more

Bonus Features – January 8, 2023 – Omnibus bill extends telehealth expansion through end of 2024, 60% of solution providers pouring all event marketing money into in-person events, and more

Weekly Roundup – July 29, 2023

Weekender 4/26/19

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