Healthcare IT Today

NOVEMBER 8, 2024

This recognition underscores Nym’s leadership in the field and its adherence to Epic’s standards for integration. Along with over 95% accuracy of improved coding, Nym’s RCM solution delivers audit-ready, traceable documentation for every code it generates, ensuring total visibility into why each code was assigned.

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RCM Leadership Health IT Healthcare IT 121

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.

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RCM Primary Care Leadership Healthcare IT 105

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!

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RCM EHR Healthcare IT Health Data 105

Healthcare IT Today

NOVEMBER 14, 2024

Gomez shared with us about their experience using healow Pay and Statements and how it has really benefited the HealthNet organization’s RCM. Along with moving to the cloud, HealthNet has also been leveraging eClinicalWorks healow solution to improve their revenue cycle management.

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RCM EMR Healthcare IT Patient Experience 124

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?

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RCM FHIR Healthcare IT Health IT 106

Healthcare IT Today

MARCH 15, 2025

Another topic for the experts in the Healthcare IT Today community highlighted AI use cases such as RCM automation, diagnostic efficiency, clinical documentation, and predictive analytics. Read more… When Numbers Talk: Bridging Gaps in Healthcare Leadership.

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Life Science RCM Leadership Healthcare IT 66

Healthcare IT Today

MARCH 27, 2024

Many factors make revenue cycle management (RCM) a big headache for U.S. Infinx (pronounced “in-fin-ex”) works currently with more than 4,000 providers, applying machine learning to automate RCM. We all know that the future of RCM is going to be around AI and automation. health care providers.

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RCM Healthcare IT Leadership Health IT 80

Healthcare IT Today

JULY 11, 2024

These factors have made the already complex activity of revenue cycle management (RCM) – the process of tracking care from patient registration to claims submission to final payment – significantly more challenging. Conversely, RCM inefficiencies can severely diminish the quality of care and lead a provider to financial ruin.

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RCM HIPAA Leadership Patient Experience 128

Healthcare IT Today

MARCH 4, 2025

Candid’s platform addresses the root cause of RCM inefficiency through modern data engineering and automation. “At Candid, we are reimagining the level of automation that an RCM platform can drive, and with AI, we are positioned to further improve billing performance,” said Nick Perry, Co-Founder and CEO at Candid Health.

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HC RCM Medical Billing Leadership 52

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

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RCM Medical Billing Leadership Interoperability 126

Healthcare IT Today

AUGUST 25, 2023

In search of that answer, we reached out to our wickedly smart Healthcare IT Today Community to see what trends in RCM they are keeping their eyes on and why. Comment down below or on social media what trend in RCM we should be keeping an eye on and why. We’ve compiled all of their answers together in the video down below.

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RCM Health Information Healthcare IT Patient Experience 97

Healthcare IT Today

MARCH 13, 2025

In this interview, we hear about the far-reaching consequences of poor transportation coordination and the benefits of modern RCM in transportation from Elizabeth Jepsen, Chief of Staff at Kinetik, and Denise Kajanoff, Senior Vice President of Payer Strategy and Growth.

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RCM Medical Billing Healthcare IT Patient Experience 78

Healthcare IT Today

FEBRUARY 6, 2025

The Access Healthcare leadership team will continue to steer the organization and lead this next stage of growth and innovation. Access Healthcare has built one of the most efficient RCM platforms in the industry processing more than 400 million transactions annually. Access Healthcare partners with many of the largest U.S.-based

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RCM Leadership Patient Experience Health IT 69

Healthcare IT Today

AUGUST 8, 2024

You may remember that last year we shared a video interview with FinThrive talking about a new RCM technology adoption model that they had put together and were sharing with the industry at HFMA. Check out the interview below to learn from FinThrive, UC San Diego Health, and CereCore about this RCM technology maturity model.

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RCM Healthcare IT Leadership Health IT 130

Healthcare IT Today

OCTOBER 23, 2023

The following is a guest article by Pete Heydt, President at Patient Pay Ninety-five percent of healthcare leaders expect outpatient volumes to increase, with many anticipating increases of 10% or more this year, a recent survey found.

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RCM Patient Experience Medical Billing Medicare 125

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.

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RCM Healthcare IT Leadership Health IT 124

Healthcare IT Today

MARCH 11, 2025

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.

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RCM Patient Experience Nursing Healthcare Cybersecurity 78

Healthcare IT Today

AUGUST 9, 2024

So let’s turn our attention for a moment to financial management and RCM to see what our current challenges are in those areas. At the past HFMA Conference, we asked our incredible Healthcare IT Today Community – what’s a financial management or RCM challenge that not enough people are talking about and why?

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RCM Healthcare IT Leadership Health IT 78

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.

