Interoperability and RCM - Connected Health Pulse

Unlocking the Power of Interoperability for Revenue Cycle Management

Healthcare IT Today

MARCH 12, 2024

Interoperability is game-changing not just in a clinical setting, but it holds tremendous potential for healthcare’s financial stakeholders as well. Prioritize Intake for Effective RCM Patient intake is an important part of the revenue cycle process. The earlier and more seamlessly we can engage, the better.”

Interoperability

Interoperability RCM Patient Experience EHR

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

Weekly Roundup – December 7, 2024

Healthcare IT Today

DECEMBER 7, 2024

Read more… An Interoperability and EHR API Deep Dive with Brendan Keeler. In part two of their conversation, John and Brendan touched on the challenges and opportunities of interoperability , particularly from the perspective of prior authorization, along with what to make of information blocking court cases.

RCM

RCM Interoperability Healthcare IT Medical Billing

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.

RCM

RCM Leadership Interoperability Nursing

Weekly Roundup – October 26, 2024

Healthcare IT Today

OCTOBER 26, 2024

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. Read more… Breaking Down Healthcare’s Data Walls.

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

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

RCM

RCM FHIR Healthcare IT Mental health

Bonus Features – April 9, 2023 – 63% of RCM departments face staffing shortages, small Stanford study shows 90% of GPT answers in clinical setting are “generally safe,” and more

Healthcare IT Today

APRIL 9, 2023

A study from CWH Advisors and Synchrony found that 63% of providers have RCM staffing shortages , and 61% expect to work with third parties for help. Product and Company News Interoperability company Lyniate rebranded as Rhapsody , which was the company’s original name before its 2019 merger with Corepoint Health.

RCM

RCM HIE Healthcare IT Primary Care

Improving Revenue Cycle Management with True AI and Machine Learning

Healthcare IT Today

AUGUST 9, 2024

Ultimately, the integration of true AI and machine learning in RCM contributes to greater accuracy, reduced denials, and a better patient experience. The best RCM work is eliminating the work itself, and if the work cannot be eliminated then it’s about automating the work through AI and machine learning models.

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

Weekly Roundup – April 13, 2024

Healthcare IT Today

APRIL 13, 2024

Hamad Husainy at PointClickCare sat down with Colin and discussed how TEFCA and other regulations are driving interoperability efforts – and how data-sharing is key to reaping financial benefits under value-based care. Read more… The Benefits of an Open, Interoperable Communication Platform. Million in funding.

Interoperability

Interoperability RCM EHR Healthcare IT

Weekly Roundup – January 21, 2023

Healthcare IT Today

JANUARY 21, 2023

Who better to talk to the Healthcare IT Today community about interoperability than the National Coordinator himself? Read more… The Role of Innovation and AI in RCM. Read more… Seeing How Patients Experience RCM. John also asked the experts what RCM looks like to patients.

RCM

RCM eCare EHR Interoperability

6 Essential Criteria for Making Confident AI Vendor Decisions

Healthcare IT Today

JUNE 4, 2024

The following is a guest article by Austin Ward, Head of Growth at Fathom In the face of workforce shortages and increasing cost pressures, many organizations are turning to AI technologies to automate revenue cycle management (RCM) processes. Automation Rate The most important criterion for AI in RCM is the automation rate.

RCM

RCM EHR Interoperability Healthcare IT

Weaving Zoom into workflow and updating EHR saves clinic during COVID-19

Healthcare IT News - Telehealth

NOVEMBER 11, 2020

The reason for this is HiMS’ prioritization of interoperability.” ” Through AXiOM, all of COPE’s technologies, including telehealth and revenue cycle management (RCM), can communicate with each other. ” Twitter: @SiwickiHealthIT.

EHR

EHR Interoperability RCM Telehealth

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

In addition, interoperability vendor Secure Exchange Solutions joined the MEDITECH Alliance Collaborator Program. RCM vendor TruBridge received the Peer Reviewed by HFMA designation. Partnerships Redox is partnering with Snowflake to make data from legacy healthcare systems available in Snowflake’s Healthcare & Life Sciences Cloud.

