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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.
HCPro launched its Provider Education Microlearning Series , which offers training on clinical documentation integrity, coding, and RCM. Specialty EHR and practice management vendor ModMed received ASTP certification for its Predictive Decision Support Intervention criterion.
The Yoomi acquisition paves the way for accelerated delivery of AI products that change the paradigm of how rehab therapy EHRs inherently function. With Yoomi and Raintree working together to deliver an all-inclusive native EHR AI solution, we will reduce the cost per activity for rehab therapy practices.
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?
Read more… An Interoperability and EHR API Deep Dive with Brendan Keeler. Read more… Finding Success With RCM Amid Evolving Challenges. BreAnne Buehl at VMware Cloud Foundation outlined how crafting an AI strategy, continuously optimizing models, and evaluating ROI can help organizations realize AI’s potential.
Revenue Cycle Management (RCM) is like a one of those huge Lego sculptures. Having a well executed RCMstrategy 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.
Learn more about our products and services, including revenue cycle management (RCM), practice management (PM), electronic health records (EHR), business intelligence, patient experience management (PXM), and digital health at carecloud.com.
Net Health is integrating Tali , a voice-enabled AI assistant, into four of its restorative care EHR offerings. Montana-based Billings Clinic-Logan Health is expanding its Oracle Health EHR install to all 30 of its hospitals. RCM vendor TruBridge elected Amy O’Keefe to its Board of Directors.
Jayashree Selvaraj, Strategy Manager Coding and Clinical Services at AGS Health HI professionals can leverage emerging technologies, such as AI, to enhance data integrity and streamline processes by automating key data entry, validation, and standardization aspects. There are so many great things to think about here!
Jason Warrelmann is Vice President of Healthcare Strategy at UiPath , a company in the “agentic AI” space across multiple industries including healthcare. In this video, three tech leaders discuss the possibilities currently offered by AI agents in health care. These experts also discussed role-based or persona-based AI.
RCM will be managed by AI-powered agents every step of the way, including generating appeals letters, submitting appeals to payers, and converting paper EOBs to ERAs. In 2025, we predict that using AI-powered agents will reduce the cost of Revenue Cycle Management (RCM) by 70%, helping streamline the end-to-end billing process.
Daniel Shirvani at QUAS talked to John Lynn about developing an AI scribe that supports virtually any clinical workflow – which it achieves in part with limited use of “gimmicky tools” and EHR integrations. RCM platform Access Healthcare announced a growth investment from New Mountain Capital.
Instead, they stayed true to the strategy they set out a year ago – steady improvements designed to reduce administrative burden on physicians and practices. Not only for RCM reimbursements, but also how fast a physician conducts an encounter and how satisfied patients are with their service. Just Steady Improvement.
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.
As electronic health record (EHR) systems become nearly universal and interoperability initiatives gain momentum, many healthcare providers assume their revenue cycle challenges are solved. In 2008, 9% of hospitals and 17% of office-based physicians used EHR systems. By 2021, these numbers had soared to 96% and 78%, respectively.
Arnavaz Hajizadeh Barfejani and Ali Daneshmand at Zirr AI to discuss why templates aren’t part of their strategy to let generative AI create transcripts and SOAP notes. Dr. Michael Blackman at Greenway Health told Colin that reluctance to use AI may stem from getting burned by EHR systems that overpromised.
Read more… Revitalizing Data From EHRs, Archives, and the Back Office. Rose and CTO Jonathan Cook at Clearsense talked to John Lynn about helping healthcare organizations manage data as part of a larger strategy to reduce costs, create revenue, and address cyber risk mitigation. Singh at ELLKAY.
They also discussed the all-important topic of EHR integration. Read more… Going Beyond Visit Summaries Using AI in the EHR. One strategy for building this strength is digitizing and streamlining RCM. RCM vendor Alpha II acquired RCxRules , a revenue cycle automation vendor.
John Lynn and Dr. Shiv Rao at Abridge chatted about the power of going beyond speech recognition to build trust with physicians thanks to EHR integrations and maps to ontologies such as SNOMED and LOINC. Read more… How Digital Health Attracts Software Engineers: Strategies.
The report also finds that providers are prioritizing their IT investments in certain key areas, such as: Revenue cycle management (RCM) : RCM is the process of managing the financial aspects of patient care, from billing and coding to collections and denials. Market Insights & Analysis for Founders & Investors.
Recent research reveals that the allocation of investments across overall strategy and planning, network, application, and security for the anticipated use cases that organizations plan to implement within three years is almost equally distributed. As healthcare embraces edge computing, one area that’s examined is expense allocation.
Colin Hung chatted with Roger Murray at Telemynd and Venky Chellappa at CharmHealth about building the right APIs to enable bidirectional integration between EHR and CRM software to support mental health. Read more… Marrying Ambient Clinical Voice and Clinical Automation.
Director of Clinical Strategy at Bluesight AI is helping automate workflows and healthcare in general, especially in areas like drug diversion monitoring and prevention. In the future we will see even more connected devices sharing data and fueling diagnostically focused EHRs. Sandy Still, Pharm.D.,
At the company’s User Group Meeting, Colin Hung discussed initial reactions to NextGen’s ambient clinical voice solution with Chief Growth & Strategy Officer Sri Velamoor. Read more… What the Latest CMS Data Standards Mean for EHRs. Read more… Early Feedback on NextGen’s Ambient Assist.
Partnerships Hona has integrated Particle Health’s API for retrieving records outside an EHR system into its tool for creating medical history summaries. Sales Ohio-based Fisher-Titus chose RevSpring for RCM and payment processing. Radical Imaging has integrated FlexView with arcc , the imaging platform form Apollo.
More than one-third of the 321 participating health system executives are planning to automate two or more RCM or finance functions in 2024 a recent survey by Healthcare Financial Management Association (HFMA) and Eliciting Insights reports. Tapping has been added to the advisory board of Vive Collective, a new investment platform.
Healthcare IT and EHR Conferences and Events. DoJ Joins False Claims Whistleblower Suit Against EHR Vendor Modernizing Medicine – Everyone seems to flock to judgments and lawsuits like this one. Plus, it illustrates how much the EHR still impacts so many in health IT. AI and Automation in RCM is All About Balance.
“This acquisition represents a significant milestone in our growth strategy,” said Michelle Jaeger, President, and CEO at DAS Health. By integrating expertise and resources from both teams, DAS Health will offer enhanced services to the client base, driving innovation and improving operational efficiencies across North America.
In the spirit of prevention of burn out, where technology can automate administrative burden, make chart reviews more efficient, use ambient listening capabilities to reduce time spent in the EHR will have a positive impact on the clinical burnout epidemic.
Cybersecurity platform Irdeto is working with Prognoix to develop a security strategy for the company’s digital medicine tools that target stigmatized medical conditions. EHR, RCM, and practice management vendor ModMed appointed Jody Beaverson as Chief People Officer. DrFirst promoted G.
John Waters, Director, Revenue Cycle Product at CliniComp AI can be used in the RCM world to solve two overarching themes: inefficiencies in workflow, and errors that cause delays in payment. AI can optimize RCM processes, from specific areas to end-to-end automation. Take for example prior authorization or eligibility verification.
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. Partnerships.
The in-house VistA talent that was swept out was expensive, but at least they made an EHR that worked when you turned it on. I also am on board with you as it pertains to Cerner’s terrible attempts at RCM. That is what many of us though when Cerner bought Siemens, that Soarian financials would be the go-forward strategy.
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