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.

New research from Cedar found that about 40% of collectible healthcare dollars now come from uninsured patients, a share that has jumped 54% in three years. The shift is forcing providers to rethink their revenue cycle strategies as patient payments become more difficult — and more important — to collect.

The post The Uninsured Rate Is Soaring — What Can Providers Do About It? 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.

[Sponsored] A webinar on Thursday, January 22 at 1 pm ET will discuss the findings of a report sponsored by Smarter Technologies on what medical practices need from and the benefits of AI for revenue cycle management.

The post The Quest to Transform Bill Collection for Medical Practices appeared first on MedCity News.

[Sponsored] A webinar on Thursday, January 22 at 1pm ET will discuss the findings of the AI Index in RCM report, published by MedCity News and sponsored by Smarter Technologies.

The post What Do Medical Practices Want from Revenue Cycle Management Tech? appeared first on MedCity News.

[Sponsored] This webinar will explore how technology will play a key role in the future of improving medical billing.

The post Healthcare Revenue Cycle Transformation: What Do Leaders Need from Tech Vendors? appeared first on MedCity News.

[Sponsored] Take our quiz and learn more about perspectives on AI and RCM in healthcare.

The post Test Your Healthcare Revenue Cycle Management Knowledge appeared first on MedCity News.

The promise of automation in RCM is undeniable, but achieving it requires more than simply adopting new tools. Hospitals must take deliberate steps to prepare their people, processes, and systems for change. 

The post 5 Tips for How Hospitals Should Prepare for RCM Automation appeared first on MedCity News.

[Sponsored] In a survey of 125 people who work in medical billing, respondents shared what they like and dislike about the medical billing status quo and the changes they’d like to see to transform medical billing into a seamless operation.

The post Survey: How Can AI Transform Revenue Cycle Management Technology? appeared first on MedCity News.

[Sponsored] Smarter Technologies CEO Jeremy Delinsky explains how the company’s AI infrastructure can help support health system’s clinical documentation improvement efforts, ultimately strengthening RCM.

The post MedCity Pivot Podcast: Clinical Documentation Improvement With Smarter Technologies appeared first on MedCity News.

Some large health systems are experimenting with selling their internal capabilities — such as IT support, revenue cycle management and call center operations — to smaller hospitals as a new revenue stream. While the approach is still rare, it has the potential to help health systems monetize their expertise and infrastructure, one healthcare consultant said.

The post Why Some Health Systems Are Flipping the Outsourcing Model & Selling Their Own Services appeared first on MedCity News.

[Sponsored] Help us map the revenue cycle management landscape with our survey!

The post What Factors Are Helping and Hindering Providers as They Collect Medical Bills? appeared first on MedCity News.

Providers need a revenue cycle management platform that is more affordable and accurate, said Jeremy Delinsky, CEO of Smarter Technologies, during MedCity News’ INVEST conference. New Mountain Capital formed Smarter Technologies this week by combining three separate platforms it had already acquired.

The post How a New PE-Backed RCM Company Plans to Fix the ‘Transactional Bowels of US Healthcare’ appeared first on MedCity News.

[Sponsored] In an interview with MedCity News, Smarter Technologies CEO Jeremy Delinsky talked about the newly formed business Smarter Technologies and his ambition to automate hospitals’ revenue management capabilities with AI, which lags 2-5 years behind that of payers.

The post How Smarter AI Strikes Back for Hospitals appeared first on MedCity News.

Tech-enabled services with humans in the loop are vital components to healthcare organizations’ overall prosperity. Here are three tools that every RCM leader needs in their toolkit when approaching automation. 

The post How to Make True RCM Automation Work for You: Three Tools Every Organization Needs in Their Toolkit 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.

Given the increasing competition and rising back-office costs, embracing AI-powered revenue cycle automation to boost profitability and achieve operational excellence is more crucial than ever.

The post AI Adoption Essential for Healthcare Providers Amid Rising Challenges and Patient Options appeared first on MedCity News.

As the healthcare industry grapples with various challenges, from workforce shortages to complex coding intricacies, embracing AI can empower revenue cycle professionals to envision a future with reduced denials, optimized revenue, and fortified financial health.

The post Revolutionizing Revenue: Unleashing the Power of AI in Denials Management appeared first on MedCity News.

[Sponsored] The revenue cycle management business is using AI tools to automate cumbersome tasks to help hospitals operate more efficiently. It’s beginning to attract the attention of major healthcare organizations.

The post Jorie Healthcare CEO Shares Why Automation is Critical to Revenue Cycle Management appeared first on MedCity News.

But what AI solutions can’t do is magically eliminate the need for empowered registrars. Maximizing growth while improving efficiency requires both people and technologies.

The post Don’t Be Fooled by the ‘Autonomous’ Revenue Cycle Hype appeared first on MedCity News.

Adonis, a startup offering a revenue cycle automation platform purpose-built for healthcare, recently closed a Series A funding round led by General Catalyst. The company has raised nearly $23 million to date since launching last year.

The post Adonis Rakes In $17.3M to Optimize Providers’ Revenue Cycles 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.

CodaMetrix, an AI platform for hospital revenue cycle management, recently closed a $55 million Series A funding round. The company, which was launched out of Mass General Brigham in 2019, is focused on simplifying the complicated process of translating patient records into codes for billing and clinical research.

The post Mass General Brigham-Born Revenue Cycle Company Snags $55M appeared first on MedCity News.

By continually seeking ways to ease the financial strain of care, hospitals and health systems can position themselves as a trusted advisor for the communities they serve. It’s an approach that is vital to maintaining relationships and revenue.

The post When Cost Factors into Healthcare Decision-Making: 3 Insights for Healthcare Revenue Cycle appeared first on MedCity News.

Hospital and health system revenue cycles will face a labor shortage and external economic pressures for the indefinite future. Automation can help streamline and optimize healthcare revenue cycles, but organizations must use this enabling technology with strategic intent.

The post Automation Can Drive Post-Covid Healthcare Revenue Recovery appeared first on MedCity News.

Claim.MD is an electronic data interchange clearinghouse that helps reduce claims denials and improve cash flow. By working with the company, Walgreens has been able to make its reimbursement process more efficient and grow its business.

The post Walgreens Health taps Claim.MD to streamline claims submission process appeared first on MedCity News.

Nearly half of health systems and physician groups in the U.S. are behind on their 2022 revenue goals, and healthcare executives are worried about increasing costs, shrinking margins and the impending recession, according to a new report. It also found that most healthcare organizations’ revenue cycle or billing departments are struggling with labor shortages, leading operational inefficiencies and negative patient billing experiences.

The post Nearly half of providers are behind on revenue goals amid RCM department labor shortages, report shows appeared first on MedCity News.

An analytics-driven A/R strategy can significantly improve collections in today’s healthcare environment. This article goes over the pillars of this approach as well as what metrics should be focused on in implementing such a strategy.

The post How to use analytics and automation to build an intelligent A/R strategy appeared first on MedCity News.

Hospitals needs to make changes not only to retain clinicians but to stem financial losses. Healthcare leaders are committed to rising to the challenge, and investing in new processes and technologies to alleviate administrative pressures is a key way they’re leading the charge.

The post The domino effect: Assessing the long-term impact of healthcare staffing shortages appeared first on MedCity News.