Document and RCM - Connected Health Pulse

Independent Peer Review Streamlines RCM

BHM Healthcare Solutions

MARCH 15, 2023

Revenue cycle management (RCM) refers to the process of tracking patient care from registration to final payment, including all the administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue. Calls are recorded and transcribed, focusing doctors on patient care.

RCM

RCM: Fixing the Old and Adjusting to the New

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.

RCM

RCM Primary Care Leadership Healthcare IT

Careficient Acquires Home Health, Hospice, Home Care, Palliative and RCM Solutions from Net Health

Healthcare IT Today

JANUARY 12, 2023

a leading provider of Electronic Medical Record (EMR) solutions, today announced the acquisition of Net Health ’s EMR line of home health, hospice, home care, and palliative solutions and RCM services (collectively, “home health and hospice”). Careficient Inc. , This transaction will provide real benefits to both customers and employees.

RCM

RCM EMR EHR Healthcare IT

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

For better RCM, prioritize people and track with technology

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.

RCM

RCM Leadership Health Information

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

News and Studies The Sequoia Project released a bundle of TEFCA draft documents , including v2 drafts of the Common Agreement and QHIN Technical Framework. 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.

RCM

RCM FHIR Healthcare IT Mental health

Computer Assisted Professional Coding is Helping St. Joseph’s Be More Resilient

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. What attracted me to this product was the partnership that AGS Health offered,” explained Dr.

RCM

RCM Healthcare IT Leadership Health IT

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. For more information visit corridorgroup.com.

RCM

RCM Leadership Interoperability EHR

2022 Predictions for Revenue Cycle Management (RCM)

Healthcare IT Today

JANUARY 20, 2022

As we head into 2022, we asked the Healthcare IT Today community to share some predictions for the new year. I always find it interesting to learn what people think is coming down the road. Be sure to check out all our Health IT Predictions. One of the hottest topics thanks to COVID is associated […].

RCM

RCM Healthcare IT Health IT

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

Healthcare IT Today

JANUARY 15, 2024

Because many people don’t proclaim themselves as medical tourists on travel documents, reliable statistics on the prevalence of medical travel are scarce. Most often, the resulting document is a PDF file that’s transmitted to the payer. But the U.S. has been named the top worldwide medical tourism destination.

RCM

RCM Interoperability Healthcare IT Leadership

This Week’s Health IT Jobs – April 3, 2024

Healthcare IT Today

APRIL 3, 2024

We hope you enjoy this look at some of the health IT jobs we saw healthcare organizations trying to fill this week. Epic Cupid Analyst – Bluebird Staffing Senior EHR Analyst, Epic Beacon – Ardent Health Services Sr.

Health IT

Health IT RCM EMR Healthcare IT

AAPC Expands Its Technology Solutions Portfolio with the Acquisition of Semantic Health

Healthcare IT Today

DECEMBER 7, 2023

” Based in Toronto , Semantic Health has made significant strides in streamlining manual auditing processes, reducing denials, and improving documentation quality for auditing teams. This will help us improve data quality, optimize revenue cycle management (RCM) efficiency, and unlock generative AI in healthcare.”

RCM

RCM healthcare technology Health Information Health Technology

Bonus Features – December 24 , 2023 – 74% of orgs automating RCM operations, per-physician revenue exceeding expenses at U.S. hospitals, plus 19 more stories

Healthcare IT Today

DECEMBER 24, 2023

Partnerships Greenway Health integrated Data Dimensions’ Providerflow platform into its new release, Greenway Document Manager. Among those organizations not using automation, 80% plan to by the end of 2025.

RCM

RCM eCare Healthcare IT Mental health

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. Products Augmedix launched Augmedix Go , ambient AI medical documentation for the ED, and announced HCA Healthcare as a pilot user. Ambient AI documentation vendor DeepScribe added Dr. Miles Snowden to its advisory board.

FHIR

FHIR RCM Healthcare IT Mental health

Weekly Roundup – December 30, 2023

Healthcare IT Today

DECEMBER 30, 2023

Colin Hung spoke to Neighborhood Health CIO Anthony Villanueva about enabling a grassroots approach to care by giving care teams NextGen mobile technology to document encounters well beyond the clinical setting. Read more… Bringing Care to the Streets in Nashville. Read more… Taking Social Determinants of Health to New Heights.

RCM

RCM Life Science Mental health Healthcare IT

Weekly Roundup – July 1, 2023

Healthcare IT Today

JULY 1, 2023

Read more… RCM: Fixing the Old and Adjusting to the New. We posed two questions to the Healthcare IT Today community about RCM. It starts with looking at the RCM process holistically and finding ways to improve communication, reduce confusion, give patients more payment options, and aim for a personalized approach.

