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

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

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

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 EHR

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

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

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

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

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

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

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 – 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 – 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 – March 11, 2023

Healthcare IT Today

MARCH 11, 2023

E-prescribing is an interoperability success, but regulatory standards get in the way of bringing innovation to medication management. Read more… Pushing From Interoperability to Digital Transformation. Funding and M&A Activity: RCM company CodaMetrix closed $55 million in Series A funding.

RCM

RCM Interoperability Primary Care Healthcare IT

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

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 – 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 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 – July 2, 2022

Healthcare IT Today

JULY 2, 2022

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.

RCM

RCM Life Science Healthcare IT Primary Care

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 RCM

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

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

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

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

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

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 – July 23, 2023 – Number of people impacted by data breaches up 56% compared to last year, CMS keeps temporary telehealth expansion in 2024 Medicare fee schedule, and more

Healthcare IT Today

JULY 23, 2023

ONC has released the United States Core Data for Interoperability Version 4 Standard , better known as USCDI v4. RCM services company Savista announced two sales hires : Robert Barrett as Vice President of sales for the Mid-Atlantic states and Brent Webster as VP of sales for Texas, Oklahoma, and Arkansas.

Medicare

Medicare Telehealth Telemedicine RCM

Weekly Roundup – June 10, 2023

Healthcare IT Today

JUNE 10, 2023

The EHR Association’s David Bucciferro argued that the latest interoperability proposed rule from ONC doesn’t sufficiently consider the burden compliance will place on provider organizations and health IT developers. RCM vendor Aspirion acquired FIRM Revenue Cycle Management Services.

EHR

EHR eHealth Healthcare IT RCM

Canvas Medical Achieves ONC Certification, Raises $24MM to Power Clinicians and Developers Building and Scaling Digital Health Companies

Healthcare IT Today

JULY 19, 2022

With this funding, Canvas will continue to invest in bringing additional enterprise-grade capabilities to market, including security and governance features that put Canvas at the cutting-edge of extensibility and interoperability. About Canvas Medical.

EMR

EMR Digital Health Primary Care RCM

The Role of RCM in Health Equity

Healthcare IT Today

NOVEMBER 25, 2022

Involving revenue cycle management (RCM) is necessary for any comprehensive SDoH/health equity strategy. ” RCM professionals constantly interact with data that is valuable to informing health equity strategies – particularly since the transition to the ICD-10 code set that created an environment rich with data detailing SDoH.

RCM

RCM Medicare Interoperability Patient Experience

Weekly Roundup – May 13, 2023

Healthcare IT Today

MAY 13, 2023

Organizations have embraced the cloud thanks to its improved security, the push for interoperability, the growing number of cloud-ready applications, and of course the shift to remote work. Separate systems for RCM, practice management, and payments don’t make sense if a medical office has one person managing all things finance.

EMR

EMR Healthcare IT RCM Interoperability

Healthcare AI – 2024 Health IT Predictions

Healthcare IT Today

JANUARY 19, 2024

This technological shift comes at a time when the healthcare industry is facing the effects of payer/provider health system consolidation in combination with increased regulatory policies and processes related to data standardization and interoperability.

Health IT

Health IT RCM Healthcare IT Interoperability

Bonus Features – January 15, 2023 – 80% of consumers want a clearer process for dealing with billing errors, USCDI update would add 20 more elements, and more

Healthcare IT Today

JANUARY 15, 2023

ONC released the Draft United States Core Data for Interoperability (USCDI) v4 and its accompanying Standards Bulletin. EHR, RCM, and practice management vendor ModMed appointed Jody Beaverson as Chief People Officer. News and Studies. DrFirst promoted G. Cameron Deemer to CEO and announced that founder James F.

RCM

RCM Healthcare IT Primary Care Interoperability

The Payment Integrity Game-Changer: Generative AI

Healthcare IT Today

FEBRUARY 9, 2024

Healthcare technology companies are urged to design interoperable data platforms that offer holistic data access and transparency to better meet the needs of health workers, care teams, and patients across the continuum of care. In fact, studies by the U.S. government and leading medical associations call upon stakeholders to do their part.