Life Science

Life Science Pain management RCM Interoperability

Bonus Features – October 6, 2024 – Only 25% of health systems trust ROI claims from digital health vendors, behavioral health makes up 72% of telehealth volume, plus 20 more stories

Healthcare IT Today

OCTOBER 6, 2024

Interoperability vendor Connective Health is partnering with Availity , a real-time information network, to create precise care summaries for primary care and virtual specialty care providers. Clinically integrated network Southern New England Healthcare chose athenaOne for EHR, RCM, and patient engagement.

RCM

RCM Digital Health Telehealth Healthcare IT

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

Healthcare IT Today

JANUARY 15, 2024

Lack of Interoperability Brings Labor-Intensive Workflows Despite the high costs of healthcare in the United States relative to other nations , the country is known for its cutting-edge and innovative treatments. This lack of code interoperability creates paperwork challenges for American hospitals seeking payment from other nations.

RCM

RCM Interoperability Healthcare IT Leadership

Weekly Roundup – May 11, 2024

Healthcare IT Today

MAY 11, 2024

Several people mentioned AI and technology infrastructure ; other concerns included nurse burnout, staffing shortages, and interoperability , the age-old topic. Read more… How Interoperability and Analytics Change the Nurse Call Paradigm. Read more… A Look at RCM, AI, and a New Book Called Joy Notes.

Nursing

Nursing RCM Interoperability Medical Billing

CIO Podcast – Episode 72: South Shore Hospital with Donald McGruder

Healthcare IT Today

APRIL 8, 2024

We kick off this episode by discussing how South Shore Hospital is positioning itself in the rapidly evolving landscape of healthcare interoperability. Next, we discuss how interoperability influences the hospital’s strategies and operations. What’s the best piece of advice you’ve been given in your career?

Interoperability

Interoperability Healthcare IT RCM Patient Experience

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

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. RCM vendor Access Healthcare acquired Envera Health , a patient engagement vendor. Community care coding and RCM company WellSky acquired Corridor , a service partner for post-acute care.

RCM

RCM EMR Mental health Healthcare IT

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 – August 20, 2022

Healthcare IT Today

AUGUST 20, 2022

Earlier this month, the RCM vendor reported a data breach that may have impacted patients at five Texas-based providers. Dr. McGill talked to John about whether data sharing and interoperability are still priorities for health systems , along with what emerging technology has him excited. How do we give everyone the time to learn?

Interoperability

Interoperability RCM Healthcare IT Telehealth

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. RCM automation platform Candid Health announced $29 million in Series B funding. Read more… The Value of Health Data for Business Intelligence.

Healthcare IT

Healthcare IT RCM Patient Experience Health Data

Weekly Roundup – February 3, 2024

Healthcare IT Today

FEBRUARY 3, 2024

Jill DeGraff at b.well Connected Health provided John with insight into how interoperability could result in a connected healthcare ecosystem. Read more… From Information Blocking to Information Sharing: A Look at HTI-1 and TEFCA.

RCM

RCM Healthcare IT Digital Health Interoperability

Bonus Features – May 26, 2024 – Only 43% of hospitals routinely exchange data, about 70% of organizations want to change archiving vendors, plus 24 more stories

Healthcare IT Today

MAY 26, 2024

Only 43% of hospitals routinely engage in interoperable data exchange , according to the latest ONC data brief. RCM vendor Ensemble Health Partners achieved HITRUST Risk-Based, 2-year Certification for its EIQ platform. National physician network Stratum Med adopted Nabla for ambient AI.

eCare

eCare RCM Healthcare IT Mental health

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

Health Populi

FEBRUARY 9, 2019

Revenue cycle management (RCM) is a big HIMSS theme from providers’ points of view. Can we even imagine the bedfellows, strange or not, that will be collaborating for health-tech interoperability and consumer-facing care twelve months from now? The patient as payor. That was tweeted ten years ago.

