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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. These models require providers to eliminate: Fragmented care that drives up costs. The key lies in optimization.
For providers, this also substantially reduces claim denials for their finance and RCM teams. Nirvana expansion partners in physical therapy, intensive outpatient, and primarycare have already improved patient experience and workflows using Nirvana’s technology.
Given this event, I thought it would be fun to extend the conversation from the conference and talk about RCM (Revenue Cycle Management) on this week’s chat. T5: Who are some of your favorite companies in the RCM space? 7/8 – Technology and Advanced, Team-based PrimaryCare. HITsm #HFMAAnnual.
Prior authorization technology vendor careviso announced a strategic alliance with XiFin , an RCM vendor. Lumeris introduced Tom , an AI tool that augments primarycare workflows by automating tasks such as scheduling appointments and conducting post-discharge outreach.
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. Awards Western New York HIE HealtheLINK was named one of the Phase 2 winners of Building Bridges to Better Health , a primarycare challenge sponsored by HRSA.
New Payer Coverage and Revenue Cycle Management With 250 million patient lives covered under 600+ of the nation’s top payers, including Medicare, Medicaid and every major private insurer, OpenLoop is also announcing today a new Payer Coverage & RCM service.
Partnerships Care navigation vendor Quantum Health added Vida Health to its Premier Pharmacy platform to provide a GLP-1 weight management solution. RCM vendor R1 is partnering with Palantir Technologies to launch R37 , an AI lab focused on healthcare financial performance.
Read more… The Benefits of RCM as a Service. At the recent eClinicalWorks National Conference, John spoke to Todd Mallon of Advocare about the health system’s transition from in-house revenue cycle management to RCM as a service , due in part to staffing issues. Read more… The CIO’s Role in RCM.
Consumer-facing care coordination vendor Quantum Health has partnered with Embold Health , a provider of quality data. Interoperability vendor Connective Health is partnering with Availity , a real-time information network, to create precise care summaries for primarycare and virtual specialty care providers.
The grant, awarded by the Agency for Healthcare Research and Quality, comes weeks after the research team published a study in njp Digital Medicine indicating that increased telehealth access during COVID-19 did not result in increased, unnecessary access to primarycare.
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.
Read more… Funding and M&A Activity: Medicaid primarycare service provider Pair Team raised $9 million in Series A funding. 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.
The unofficial theme of this year’s HFMA conference was how hospitals are dealing with staffing challenges in RCM and collections. Read more… Direct PrimaryCare Moves North of the Border. Funding and M&A Activity: Amazon has acquired direct primarycare provider One Medical in an all-cash deal valued at $3.9
Primarycare platform Equality Health is now available for Medicaid beneficiaries in Virginia. New England Orthopedic Surgeons (NEOS) is implementing athenaOne EHR, RCM, and patient engagement functionality.
Sales 64 FQHCs in 7 states chose Medical Home Network as their care coordination service provider as they participate in ACO REACH and MSSP. New Hampshire-based Dartmouth Health is continuing its partnership with Conifer Health Solutions for RCM services. RCM vendor Savista named Michael Waite as Vice President of Sales.
Read more… Funding and M&A Activity: Patient triage and routing company Fabric acquired MeMD , a Walmart-owned virtual care provider to 30,000 employers and 5 million health plan members. Primarycare platform K Health raised a $50 million equity funding round.
A recent study by Surescripts on prescribing trends found that non-physicians working outside of primarycare prescribed nearly 20% more diabetes, high cholesterol, and hypertension medicines than they did in 2019. Meanwhile, primarycare physicians prescribed these same medications 3.5%
Integrated provider, pharmacy, and medical equipment supplier American Medical Administrators is implementing eClinicalWorks EHR and RCM. Virtual primarycare vendor LifeMD entered a strategic partnership with Withings to provide remote monitoring devices for its GLP-1 weight-loss patients.
Demand for care at home is rising, but traditional telehealth and remote monitoring doesn’t support examination and diagnosis in the patient’s home. Colin Hung talked to TytoCare at HLTH about the company’s new Home Smart Clinic and its efforts to bring primarycare into the home.
The push to adopt EHR and RCM technology in acute care has left other care settings underserved , with adoption under 50% in post-acute care, primarycare, and rehab, according to the latest HFS Research report. Health plan’s spending on genetic tests increased 8% over the same time period.
Included Health is partnering with Dispatch Health to connect virtual primarycare to in-home urgent medical care. Sana PrimaryCare appointed Jay Parkinson, M.D., ERH, RCM, and practice management vendor ModMed appointed Venkatesh Jayaraman as Chief Technology Officer. as Chief Medical Officer.
Arizona-based Spectrum Healthcare chose NextGen Healthcare to support primarycare and behavioral health delivery. Florida-based Tallahassee Memorial HealthCare selected Ensemble Health Partners for RCM technology and services.
NCQA launched a Virtual Care Accreditation evaluation program , with its first modules applying to primarycare and urgent care. SYNERGEN Health and HST Pathways are partnering to bring RCM software and services to ambulatory surgery centers.
