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At MEDITECH Live, John chatted with Mike Elder and Kelsey Reed at the southwest Georgia health system, which recently opened a Living and Learning Center to really recruit and train the next generation of nurses. RCM company CorroHealth finalized its acquisition of Xtend , Navient’s healthcare RCM business.
Thoughtful AI launched six specialized AI agents for RCM workflows. UbiSim VR updated its nurse education module , with v1.16 giving nurses practice on care delivery amid distractions such as phone calls and incoming orders. ModMed released ModMed Scribe , an AI ambient listening tool natively built into the EMA EHR platform.
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.
"These numbers are not surprising, as RCM is still relatively new," said Kristin Stitt, chief clinical officer at Vector, in a statement. That said, RCM technology is still maturing. The report also flagged a potential mismatch between the administrative burden of RCM on staff and the awareness of said burden on physicians.
HCPro launched its Provider Education Microlearning Series , which offers training on clinical documentation integrity, coding, and RCM. Wolters Kluwer Health updated Lippincott Nursing Education ‘s Ready for NCLEX-RN module to include personalized improvement plans.
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.
Sales and Company News Florida-based Lee Health selected Caregility to help expand its virtual nursing program. RCM vendor TruBridge elected Amy O’Keefe to its Board of Directors. ixlayer announced a Complete Blood Count test with at-home sample collection , with public availability expected in early 2025.
Muhammad Shujja at AltuMED outlined AI’s role in improving accuracy, detecting fraud, augmenting decision-making, and streamlining the RCM process – all essential to supporting modern business operations in healthcare. More than 80% of nurses have experienced violence on the job , but only 30% say help is available.
Read more… The Evolution of the RCM Technology Adoption Model. Read more… Improving RCM With True AI and Machine Learning. We asked the Healthcare IT Today community a series of questions about improving RCM. Read more… How Data Analytics and BI Support Proactive RCM Decision-Making.
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.
Nearly all (95%) of healthcare executives are interested in end-to-end managed services to solve RCM challenges, according to a survey from Ensemble Health Partners. InteliChart released Family Portal , which supports patients and caregivers in long-term care or skilled nursing facilities.
.” Incredible Health’s 2023 State of US Nursing Report found that 80% of nurses plan to remain in the healthcare industry until retirement – though an even greater number, 84%, worry that the industry isn’t doing enough to address poor pay, understaffing, and burnout.
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.
Read more… Improving RCM With AI. RCM automation vendor Candid Health raised $52.5 Inpatient virtual nursing and telehealth vendor Vitalchat secured $6 million in Series A funding. Read more… Funding and M&A Activity: Generative AI platform Abridge announced a $250 million Series D investment.
RCM optimization vendor Iodine Software launched Appeals Management Workspace to support denials management. Kabilah : AI platform for nursing workflows. Vitalacy launched Virtual Care , a platform that continuously monitors patients in hospital beds. UPMC Enterprises launched Ahavi , a platform for evaluating and refining AI models.
Meanwhile, John spoke to Suhas Uliyar about Oracle Health’s moves to create tools that accompany and augment the workflow of physicians, nurses, and patients. Read more… Driving Optimal Use of Temporary Nurses. One strategy for building this strength is digitizing and streamlining RCM.
Several people mentioned AI and technology infrastructure ; other concerns included nurse burnout, staffing shortages, and interoperability , the age-old topic. Dr. Keith Morse at Stanford Children’s Health and Dr. Read more… How Interoperability and Analytics Change the Nurse Call Paradigm.
Nearly 60% of Americans would visit a pharmacy as their first stop for non-emergency care , and 81% trust pharmacists and nurse practitioners to diagnose minor illnesses and prescribe medications, according to a Wolters Kluwer Health survey. People Interoperability vendor Rhapsody named Jeff Chiumiento as Chief Financial Officer.
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. John Lynn talked to Micky about how the 21st Century Cures Act making an impact for good on patients and clinicians , among other topics.
John recapped a ViVE 2024 session with Tanya Content at UNC Health and Russ Richmond at Laudio about ensuring technology meets the needs of nurses and other clinical staff instead of imposing it on them. Read more… Unlocking the Power of Interop for More Effective RCM.
In the past few years, Athelas RCM and RPM have grown rapidly to thousands of healthcare providers and hundreds of thousands of patients. Their PatientKeeper EHR software saves clinicians hours of time every day, and Strongline protects nurses while delivering key analytics on the physical logistics of a hospital.
86% of health systems had at least 10% of nurses quit in 2023, and 25% of providers intend to deploy generative AI for patient engagement. Ai-powered RCM vendor CodaMetrix closed $40 million in Series B financing. Read more… Bonus Features for April 7, 2024. Million in funding.
Precision medicine company SinguLab is partnering with NADONA , a professional organization for nursing leaders, to support education and research opportunities. New England Orthopedic Surgeons (NEOS) is implementing athenaOne EHR, RCM, and patient engagement functionality.
Pearson integrated AI study tools into its nursing curriculum. RCM vendor Ensemble Health Partners achieved HITRUST Risk-Based, 2-year Certification for its EIQ platform. Cardiac remote monitoring company Implicity received 510(k) clearance from the FDA for its SignalHF algorithm.