Health IT

Health IT EHR HIPAA RCM

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

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

At its client conference, TruBridge announced a new analytics suite, an interoperability platform, and integration with Nuance Dragon. 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 – 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 – August 12, 2023

Healthcare IT Today

AUGUST 12, 2023

Achieving Interoperability One Practical Byte at a Time. Upstate New York’s Rochester Regional Health began its interoperability journey with lab data , Colin Hung learned, as there was a clear need to bring in lab test results from many external sources to help care teams make better clinical decisions and improve outcomes.

Interoperability

Interoperability RCM Healthcare IT Primary Care

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. Interoperability vendor Innovar Healthcare released an OSS Mirth Connect plugin that’s now available on AWS Marketplace. In other news, Quantum Health launched Premier Oncology , a cancer care navigation tool.

FHIR

FHIR RCM Healthcare IT Mental health

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

Hospitals serving marginalized communities are less likely to participate in interoperable patient data exchange , according to the latest ONC research. Partnerships Interoperability service provider MedAllies was selected to the MEDITECH Alliance Innovator Program. higher rate than MA members not covered under a VBC model.

eCare

eCare Healthcare IT Interoperability Health Information

Weekly Roundup – October 15, 2022

Healthcare IT Today

OCTOBER 15, 2022

Read more… Interoperability’s Role in Value-Based Drug Pricing. Global EHR, ERP, and RCM service provider Nordic Consulting acquired Hygeian , which serves the United Kingdom and Middle East. Patient engagement platform PatientPoint acquired Rendia , which offers engagement and educational tools to eye care providers.

EHR

EHR RCM Healthcare IT Interoperability

Bonus Features – March 26, 2023 – Epic sees “tremendous potential” for GPT, more than 90% of patients want self-scheduling, and more

Healthcare IT Today

MARCH 26, 2023

Products Interoperability platform Particle Health launched Particle FOCUS , a data product suite that provides comprehensive patient health information across seven chronic disease states. Health Gorilla received HITRUST certification for its Health Interoperability Platform.

RCM

RCM EHR Interoperability Healthcare IT

Insights and Perspectives from #HFMAAnnual Conference

Healthcare IT Today

JULY 1, 2022

I didn’t expect to see a healthcare interoperability session at HFMA, but Diane Mchalec from UPMC was there doing just that. What I like most about this is that interoperability is actually impacting a healthcare organization’s finances in a good way. John Lynn (@techguy) June 29, 2022.

Interoperability

Interoperability Health IT RCM Healthcare IT

Bonus Features – March 19, 2023 – Info for 81% of physicians is inconsistent in major health plan provider directories, 48% of health systems using AI for workforce management, and more

Healthcare IT Today

MARCH 19, 2023

Not surprising RCM is also a popular use case for AI, with 78% of health systems currently using it or evaluating its use. Interoperability engine Infor Cloverleaf Integration Suite is now available in AWS Marketplace. RCM vendor PMMC is working with CAST Imaging to accelerate its migration to the cloud.

RCM

RCM Healthcare IT Digital Health Primary Care

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

Healthcare IT Today

JANUARY 2, 2023

2022 Predictions for Healthcare Interoperability – A third predictions post doing so well. Does this mean people cared about RPM and Healthcare Interoperability the most in 2022? The State of Interoperability – COVID and Beyond. AI and Automation in RCM is All About Balance. Where Are We At With FHIR?

Healthcare IT

Healthcare IT Interoperability FHIR EHR

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. Cox Communications reported that 5G networks, the cloud, and real-time location services are the top “smart hospital” investments for leaders over the next two years.

Interoperability

Interoperability RCM Healthcare Cybersecurity Healthcare IT

Weekly Roundup – October 5, 2024

Healthcare IT Today

OCTOBER 5, 2024

Ben Scharfe at Altera Digital Health outlined why organizations must address the challenge of integrating semi-structured data from ambient listening tools into EHR, analytics, and RCM systems. Cloud-based data archiving and interoperability vendor MediQuant received a growth investment from Revelstoke Capital Partners.

EHR

EHR Mental health RCM Healthcare IT

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). Automation is making a big difference in revenue cycle management (RCM). Even chatbots that can triage and provide information are automated.