RCM

RCM eHealth Healthcare IT Public Health

New E&M Guidelines for Emergency Medicine

Healthcare IT Today

DECEMBER 9, 2022

From the perspective of revenue cycle management (RCM), the updates may create revenue uncertainty. . While any changes to the status quo can cause anxiety, especially when they tie directly into revenue, with the proper knowledge, preparation, and technology, medical organizations can stay on track to reach their 2023 RCM goals. .

RCM

RCM Medical Billing Healthcare IT Health IT

Bonus Features – March 31, 2024 – 55% of Change Healthcare customers expect adverse impacts on patient care, a mobile app helped 84% of seniors lower their blood pressure after 6 months, plus 19 more stories

Healthcare IT Today

MARCH 31, 2024

ONC released its Draft 2024-2030 Federal Health IT Strategic Plan and is accepting public comments on the document until May 28. Company News Urgent care software maker Experity migrated about 300 practices to RCM vendor Waystar in response to the disruption of claims submission from the Change Healthcare hack.

RCM

RCM Healthcare IT HIPAA Health Data

Weekly Roundup – October 28, 2023

Healthcare IT Today

OCTOBER 28, 2023

John interviewed Suki CEO Punit Soni, about how ambient clinical voice is changing rapidly, including how Suki works as a voice assistant and not just a clinical documentation tool. One strategy for building this strength is digitizing and streamlining RCM. RCM vendor Alpha II acquired RCxRules , a revenue cycle automation vendor.

RCM

RCM Mental health Nursing HIPAA

Misinformation, Trust, Charting, and Conferences – Fun Friday

Healthcare IT Today

OCTOBER 7, 2022

Great panel with @Fin_Thrive , @BannerHealth & @CenturaHealth on the future of #RCM. The documentation burden on clinicians is rough. Never underestimate the power of easy. “In In God we trust. All others must bring data.” Edwards Deming. pic.twitter.com/alxoUQHDen. Olivia Schlabach (@livschlab) October 6, 2022.

RCM

RCM EHR Healthcare IT

Weekly Roundup – November 4, 2023

Healthcare IT Today

NOVEMBER 4, 2023

Generative AI could support diagnosis and treatment of mental health conditions , and it can help document visits and track symptoms. 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

Avoiding Red Flags: Finding the Right Productivity Balance

Healthcare IT Today

NOVEMBER 22, 2022

The following is a guest article by John Wallace, PT, OCS, Senior Vice President of RCM at WebPT. Finally, payers of all stripes may send documentation requests. An Advanced Document Request (ADR) is then followed by a list of beneficiaries and dates of service to be reviewed. About John Wallace.

Medicare

Medicare RCM Private practice Nursing

Bonus Features – January 14, 2024 – Epic Research shows telehealth results in more follow-up visits that in-office care, Elevance Health to offer smartphones to qualified Medicaid beneficiaries, plus 21 more stories

Healthcare IT Today

JANUARY 14, 2024

Partnerships DeepScribe deepened its integration with Epic , now pushing documentation into specific fields of a patient’s chart. Florida-based Tallahassee Memorial HealthCare selected Ensemble Health Partners for RCM technology and services.

Telehealth

Telehealth EHR RCM Healthcare IT

Technology & RCM & AI, Oh My!

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!

RCM

RCM EHR Healthcare IT Health Data

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

Studies Less than 1% of all medical claims include an ICD-10 Z code that documents a social determinant health, according to a data brief from LexisNexis Risk Solutions. EHR and RCM vendor for therapy and rehab practices Raintree released Raintree Payments. RCM vendor RSi was named a Top Workplace in South Carolina.

RCM

RCM EHR Mental health BioTech

Voice-to-Billing Ambient Clinical Voice at Medvise.AI

Healthcare IT Today

MARCH 22, 2024

Learn more about Medvise.ai: [link] Check out other articles in our ambient clinical voice series: Context Makes Innovaccer More than a Note Generator How Comprehend PT Takes Clinical Notes Our of Physical Therapists’ Hands Sunoh’s Ambient Clinical Voice Automates Clinician Note Creation Corti Becomes Part of the Conversation Nuance Is Setting the (..)

EHR

EHR Healthcare IT Medical Billing RCM

Weekly Roundup – January 13, 2024

Healthcare IT Today

JANUARY 13, 2024

Compliance monitoring, documentation, omnichannel physician engagement, and supply chain resilience are some of the areas where the experts see AI playing a more prominent role in pharma IT this year. Credit balance and payment vendor TREND Health Partners acquired Advent Health Partners , which reviews medical records in RCM processes.

