Financial assistance is moving from discretionary policy to regulated infrastructure. For health systems, that shift has significant operational and financial implications.

The post Financial Assistance Reform Is Reshaping Revenue Cycle Strategy appeared first on MedCity News.

When revenue cycle partners wait to be asked, or rely on “tell us what you need” as a default, they miss critical opportunities to deliver meaningful performance, support their client organizations, and ultimately serve patients better. In today’s healthcare environment, partnership requires anticipation, not reaction.

The post Stop Waiting to Be Asked: What Operators Really Need From Their Revenue Cycle Partners appeared first on MedCity News.

Adonis raised a $40 million Series C funding round to help hospitals use AI to tackle denied and underpaid claims. Its platform automates manual revenue cycle tasks and provides real-time insights, which allows staff to focus on higher-value work. Customers include Mount Sinai Health System, Baptist Health South Florida, AdventHealth and ApolloMD.

The post Adonis Scores $40M for AI Platform Aiming to Boost Hospital Revenue appeared first on MedCity News.

As we see companies release more solutions targeting the revenue cycle, it’s time to distinguish excitement from impact.

The post The Revenue Cycle Needs Surgery, Not Band-Aids appeared first on MedCity News.

Data is not optional; it is essential to financial stability and strategic growth. The organizations that thrive will be those that use data to lead, not follow.

The post Data-Driven Decisions: Unlocking Strategic Financial Performance in Healthcare appeared first on MedCity News.

Some hospitals are turning to AI to help manage declining revenue and financial pressure, but one expert says success depends on more than just buying new tech. Prashant Karamchandani of Chartis urges health systems to pair AI adoption with foundational work like change management, continuous improvement and operating model redesign.

The post Why Hospitals Must Rethink Operations Before Banking on AI appeared first on MedCity News.

As healthcare leaders look for the low-hanging fruit for AI and automation investments in the revenue cycle, there are three things that should be considered to achieve maximum impact on labor effectiveness.

The post Revenue Cycle Automation: 3 Considerations For Optimal ROI  appeared first on MedCity News.

Whether trying to see more patients, retain more staff, expand the organization’s technology stack or bring more dollars in the door, it’s not uncommon for professionals to want to maximize their resources amidst a market influx.

The post Want to Maximize Rev Cycle Efficiencies? Here are 3 Considerations appeared first on MedCity News.

As our industry continues its path toward value-based care, evolving payer models, and increasingly stringent regulations, revenue cycle processes will become even more complex. Providers can prepare by following these steps.

The post Unlocking Hidden Revenue: Transforming RCM Challenges into Financial Wins appeared first on MedCity News.

We know from everyday purchasing of goods and services that you have to combine what you’re getting with what you’re paying for that good or service. But how does this basic consumer supplier concept play out in US healthcare?

The post VBC, MA, FHIR and Modern Care appeared first on MedCity News.

Hospitals are facing increasingly burdensome policies from commercial insurers, leading to problems with cash flow and patient safety. Hospital executives think federal regulators need to enact stricter policies that require payers to operate on faster timelines, as well as provide more transparency into their reasons for denying claims.

The post Payers Are Putting Profit Over Patients with Denials and Prior Auth Policies, Hospitals Say appeared first on MedCity News.

In an age where consumers have more options than ever about where to receive their care, improving the financial experience through embedded finance can give providers an advantage in an increasingly competitive marketplace.

The post How Embedded Finance Creates a Better Patient Experience appeared first on MedCity News.

While hospitals have contingency plans for events like power outages and extreme weather — backup generators, secondary chillers, and fiber for internet coverage — they can typically neglect vulnerabilities in the revenue cycle. Here are five proactive measures for hospitals and revenue cycle management/clearing house partners.

The post Preserving Profitability: Why Financial Redundancy Is Vital in Healthcare appeared first on MedCity News.

SmarterDx — an AI startup that provides clinical review and quality audits for medical claims — closed a $50 million Series B funding round, bringing its total funding to date to $71 million.

The post SmarterDx Rakes In $50M For Its AI That Helps Hospitals Capture More Revenue appeared first on MedCity News.

A health system’s failure to offer patients with digital payment options could lead to slower collection times, create a disjointed patient financial experience, and result in decreased patient satisfaction and loyalty. At HIMSS23, Atrium Health’s vice president of revenue cycle management shared how his system integrated payment into its digital front door and gave pointers to hospitals looking to do the same.

The post How Atrium Health Made Payment a Part of Its Digital Front Door appeared first on MedCity News.

An intelligent authorization platform relies on AI and machine learning to extract patient-specific data from a number of sources including the EHR. This helps health plans better anticipate, manage and optimize member outcomes.

The post Overhauling prior authorization: How to achieve better outcomes at a lower cost appeared first on MedCity News.

Revenue cycle company R1 acquired Cerner’s RevWorks business. The company will also acquire commercial, non-federal clients as part of the deal.

The post Cerner sells revenue cycle outsourcing business appeared first on MedCity News.

Olive AI, a startup that uses AI to automate error-prone administrative tasks, raised $51 million in funding. The company has experienced a recent growth spurt, expanding to more than 500 hospitals across the U.S.

The post Startup automating healthcare administration raises $51M appeared first on MedCity News.

Rivet, a startup that helps providers keep track of insurance contracts and billing, closed an $8.25 million funding round. Technology venture capital company Menlo Ventures led the funding round.

The post Startup raises $8.25M to help physicians track payments appeared first on MedCity News.

MedPilot, a Cleveland-based startup building a platform to improve patient billing, raised another $1.5 million. The company doubled its headcount and added more patients to its platform.

The post Billing startup finds success in having someone to answer the phone appeared first on MedCity News.

Streamlining patient registration, offering more financial services and protecting patients from unexpected medical bills are proven ways to collect more revenue, improve cash flow and reduce bad debt.

The post The effect of patient financial experience on critical access hospitals in 2020 appeared first on MedCity News.

The 30,000-square-foot facility in Salt Lake City will be used for evaluating, testing and designing new revenue cycle management technologies for hospitals, health systems and physician groups and will also serve as a client experience center.

The post Intermountain Healthcare opens new innovation center with partner appeared first on MedCity News.

The post Automated healthcare billing developer MediStreams raising $2M appeared first on MedCity News.

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