RCM

RCM Patient Experience EHR Pharmaceuticals

Weekly Roundup – November 12, 2022

Healthcare IT Today

NOVEMBER 12, 2022

They discussed why HIEs have unique IT infrastructure needs , along with the potential of HIEs to address interoperability challenges and improve health inequity at the same time. With costs rising and revenue flat, health systems and physician practices are struggling with interoperability.

HIE

HIE EHR Interoperability RCM

Bonus Features – January 29, 2023 – ONC says more than 70% of hospitals can use external data at the point of care, the 3 largest health info networks have indexed 90% of patients, and more

Healthcare IT Today

JANUARY 29, 2023

The Consortium for State and Regional Interoperability is partnering with eHealth Exchange in anticipation of the exchange being named a Qualified Health Information Network. EHR, RCM, and practice management software vendor Greenway Health named Mark Goodwin as Senior Vice President of Revenue Services.

eHealth

eHealth HIE Health Information RCM

Bonus Features – May 21, 2023 – 82% of wearable users willing to share data with their physicians, 81% of Americans trust pharmacists and nurses to diagnose minor illnesses, and more

Healthcare IT Today

MAY 21, 2023

People Interoperability vendor Rhapsody named Jeff Chiumiento as Chief Financial Officer. ERH, RCM, and practice management vendor ModMed appointed Venkatesh Jayaraman as Chief Technology Officer. Consumer care coordination company Quantum Health was certified as a Great Place to Work. Sana Primary Care appointed Jay Parkinson, M.D.,

eHealth

eHealth Nursing Primary Care RCM

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

KMS Healthcare launched CONNECT , an interoperability platform for developers of digital health technology. Interoperability company Kno2 appointed Dr. Peter Schoch as Chief Health Officer. EHR and RCM vendor ModMed appointed Denise Ceule as Chief Legal Officer.

EHR

EHR Interoperability RCM HIE

Unlocking the Power of Interoperability for Revenue Cycle Management

GenAI in Healthcare: Catalyzing the Revenue Cycle Management Transformation

Trending Sources

Weekly Roundup – December 7, 2024

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

Bonus Features – April 9, 2023 – 63% of RCM departments face staffing shortages, small Stanford study shows 90% of GPT answers in clinical setting are “generally safe,” and more

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

Weekly Roundup – April 13, 2024

Weekly Roundup – January 21, 2023

6 Essential Criteria for Making Confident AI Vendor Decisions

Weaving Zoom into workflow and updating EHR saves clinic during COVID-19

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 – October 6, 2024 – Only 25% of health systems trust ROI claims from digital health vendors, behavioral health makes up 72% of telehealth volume, plus 20 more stories

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

Weekly Roundup – May 11, 2024

CIO Podcast – Episode 72: South Shore Hospital with Donald McGruder

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

Weekly Roundup – November 4, 2023

Weekly Roundup – January 13, 2024

Weekly Roundup – August 20, 2022

Weekly Roundup – November 2, 2024

Weekly Roundup – February 3, 2024

Bonus Features – May 26, 2024 – Only 43% of hospitals routinely exchange data, about 70% of organizations want to change archiving vendors, plus 24 more stories

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

Weekly Roundup – July 27, 2024

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 – 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 – August 12, 2023

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 – 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

Weekly Roundup – October 15, 2022

Bonus Features – March 26, 2023 – Epic sees “tremendous potential” for GPT, more than 90% of patients want self-scheduling, and more

Insights and Perspectives from #HFMAAnnual Conference

Bonus Features – March 19, 2023 – Info for 81% of physicians is inconsistent in major health plan provider directories, 48% of health systems using AI for workforce management, and more

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

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 – October 5, 2024

Healthcare AI and Automation: Good or Bad?

Weekly Roundup – November 12, 2022

Bonus Features – January 29, 2023 – ONC says more than 70% of hospitals can use external data at the point of care, the 3 largest health info networks have indexed 90% of patients, and more

Bonus Features – May 21, 2023 – 82% of wearable users willing to share data with their physicians, 81% of Americans trust pharmacists and nurses to diagnose minor illnesses, and more

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

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