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RCM: Fixing the Old and Adjusting to the New

Healthcare IT Today

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.

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Nirvana Raises $24.2M Series A to Revolutionize Health Insurance Verification

Healthcare IT Today

For providers, this also substantially reduces claim denials for their finance and RCM teams. Nirvana expansion partners in physical therapy, intensive outpatient, and primary care have already improved patient experience and workflows using Nirvana’s technology.

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Revenue Cycle Management – #HITsm Chat Topic

Healthcare IT Today

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 Primary Care. HITsm #HFMAAnnual.

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Bonus Features – March 2, 2025 – 61% of docs worry AI will increase prior auth denial rates, more than 60% of orgs using imperfect tools to manage unstructured data, plus 37 more stories

Healthcare IT Today

A survey from AAFP affiliate Phyx Primary Care found almost 48% of primary care 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.

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Bonus Features – April 6, 2025 – 81% of patients with chronic conditions want pharma to help them get care and medication, 63% of patients’ bills are higher than initial cost estimates, plus 30 more stories

Healthcare IT Today

Partnerships Primary care and metabolic health company knownwell is now listed on Eli Lillys digital healthcare platform , LillyDirect. Products Deacon Health launched its specialty care management platform , which supports patients with multiple chronic conditions. One challenge: 75% of companies remain in the seed stage.

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Bonus Features – February 23, 2025 – 44% of orgs experienced a cyberattack involving a third-party vendor in the last year, 20% of patients prefer AI to phone calls if it results in faster service, plus 25 more stories

Healthcare IT Today

Prior authorization technology vendor careviso announced a strategic alliance with XiFin , an RCM vendor. Lumeris introduced Tom , an AI tool that augments primary care workflows by automating tasks such as scheduling appointments and conducting post-discharge outreach.

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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

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 primary care challenge sponsored by HRSA.

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