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RCM Leadership Healthcare IT Health IT 131

Healthcare IT Today

JUNE 10, 2024

Next, we debate over where AI, Machine Learning, and Automation are actually having an impact in RCM. Where is AI, Machine Learning, and Automation actually having an impact in RCM? Next, we debate over where AI, Machine Learning, and Automation are actually having an impact in RCM. What are we going to see at HFMA around AI?

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Healthcare IT RCM Health IT Leadership 133

Healthcare IT Today

AUGUST 7, 2024

Arnab Sen, Chief Strategy Officer at Omega Healthcare Increasingly, forward-thinking healthcare organizations are leveraging RCM solutions that incorporate artificial intelligence (AI), machine learning, natural language processing, and automation.

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RCM Patient Experience Healthcare IT Leadership 126

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.

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RCM Interoperability Healthcare IT Patient Experience 126

Healthcare IT Today

JANUARY 18, 2023

AI capabilities can speed through burdensome RCM tasks to help healthcare providers avoid denials, reduce coding errors and improve price transparency for patients. This problem supports a great case for the use of AI in RCM services, as they use natural language processing to assess a physician’s notes and propose the correct codes to use.

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RCM Medical Billing Healthcare IT Health Information 128

Healthcare IT Today

MAY 13, 2024

Next, we debate on whether or not this attack will have an impact on how healthcare organizations are approaching RCM. Will this impact how healthcare organizations are approaching RCM? Next, we debate on whether or not this attack will have an impact on how healthcare organizations are approaching RCM.

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Healthcare IT RCM Healthcare Cybersecurity Health IT 126

Healthcare IT Today

JANUARY 20, 2023

So often in talking about Revenue Cycle Management (RCM) the focus is placed onto the organization. How do we improve RCM? How to can we incorporate digital solutions into RCM? However, that leaves out one huge piece of RCM. So let’s take a moment and focus on the patient’s experience with RCM.

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Patient Experience RCM Healthcare IT Leadership 119

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.

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RCM Leadership Interoperability Nursing 126

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.

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RCM Leadership Health Information 52

Healthcare IT Today

OCTOBER 31, 2023

Enhances Revenue Cycle Services Market Leadership with Patient Engagement Services and Technology Capabilities Today, Access Healthcare , a global leader in revenue cycle management (RCM) and healthcare services, announced the acquisition of Envera Health , a market leader in patient engagement services.

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RCM Patient Experience Medical Billing Leadership 126

Healthcare IT Today

JUNE 30, 2022

The upside of adopting technology for RCM can be significant: A drop in DSO (days sales outstanding). One technology in particular is proving to be very effective for RCM improvement – data analytics. Why communication from leaders remains key to RCM improvement. How executives can make work-from-home for RCM staff work.

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RCM Healthcare IT EMR Meaningful Use 52

Healthcare IT Today

JUNE 23, 2023

Systemic Review of RCM Processes The HAHC billing team, under a new manager, collaborated with eClinicalWorks to review and streamline the RCM process. With the new streamlined RCM process, reports are now available in near real-time. This meant that HAHC had to start from scratch to rebuild their revenue cycle processes.

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RCM Healthcare IT Medical Billing EHR 52

Healthcare IT Today

OCTOBER 28, 2024

Another not so sexy, but important part of every EHR is the RCM and billing functionality. That should allow the doctors doing a prescription refill to see if there are other refills they should do at the same time to save them a future message and provide a better patient experience.

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EHR RCM Patient Experience Telehealth 80

Healthcare IT Today

JUNE 8, 2024

This workflow should make both clinical and security leadership happy. 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. Read more… A Robot for Healthier, Happier Aging.

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RCM Healthcare IT EHR Leadership 96

Healthcare IT Today

DECEMBER 23, 2024

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.

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Health IT EHR RCM Nursing 92

Healthcare IT Today

DECEMBER 20, 2024

AI-powered revenue cycle management (RCM) systems streamline billing and coding processes, reduce claim denials, and optimize revenue capture. Machine learning algorithms can also analyze large datasets to detect patterns, assist with predictive analytics, and improve medical coding accuracy.

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Health Information Life Science EHR RCM 122

Healthcare IT Today

OCTOBER 24, 2022

This time we’re diving into revenue cycle management (RCM). We take a look at the challenges that RCM is currently facing and how technology can help. McGruder shares the topics and projects he’s keeping an eye out for. Then, we discuss his expanding risk surface when it comes to security.

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RCM Healthcare IT Leadership Health IT 90

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.

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RCM Healthcare IT Leadership Health IT 78

Healthcare IT Today

JULY 29, 2024

Be sure to check out 3Pillar’s eBook “ The Revenue Cycle Playbook: 7 Opportunities to Modernize the Healthcare Payment Ecosystem ” to hear more of their perspectives on improving RCM. Finally, it wouldn’t be a health IT podcast without some discussion of AI and how AI can be leveraged to make the experience better.

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RCM Healthcare IT Health IT Patient Experience 116