Interoperability

Interoperability Healthcare IT RCM Health IT

Weekly Roundup – January 20, 2024

Healthcare IT Today

JANUARY 20, 2024

Responses included task automation, resource allocation, clinical documentation, predictive analytics, diagnostics, and supporting the hospital at home. Read more… Funding and M&A Activity: Veradigm acquired RCM vendor Koha Health. Read more… 2024 Health IT Predictions: AI Use Cases in Healthcare.

Healthcare IT

Healthcare IT RCM Health IT EHR

Where UiPath Can Automate For Workflow and Quality in Healthcare

Healthcare IT Today

FEBRUARY 9, 2024

These can look at EHRs and patient directories, or analyze 60-70 pages worth referral documents to identify the need for financial planning. Middleware systems that currently have only rudimentary, rule-based quality checks can be enhanced with sophisticated quality checks.

Healthcare IT

Healthcare IT EHR RCM Leadership

Weekly Roundup – October 15, 2022

Healthcare IT Today

OCTOBER 15, 2022

A bad UI can leave physicians distracted and frustrated, which takes theis attention away from the patient in the room and can lead to errors in documentation or prescribing. Global EHR, ERP, and RCM service provider Nordic Consulting acquired Hygeian , which serves the United Kingdom and Middle East.

EHR

EHR RCM Healthcare IT Interoperability

Weekly Roundup – July 29, 2023

Healthcare IT Today

JULY 29, 2023

Data lineage tools document the source, accuracy, and flow of regulated healthcare data – a key step in ensuring compliance and minimizing the impact of a data breach, noted Ernie Ostic at Manta. based EMR, RCM, and practice management assets to N. Read more… Data Lineage Tools Help Unpack Complex Data Dependencies.

Healthcare IT

Healthcare IT Leadership eHealth 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. These metrics are a vital part of a patient’s SDoH story when this information is documented in the patient’s chart.

RCM

RCM Medicare Interoperability Patient Experience

5 Must-Haves in a Patient Financial Communication Platform

Healthcare IT Today

SEPTEMBER 25, 2023

By leveraging a cloud CCM platform to offer print/mail, email, and text messaging options, providers and RCM leaders can quickly close these gaps to give patients the billing and payment experiences they want. To this end, some CCM platforms accept document files in multiple formats including APIs, batch STP, and print-ready PDFs.

RCM

RCM Patient Experience HIPAA healthcare technology

Bonus Features, HLTH Edition – October 11, 2023 – Announcements from Best Buy, General Catalyst, Google Cloud, Microsoft, Walgreens, and more

Healthcare IT Today

OCTOBER 11, 2023

Finally, the company noted more than two-thirds of clinicians using Nuance DAX Copilot for AI-powered documentation had an improved experience providing care. TrustCommerce integrated its patient payments platform with athenaIDX , athenahealth’s RCM product.

Life Science

Life Science EHR BioTech RCM

CorroHealth Expands AI’s reach in Clinical Revenue Integrity with Addition of TCP Services and Analytics Solutions

Healthcare IT Today

OCTOBER 8, 2020

The solutions acquired from TCP provides data-driven, physician-led, prospective clinical documentation integrity (“CDI”) reviews […]. A combination of artificial intelligence (“AI”) capabilities and physician-led quality reviews enhances the reimbursement cycle solutions from CorroHealth.

RCM

RCM Healthcare IT Health IT

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

IoT data analytics company CenTrak launched Workflow , a platform for automating clinical documentation and reporting. EHR, RCM, and practice management vendor ModMed appointed Jody Beaverson as Chief People Officer. GI health management platform Ayble Health announced a partnership with the American Nutrition Association.

RCM

RCM Healthcare IT Primary Care Interoperability

Bonus Features – December 10, 2023 – 84% of physicians still use manual processes to manage care transitions, 70% of executives prefer managed services for RCM, plus 26 more stories

Healthcare IT Today

DECEMBER 10, 2023

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. Sales Texas Family Wellness Clinic is adopting Sunoh.ai , the EHR-agnostic clinical documentation tool developed by eClinicalWorks.

RCM

RCM EHR HIE Healthcare IT

Maximizing Revenue and Compliance: The Vital Role of Revenue Integrity in Healthcare Organizations

Healthcare IT Today

JUNE 6, 2023

They should be documented and communicated to all staff members who are involved in the revenue cycle. Historically, healthcare organizations have tended to compartmentalize departments, with little integration or collaboration between the clinical and revenue cycle teams.

Leadership

Leadership RCM Healthcare IT Health IT

Enhancing Payment Integrity in Healthcare through Pre-Payment Reviews

Healthcare IT Today

FEBRUARY 2, 2024

API-driven integration and AI capabilities support pre-payment review effectiveness by scanning claims with high accuracy in less than half a second, reducing manual efforts and minimizing the likelihood of errors slipping through the cracks.  For complex claims that require the review of additional documentation, such as itemized bills or medical (..)