John and Colin unpacked the long-term impact of the cyberattack, including if providers will start to approach RCM differently now. Automated revenue integrity workflows can ease the burden on nurses , noted Tanya Sanderson at Xsolis. Read more… Healthcare IT Today Podcast : Will the Change Healthcare Attack Wake Up Healthcare ?
RCM outsourcing vendor Ensemble Health Partners expanded its partnership with Microsoft. Acute virtual nursing vendor AvaSure appointed Paula Cobb as Vice President of Marketing. In other news, Quantum Health launched Premier Oncology , a cancer care navigation tool.
The robot can follow a doctor or nurse around a facility, but it can also get where it needs to go on its own. Read more… Finding Balance in Patient-Centric RCM. Yaron Yoels at Temi Robot showed John Dr. Temi, a robot capable of conducting telemedicine visits and also collecting vital signs through various connected devices.
This frees up staff to focus on more complex and strategic aspects of RCM. Rikki Jennings, Chief Nursing Informatics Officer at Zebra Technologies Labor challenges/nurse staffing shortages will continue, leading to automation and AI solutions to better manage operations and accelerate innovation. million nurses in the U.S.)
Arizona-based Integrated Medical Services implemented athenahealth EHR, RCM, and patient engagement tools. Virtual patient observation vendor Collette Health appointed Dr. Christine Gall as Chief Nursing Officer. MultiPlan selected HealthCorum to support provider network optimization.
RCM is by far the most popular potential use case, with 58% of all considering the use of generative AI there. Virtual sitting technology can be tied to reduction in nurse burnout , according to a recent AvaSure study. More than 70% of healthcare organizations are actively considering generative AI , according to an AKASA report.
Not surprising RCM is also a popular use case for AI, with 78% of health systems currently using it or evaluating its use. RCM vendor PMMC is working with CAST Imaging to accelerate its migration to the cloud. Digital pathology application Paige added Mindpeak ‘s image analysis software to its platform.
RCM vendor medaptus is collaborating with Fresenius Kabi to offer hospitals financial reimbursement software for infusion services. Virtual care and remote monitoring company AvaSure launched its Virtual Nursing application and Care Model. RCM vendor Savista hired Warren Jacobson as Vice President of Client Revenue Cycle.
At the end of the day, we have an older, ager, sicker population with less doctors and nurses – that is an untenable situation. We can no longer just put technology in front of end users – doctors, nurses, EVS staff, transporters – they don’t have the bandwidth to barely do the job that they’re showing up to do.
The following is a guest article by John Wallace, PT, OCS, Senior Vice President of RCM at WebPT. John Wallace, PT, MS, has more than 35 years of experience in private practice orthopedics as well as acute hospital, acute rehab, home health care, skilled nursing, sub-acute care, and sports medicine. About John Wallace.
For example, while 79% of patients trust their doctors and nurses, only 54% of front-line workers trust leaders in their organizations. Azalea Health completed SOC 2 Type 2 Certification for its cloud-based EHR and RCM platform. ” Smart hospital platform Artisight received the CHIME Innovator of the Year Award.
Wolters Kluwer and Unbound Medicine released a mobile app that digitizes Lippincott’s Nursing Drug Handbook. EHR and RCM vendor ModMed appointed Denise Ceule as Chief Legal Officer. symplr Chief Nursing Officer Karlene Kerfoot received the DAISY Foundation’s Lifetime Achievement Award. Wichmann and Pamela O.
According to Hain, “We’ll use it to help physicians and nurses spend less time at the keyboard and to help them investigate data in more conversational, easy-to-use ways.” In addition, New Mexico-based primary clinic Satori Healing is implemting eCW EHR and RCM products.
Three leaders of ROI Healthcare sat down with John Lynn and talked about helping health systems get the payoff they want from investments in RCM, ERP, and EHR software. Read more… Giving Healthcare Organizations the Return on Investment They Want. Read more… How Addressing Sepsis Helped HCA Better Prepare for Hurricanes.
With this context, I believe novel applications of AI in RCM today are less about the technologies themselves and more about how traditional revenue cycle processes must evolve based on a technology-first mindset.
Incredible Health launched Spotlight Jobs and Direct Connect to help accelerate the hiring process, especially for leadership roles in nursing. South Dakota-based Sanford Health selected Availity Essentials Pro for RCM. Precision health platform CancerIQ launched CancerIQ Reach , a patient acquisition solution for imaging and oncology.
In 2021, more than 330,000 healthcare providers left the workforce— 117,000 physicians, 53,295 nurse practitioners, 22,704 physician assistants, 22,032 physical therapists, and 15,578 licensed clinical social workers.
A provider present with the patient at one location – a nursing home, community clinic, etc. Finally, Qure4u helps care providers navigate the complicated labyrinth of RCM payments and incentives offered through CMS, state Medicaid programs and private payers’ value-based care contracts, the vendor said.
Next, we talk about the effects of being Epic Gold Star Level 10 on the doctors, nurses, and patients around him. How do you see doctors, nurses, and patients being impacted by this effort? We then transition that into asking if Melgar achieved this in-house or by partnering with other organizations and how he made that decision.
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