FHIR and RCM - Connected Health Pulse

A Look at the Changes in RCM that Are Happening Now and Changes that Need to Happen

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?

RCM

RCM FHIR Healthcare IT Health IT

Weekly Roundup – January 11, 2025

Healthcare IT Today

JANUARY 11, 2025

They also discuss how FHIR and TEFCA are helping the cause. 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 ? AI was part of many expert predictions.

RCM

RCM eHealth HIPAA Healthcare IT

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

Updates that require support for FHIR-based APIs should allow TEFCA participants to more easily exchange information directly, and enable individuals to more easily access their own information. RCM outsourcing vendor Ensemble Health Partners expanded its partnership with Microsoft. News ONC released Common Agreement 2.0.

FHIR

FHIR RCM Healthcare IT Mental health

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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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

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. FHIR-enabled data exchange vendor 1upHealth appointed Andrea Kowalski as Chief Product Officer.

RCM

RCM FHIR Healthcare IT Mental health

Weekly Roundup – September 21, 2024

Healthcare IT Today

SEPTEMBER 21, 2024

Read more… FDA FHIR Pilot Automates Adverse Events Reporting and Validation. Jay Nakashima at eHealth Exchange detailed how California’s Cedars-Sinai used FHIR to send adverse events related to COVID-19 vaccines to the FDA – a process that replaced manual data entry and faxing.

RCM

RCM FHIR eHealth HIE

Weekly Roundup – May 4, 2024

Healthcare IT Today

MAY 4, 2024

Read more… Cybersecurity, AI, and the Future of RCM. Colin Hung interviewed Michael Quinn at Inovalon about why humans remain key to RCM even as automation takes hold. requires support for FHIR API exchange. In light of the Change Healthcare hack, they also discussed why organizations need multiple paths for their data.

RCM

RCM Patient Experience FHIR Healthcare IT

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. RCM and price transparency company Rivet appointed Erick Sunarto as Vice President of Technology.

RCM

RCM Medicare EHR FHIR

HIMSS 2019: The Mainstreaming of Health IT, from Jim Cramer to Opioid Risk Scores

Health Populi

FEBRUARY 9, 2019

A few of my favorite comments were: “Jim Cramer needs a crash course in FHIR standards” from the wonkier section of peanut gallery. Revenue cycle management (RCM) is a big HIMSS theme from providers’ points of view. They are not even in the same universe” among people dissing the idea in short-hand. The patient as payor.

Health IT

Health IT EHR HIPAA RCM

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

RCM is by far the most popular potential use case, with 58% of all considering the use of generative AI there. eHealth Exchange announced incentives to accelerate HL7 FHIR adoption , waiving annual fees for the first entities to exchange information via Da Vinci Project guidelines.

eHealth

eHealth RCM EHR FHIR

Weekly Roundup – March 2, 2024

Healthcare IT Today

MARCH 2, 2024

In the second installment, Andy explained the many stages of RCM that can benefit from generative AI: Claims, prior authorization, appeals, resource management, and contract generation. Read more… Generative AI in Your Desk Drawer: Revenue Management. Read more… Generative AI in Your Desk Drawer: A Wealth of Additional Uses.

Life Science

Life Science RCM Healthcare IT FHIR

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

of the Common Agreement and committed to having TEFCA support FHIR-based exchange within 2024. Sales Ohio-based Fisher-Titus chose RevSpring for RCM and payment processing. As a result, these flexibilities will be in place until at least Dec. ONC and The Sequoia Project released Version 1.1

Telehealth

Telehealth RCM Public Health EHR

Top Healthcare IT Today Resources, Articles, Videos, and Podcasts

Healthcare IT Today

JANUARY 2, 2023

Where Are We At With FHIR? AI and Automation in RCM is All About Balance. Big Bet on FHIR Pays Off. We almost have a product review ready to publish on Zebra’s first tablet device designed for healthcare. Top Healthcare IT Today Interviews Podcasts. with Joe Gagnon and Dr. Don Rucker from 1upHealth.

Healthcare IT

Healthcare IT Interoperability FHIR EHR

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

Healthcare IT Today

JULY 19, 2022

Its offerings include an ONC-Certified EMR with intuitive care coordination and management workflows, a FHIR API and Workflow SDK that provide industry leading platform extensibility, and end-to-end RCM functionality. Canvas Medical, founded in 2015, provides the digital infrastructure for care delivery companies.

EMR

EMR Digital Health Primary Care RCM

HIMSS 2024 – It Is A Tough Time to Be In Healthcare Right Now as Budgets Continue to Be Tight. What Sign of Hope and Excitement Do You Have Looking Forward?

Healthcare IT Today

JULY 12, 2024

So we’re really impressed by what we’re seeing people doing with the data that we supply in a FHIR compliant manner and really what that’s unlocking in terms of overall care. We try to provide as much value and ROI as possible to them.

Nursing

Nursing Health Information Digital Health RCM

Weekly Roundup – July 13, 2024

Healthcare IT Today

JULY 13, 2024

FHIR use cases, back-office process automation, advances in digital therapeutics, and the potential of generative AI all came up. One part of this initiative is using 30 years’ worth of data to train an internal version of ChatGPT. Read more… What Signs of Hope and Excitement Do You Have ?

RCM

RCM Interoperability Healthcare IT FHIR

Weekly Roundup – July 29, 2023

Healthcare IT Today

JULY 29, 2023

John Lynn spoke to Mo Weitnauer at MRO about using FHIR-based APIs to automatically fulfill the vast majority of requests in minutes or seconds – not weeks. based EMR, RCM, and practice management assets to N. Read more… Public Health Transparency Improves Outcomes in San Bernardino County. million in seed funding.

eHealth

eHealth Healthcare IT Leadership RCM

Weekly Roundup – June 24, 2023

Healthcare IT Today

JUNE 24, 2023

Read more… One Health System’s Roller Coaster Journey to Improved RCM. That turned out to be a blessing in disguise, interim CEO and CMO Dr. Brian Stratta, told Colin Hung, as it required reviewing and streamlining the RCM process, which cut claims denial from 45% to 17% and made real-time RCM reports possible.

RCM

RCM eHealth Healthcare IT FHIR

Connected Health Pulse

A Look at the Changes in RCM that Are Happening Now and Changes that Need to Happen

Weekly Roundup – January 11, 2025

Webinars

Trending Sources

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

Webinars

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

Weekly Roundup – September 21, 2024

Weekly Roundup – May 4, 2024

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

HIMSS 2019: The Mainstreaming of Health IT, from Jim Cramer to Opioid Risk Scores

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

Weekly Roundup – March 2, 2024

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

Top Healthcare IT Today Resources, Articles, Videos, and Podcasts

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

HIMSS 2024 – It Is A Tough Time to Be In Healthcare Right Now as Budgets Continue to Be Tight. What Sign of Hope and Excitement Do You Have Looking Forward?

Weekly Roundup – July 13, 2024

Weekly Roundup – July 29, 2023

Weekly Roundup – June 24, 2023

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