Medical Billing

Medical Billing RCM Healthcare IT Health IT

Leveraging AI to Improve Revenue Cycle Management and Assist During Staff Shortages

Healthcare IT Today

DECEMBER 22, 2022

As a business, it makes sense to embrace AI in revenue cycle management (RCM) fully. Additionally, integrating AI with provider documentation reduces queries from coding professionals, which expedites claims submissions. One of the largest areas with AI-enabled products and functions for RCM is denials management.

RCM

RCM Healthcare IT

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). The World Health Organization estimates that up to 50% of all medical documentation mistakes result from administrative errors.

RCM

RCM Patient Experience EHR Pharmaceuticals

Weekly Roundup – August 19, 2023

Healthcare IT Today

AUGUST 19, 2023

Colin spoke to Joella Almeida at MedEssist about supporting pharmacies as they take on a greater role in care delivery through documentation, scheduling, and more. Read more… Moving the Industry Forward With an RCM Adoption Model. Healthcare has many models, but until recently RCM has been missing.

RCM

RCM Healthcare IT EHR HIE

Athelas + Commure: Merging to Create a $6B Healthcare Infrastructure Company

Healthcare IT Today

OCTOBER 23, 2023

In the past few years, Athelas RCM and RPM have grown rapidly to thousands of healthcare providers and hundreds of thousands of patients. We’re also raising fresh capital from General Catalyst, valuing the combined entity at $6B.

RCM

RCM Nursing EHR Healthcare IT

Weekly Roundup – April 29, 2023

Healthcare IT Today

APRIL 29, 2023

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.

Patient Experience

Patient Experience RCM Healthcare IT Public Health

Independent Peer Review Streamlines RCM

RCM: Fixing the Old and Adjusting to the New

Trending Sources

Careficient Acquires Home Health, Hospice, Home Care, Palliative and RCM Solutions from Net Health

Bonus Features – July 10, 2022 – Sequoia Project releases TECFA identity verification documentation, IBM Watson Health is now Merative, and more

For better RCM, prioritize people and track with technology

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

Computer Assisted Professional Coding is Helping St. Joseph’s Be More Resilient

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

2022 Predictions for Revenue Cycle Management (RCM)

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

This Week’s Health IT Jobs – April 3, 2024

AAPC Expands Its Technology Solutions Portfolio with the Acquisition of Semantic Health

Bonus Features – December 24 , 2023 – 74% of orgs automating RCM operations, per-physician revenue exceeding expenses at U.S. hospitals, plus 19 more stories

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

Weekly Roundup – December 30, 2023

Weekly Roundup – July 1, 2023

New E&M Guidelines for Emergency Medicine

Bonus Features – March 31, 2024 – 55% of Change Healthcare customers expect adverse impacts on patient care, a mobile app helped 84% of seniors lower their blood pressure after 6 months, plus 19 more stories

Weekly Roundup – October 28, 2023

Misinformation, Trust, Charting, and Conferences – Fun Friday

Weekly Roundup – November 4, 2023

Avoiding Red Flags: Finding the Right Productivity Balance

Bonus Features – January 14, 2024 – Epic Research shows telehealth results in more follow-up visits that in-office care, Elevance Health to offer smartphones to qualified Medicaid beneficiaries, plus 21 more stories

Technology & RCM & AI, Oh My!

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

Voice-to-Billing Ambient Clinical Voice at Medvise.AI

Weekly Roundup – January 13, 2024

Weekly Roundup – January 20, 2024

Where UiPath Can Automate For Workflow and Quality in Healthcare

Weekly Roundup – October 15, 2022

Weekly Roundup – July 29, 2023

The Role of RCM in Health Equity

5 Must-Haves in a Patient Financial Communication Platform

Bonus Features, HLTH Edition – October 11, 2023 – Announcements from Best Buy, General Catalyst, Google Cloud, Microsoft, Walgreens, and more

CorroHealth Expands AI’s reach in Clinical Revenue Integrity with Addition of TCP Services and Analytics Solutions

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

Bonus Features – December 10, 2023 – 84% of physicians still use manual processes to manage care transitions, 70% of executives prefer managed services for RCM, plus 26 more stories

Maximizing Revenue and Compliance: The Vital Role of Revenue Integrity in Healthcare Organizations

Enhancing Payment Integrity in Healthcare through Pre-Payment Reviews

Leveraging AI to Improve Revenue Cycle Management and Assist During Staff Shortages

Healthcare AI and Automation: Good or Bad?

Weekly Roundup – August 19, 2023

Athelas + Commure: Merging to Create a $6B Healthcare Infrastructure Company

Weekly Roundup – April 29, 2023

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