Interoperability

Interoperability healthcare technology RCM Healthcare IT

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 RCM HIPAA

How Will the Current Macroeconomic Environment Impact Digital Health and Healthcare IT Decision-Making?

Healthcare IT Today

OCTOBER 6, 2023

At the same time, one of the biggest focus areas of healthcare systems and providers is interoperability. These technologies are critical in realizing the promise of precision medicine. Normalizing data and getting different systems to talk to each other is a critical first step before integrating AI and automation technology.

Digital Health

Digital Health Healthcare IT Interoperability RCM

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

A Data Network to Tackle Real-Time Eligibility and Claims Along with Many Other Health Data Problems

Healthcare IT Today

JUNE 1, 2023

Two of the biggest billing problems in U.S. healthcare involve coverage, eligibility and claims. First of all, will the insurer pay for the treatment the doctor requests? Second, how much is covered and how much does the patient have to pay out-of-pocket?

Health Data

Health Data Healthcare IT RCM Interoperability

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

Healthcare Workforce – 2024 Health IT Predictions

Healthcare IT Today

JANUARY 10, 2024

This frees up staff to focus on more complex and strategic aspects of RCM. Bill Charnetski, EVP, Health System Solutions and Government Affairs at PointClickCare HIT incentives and staying consistent with federal interoperability standards will be key in solving the nation-wide staffing crisis.

Health IT

Health IT Nursing Interoperability RCM

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

What are the Cost Implications of Implementing Cloud Technology in Healthcare?

Healthcare IT Today

OCTOBER 6, 2023

Monte Sandler, Chief Operating Officer at Experity In today’s climate of value-based care, changing reimbursement models, increasing regulatory burdens, and shifting payer mixes, effect RCM is mission-critical to maintain a strong financial profile and stay afloat. The cloud ends up being cheaper in all but the most extreme circumstances.

RCM

RCM EHR Private practice Healthcare IT

Unlocking the Power of Interoperability for Revenue Cycle Management

Weekly Roundup – April 13, 2024

Trending Sources

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

WellSky Acquires Corridor, Expands Commitment to Offering Best-in-Class Coding, Revenue Cycle Management Services for Post-Acute Industry

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

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

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

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

Weekly Roundup – January 21, 2023

Weekly Roundup – November 4, 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 – July 10, 2022 – Sequoia Project releases TECFA identity verification documentation, IBM Watson Health is now Merative, and more

Weekly Roundup – January 13, 2024

Weekly Roundup – March 11, 2023

Weekly Roundup – August 12, 2023

Weekly Roundup – August 20, 2022

Weekly Roundup – February 3, 2024

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 – July 2, 2022

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

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

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

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

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

Weekly Roundup – October 15, 2022

Insights and Perspectives from #HFMAAnnual Conference

Bonus Features – July 23, 2023 – Number of people impacted by data breaches up 56% compared to last year, CMS keeps temporary telehealth expansion in 2024 Medicare fee schedule, and more

Weekly Roundup – June 10, 2023

Canvas Medical Achieves ONC Certification, Raises $24MM to Power Clinicians and Developers Building and Scaling Digital Health Companies

The Role of RCM in Health Equity

Weekly Roundup – May 13, 2023

Healthcare AI – 2024 Health IT Predictions

Bonus Features – January 15, 2023 – 80% of consumers want a clearer process for dealing with billing errors, USCDI update would add 20 more elements, and more

The Payment Integrity Game-Changer: Generative AI

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

How Will the Current Macroeconomic Environment Impact Digital Health and Healthcare IT Decision-Making?

Healthcare AI and Automation: Good or Bad?

A Data Network to Tackle Real-Time Eligibility and Claims Along with Many Other Health Data Problems

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

Healthcare Workforce – 2024 Health IT Predictions

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

What are the Cost Implications of Implementing Cloud Technology in Healthcare?

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