Revenue Cycle Management

US Providers Accelerating Spending on Health IT Software, AI

September 12, 2023 - United States healthcare providers are accelerating their investment into IT and software technologies, with 80 percent of healthcare executives reporting that they’ve increased spending significantly over the past year, according to the Bain and KLAS 2023 Healthcare Provider IT Report. The report highlights that these investments are largely...


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PA Health System Strikes Artificial Intelligence Partnership

by Shania Kennedy

Pennsylvania-based Temple University Health System (Temple Health) and artificial intelligence (AI) healthcare solution company Aidoc have partnered to use AI to reduce the length of stay and cost of...

Population Health, EHR, Analytics Needs Drive Orgs to Consultants

by Jennifer Bresnick

Health IT consultants are reaping significant financial rewards as provider organizations seek to bulk up their population health management technologies and big data analytics toolkits, according to a...

Physicians Seek Population Health, RCM Advice for Value-Based Care

by Jennifer Bresnick

Physician groups looking to accelerate their transitions to value-based care are actively seeking out advice from consultants who can support the development of improved population health management...

Why Healthcare Should Study Up on Lessons Learned in Fintech

by Jennifer Bresnick

The healthcare industry’s slow but steady transition from volume to value is about much more than reshaping the delivery of clinical care.  While improving quality is certainly a daunting...

Users Opt for Integrated EHR, Population Health, RCM Platforms

by Jennifer Bresnick

Integrated electronic health record (EHR), population health management, and revenue cycle management (RCM) platforms are receiving top marks in user satisfaction from a growing number of organizations...

AHIMA Releases New Clinical Documentation Improvement Toolkits

by Jessica Kent

AHIMA has released two new clinical documentation improvement (CDI) toolkits on outpatient documentation and denials management to support the exchange of complete and accurate data across the care...

Healthcare Financial Analytics, Business Intelligence Market Takes Off

by Jennifer Bresnick

Financial analytics and business intelligence tools are poised to become the next major area of investment for healthcare providers and payers, predicts a new series of market reports. As hospitals...

Coding, CDI Outsourcing Improve Case Mix, Healthcare Data Integrity

by Jennifer Bresnick

Healthcare organizations that partner with coding and clinical documentation improvement (CDI) outsourcing experts have seen more accurate claims coding, increased case mix indexes, and enhanced...

Five Blockchain Use Cases for Healthcare Payers, Providers

by Jennifer Bresnick

The distributed ledger methodology known as blockchain is piquing interest in the healthcare industry as organizations search for more secure and trusted strategies for managing big data.  By...

Change Healthcare Plans Payer, Provider RCM Blockchain Tool

by Jennifer Bresnick

Change Healthcare is among the first health IT companies to announce the launch of an enterprise-scale blockchain solution that would bring payers and providers the ability to leverage the distributed...

Leveraging Business Intelligence for Healthcare Management

by Jennifer Bresnick

Considering that the phrase “value-based care” is almost always immediately followed by a discussion about how to trim inefficiencies and improve patient outcomes, few industries are more in need of comprehensive insight into...

Revenue Cycle Analytics Enable Value-Based Care for Pediatrics Group

by Jennifer Bresnick

Value-based care contracts are becoming increasingly popular for providers and payers looking to slim down spending and increase quality, but few organizations can truly flourish in the...

EHRs, IoT, Revenue Cycle Bring Opportunities for Healthcare APIs

by Jennifer Bresnick

Application programming interfaces (APIs) are quickly becoming a critical tool for healthcare organizations looking to build interoperable connections, and it is likely that this new standard for health...

Using Data Analytics Tools for Healthcare Claims Management

by Joncé Smith

Effective claims management requires healthcare organizations to deploy a multi-faceted strategy that relies on data analytics and includes many phases of the revenue cycle, beginning when the patient...

Blockchain, APIs Take a Stab at the Healthcare Revenue Cycle

by Jennifer Bresnick

Capital One is hoping to bring the blockchain and API tools to the healthcare industry by proving their value in the revenue cycle management arena.  A pair of new partnerships between the...

Providers Struggle with Time, Tools for Revenue Cycle Analytics

by Jennifer Bresnick

Healthcare providers haven’t quite gotten the hang of revenue cycle analytics, according to a new survey by Navicure, and organizations continue to struggle with the basics of developing a...

Preventing Big Data Pain Points During a Healthcare Encounter

by Jennifer Bresnick

When it comes to the healthcare space, the term “big data” may seem needlessly redundant.  After all, each and every patient generates a staggering amount of information each second they’re in the clinical...

CMS to Update to MSSP Accountable Care Organization Benchmarks

by Jennifer Bresnick

CMS is continuing to make much-needed tweaks to its healthcare reform programs, using a new proposed rule to tackle benchmarking issues with its Medicare Shared Savings Program (MSSP) accountable care...

How the Patient-Centered Medical Home “Repackages” Primary Care

by Jennifer Bresnick

The healthcare industry operates in a unique economic niche where the “what you see is what you get” principle that governs most other consumer interactions only vaguely applies. ...