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Revenue Cycle/Finance

Knox Public Health Improves Revenue with eClinicalWorks EHR and Revenue Cycle Management (RCM) Optimization Services

eClinicalWorks, the largest ambulatory cloud EHR, announced that Knox Public Health successfully optimized eClinicalWorks Revenue Cycle Management (RCM) to improve operational efficiency.

The Rawlings Group, Apixio Payment Integrity, and VARIS Merge to Form Next-Generation Payment Accuracy and Integrity Platform

New Mountain Capital, LLC (“New Mountain”), a leading growth-oriented investment firm with over $55 billion in assets under management, announced the completion of a merger among The Rawlings Group (“Rawlings”), Apixio’s Payment Integrity (PI) business, and VARIS to form the leading technology-enabled platform focused on lowering the cost of care across the healthcare system.

PatientPay Emerges as a Powerhouse in Healthcare Billing and Payments through a Strategic Merger with ClearGage

PatientPay, the leading patient billing and payments partner for acute, ambulatory and specialty care, and ClearGage, a leading provider of healthcare estimate and payment solutions, announced the close of their merger to deliver the industry-leading digital billing and payment platform for medical groups, specialty practices and community hospitals as PatientPay.

MedHQ Expands Footprint with Acquisition of Trajectory Revenue Cycle Services

MedHQ, a leader in advisory and administrative solutions to the healthcare industry, has added additional scale to its suite of services by acquiring Trajectory Revenue Cycle Services (Trajectory RCS). 

Highmark Health and Epic to Improve Payer-Provider Collaboration with Insights from Google Cloud

Highmark Health announced its collaboration with Epic and Google Cloud to support coordination across payers and providers, and to identify insights that personalize the consumer experience and improve health outcomes.

Cohere Health Raises $50 Million in Equity to Meet Increased Demand for AI-Driven Transformation of Prior Authorization Process

Cohere Health, a recognized leader in clinical intelligence and prior authorization automation, announced it has closed $50 million in additional equity funding.

Veradigm Strengthens Award-Winning Revenue Cycle Services Portfolio with Acquisition of Full-Service RCM Company

Veradigm, a leading provider of healthcare data and technology solutions announced the acquisition of Koha Health, a full-service revenue cycle management (RCM) company. With this acquisition, Veradigm further adds to its depth of offerings and expertise as a leading provider of revenue cycle services in the ambulatory healthcare market.

HFMA Aligns with FinThrive to Introduce the Industry’s First Revenue Cycle Management Technology Adoption Model for Health Systems

The Healthcare Financial Management Association (HFMA) announces a strategic alliance with FinThrive, Inc., a healthcare revenue cycle management software-as-a-service (SaaS) provider, to co-launch a peer-reviewed, five-stage Revenue Cycle Management Technology Adoption Model (RCMTAM) designed to help health systems leverage industry benchmarks to assess their current state of RCM technology maturity and build best-practice plans to optimize revenue cycle outcomes.

Report: U.S. Hospitals Face Diminished Reserves, Mounting Reimbursement Challenges

Payment denials by Medicare Advantage plans jumped 56% for the median health system between January 2022 and June 2023, contributing to a 28% decline in median cash reserves, according to the latest analysis of data from over 1,300 hospitals and health systems by Syntellis Performance Solutions and the AHA.

Clinic Staffing Costs Growing Despite Some Stabilization

In AMGA’s new 2023 Clinic Staffing Survey, medical groups and health systems reported a median of 10% increase in staffing costs from 2022 to 2023 and that they continue to struggle with staffing levels.

Hospitals Experiencing Effects of Inflation and End of Public Health Emergency

Hospital finances broke even in April amid a continuing trend of high expenses and the unwinding of the Medicaid continuous coverage requirement of the COVID-19 public health emergency (PHE), according to the latest National Hospital Flash Report from Kaufman Hall.

Inbox Health Raises $22.5 Million Series B

Inbox Health, a leading patient billing communications platform, announced today that it has completed a $22.5 million Series B financing round, bringing total capital raised to more than $43 million since inception.

CodaMetrix Closes $55M Series A to Autonomously Power Medical Coding, Boost Health System Revenue Cycles

CodaMetrix, an AI technology platform transforming healthcare revenue cycle management, announced that it closed a $55 million Series A round led by SignalFire. Frist Cressey Ventures (FCV), Martin Ventures, Yale Medicine, University of Colorado Healthcare Innovation Fund, and Mass General Brigham (MGB) physician organizations also participated in the round. Chris Scoggins, Partner at SignalFire, will join the CodaMetrix Board of Directors.

Alabama Medical Billing Company Pays to Resolve False Claims Allegations

Vanessa Roberts Avery, United States Attorney for the District of Connecticut, and Phillip Coyne, Special Agent in Charge for the U.S. Department of Health and Human Services, Office of the Inspector General, and Jean Pierre Njock, Acting Special Agent in Charge of the New Haven Division of the Federal Bureau of Investigation, today announced that AMVIK SOLUTIONS, LLC (“Amvik”) has entered into a civil settlement agreement with the federal government and has paid $153,300 to resolve allegations that it submitted false claims for payment to the Connecticut Medicaid program for applied behavior analysis (“ABA”) services.

Northern Light Health and Optum Launch Strategic Relationship

Northern Light Health and Optum announced a strategic relationship to enhance the healthcare experience for patients and providers throughout Maine. As part of this relationship, select Northern Light Health employees will become part of Optum, providing them with new opportunities for growth and career advancement while they continue to support Northern Light Health.

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