Products ChristianaCare launched Virtual PrimaryCare , a subscription-based service available to residents of Delaware, Pennsylvania, Maryland and New Jersey. Hint Health debuted Hint All-in-One , an EHR, practice management, and patient communications app for direct primarycare.
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.
Not surprising RCM is also a popular use case for AI, with 78% of health systems currently using it or evaluating its use. Digital therapeutic company Medisafe surveyed patients, providers, and digital health leaders about the state of digital solutions for patient care. Tennessee-based Highland Physicians Inc.
WellDoc partnered with Conifer Health Solutions to launch Conifer Connect, a a personalized digital health application for chronic care. Mobile diagnostics company Sprinter Health is partnering with Story Health , a specialty care service provider, on in-home care for patients with heart disease.
Sales WellSpan Health chose KeyCare as its partner in expanding into virtual primarycare and behavioral health services. People EHR and RCM vendor ModMed appointed Joe Harpaz as Co-CEO. Proscia received FDA 510(k) clearance for Concentriq AP-Dx , its diagnostic software for pathology.
Azalea Health completed SOC 2 Type 2 Certification for its cloud-based EHR and RCM platform. Primarycare technology platform Equality Health appointed Lawrence Green as Tennessee Market President. Certifications Data management firm Harmony Healthcare IT received HITRUST Risk-based, 2-year (r2) Certification.
You cant take a primarycare solution and force it into an emergency department or an oncology unit. Ambience won because their solution could handle the unique needs of different specialties and seamless fit into existing workflows. The workflows, documentation, and decision-making processes are completely different.
Read more… Funding and M&A Activity: RCM and practice management vendor Ventra Health acquired ArcMed , a billing and automation services organization. Digital primarycare platform K Health raised $59 million in a down round. Generative AI startup GenHealth.AI secured $13 million in funding.
With Forrester predicting that retail health will continue to make gains in primarycare, organizations need to act quickly to improve their approach to care delivery and communication , said Patrick Reetz at LinkLive. Recently launched capacity management vendor Florence acquired Zipnosis , a virtual care solution provider.
Colin Hung spoke to Patrice Wolfe and Thomas Thatapudi at AGS Health about how process automation such as claims retrieval can ease the burden on RCM staff , bringing in more revenue with less manual work. Direct primarycare platform Hint Health acquired AeroDPC , an EHR and practice management vendor.
Canvas’s suite of products are highly customizable by developers, seamless for providers, and give care delivery companies full control over their patient experience. .” The company works with customers of all care models and verticals, from direct-to-consumer virtual care to at-risk complex care and everything in between.
Funding and M&A Activity: RCM company CodaMetrix closed $55 million in Series A funding. Independent primarycare network Aledade added more than 450 primarycare practices to its network in 2023 ; in addition, the company acquired Curia, a value-based care analytics platform.
TrustCommerce integrated its patient payments platform with athenaIDX , athenahealth’s RCM product. Senior care company DOUS announced the DUOS+AI platform , a conversational AI tool for members enrolled in Medicare Advantage. Elation Health released an integrated EHR and billing suite for primarycare.
Telehealth provider Dr. B expanded its service offerings to include dermatology, sexual health, reproductive health and primarycare. EHR, RCM, and practice management vendor ModMed appointed Jody Beaverson as Chief People Officer. DrFirst promoted G. Cameron Deemer to CEO and announced that founder James F.
eConsult and referral management vendor AristaMD launched a unified care transition platform for primarycare. Precision health company LifeOmic launched its Patient Mobile App , enabling two-cay communication between patients and care teams.
Bain Capital hires financial advisors to help it assess the potential sale of RCM vendor Waystar. HHS announces CMS PrimaryCares, two value-based care payment models launching in 2020 that it says will cover at least 25% of Medicare beneficiaries and providers. Athenahealth lays off 200 employees.
A survey from AAFP affiliate Phyx PrimaryCare found almost 48% of primarycare physicians using AI assistants use them with every patient they see. Rural hospital financial optimization company Cibolo Health selected TruBridge as its preferred RCM partner.
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. Urgent care software provider Experity appointed Brian Berning as its Chief Financial Officer.
Patient engagement technology from Luma Health is now fully integrated with MEDITECH Expanse ; in addition, Luma is an initial member of the MEDITECH Alliance program Virtual primarycare provider LifeMD will be the exclusive telehealth provider for online pharmacy HealthWarehouse.com.
Navina released a generative AI assistant for primarycare practices. Black Book Research released its latest RCM vendor rankings , with Axiom and Waystar earning top rankings in multiple software categories. Products Chronic condition data company OM1 released OM1 Aspen , an automated study platform for evidence generation.
In the latest Healthcare IT Today Interviews podcast, Colin Hung chats with Jess Stover at SimiTree and Derek Shaw at Invicta Health Solutions about the role of process automation and data analysis in improving revenue cycle management (RCM) and boosting cash flow at a time when many practices need it.
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