News

Article
Automation
Revenue Cycle

Joe PolarisApril 10, 2020

RevCycleIntelligence: How AI Is Optimizing Revenue Cycle Management

Prior authorizations are one of the most burdensome aspects of revenue cycle management.

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Article
CMS
COVID-19
Physician Advisory

Dr. Ronald HirschApril 9, 2020

RACMonitor: CMS Clarifies Patient Financial Responsibility for COVID-19 Testing

RACmonitor.com news asked Dr. Ronald Hirsch, vice president at R1 RCM, to summarize the latest from the Centers for Medicare & Medicaid Services (CMS) on covering costs for COVID-19 care. In response, Dr. Hirsch provided RACmonitor the following summary.

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Automation
Press Release
Revenue Cycle

R1 RCMApril 1, 2020

R1 Completes Acquisition of SCI Solutions

CHICAGO - April 01, 2020 - R1 RCM Inc. (NASDAQ:RCM), a leader in technology-enabled revenue cycle management (RCM) services  to healthcare providers, today announced it has completed the acquisition of SCI Solutions, Inc. (SCI).

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Article
CMS
COVID-19
Physician Advisory

Chuck BuckMarch 31, 2020

RACMonitor: CMS Modifies Discharge Planning for Hospitals

As hospitals continue in their struggle to treat patients for COVID-19, the illness caused by the novel coronavirus pandemic, the Centers for Medicare & Medicaid Services (CMS) has modified its requirements for discharge planning.

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Blog Post
Patient Experience
Revenue Cycle

Rod NichollsMarch 20, 2020

Putting the Patient First: HealthLeaders Covers Top Five Actions to Prioritize Patient Experience

Now more than ever in healthcare, the focus is on the patient—and what they need from providers and payers in order to have the ideal patient experience.  As we embark on a new decade, it’s exciting to see organizations showing signs of being more open to investing in revenue cycle technology that gives ...

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Article
Automation
Physician Services
Revenue Cycle

Joe PolarisMarch 18, 2020

Physicians Practice: Automation Can Standardize RCM Workflows and Provide Price Transparency

Given CY 2020’s Hospital Price Transparency Requirements, which take effect January 1, 2021, there has been a huge push in the healthcare industry to not only provide financial clarity to patients, but also deliver on rising overall consumer expectations in order to stay competitive. While price ...

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Article
Consumerism
Patient Experience
Physician Services

Richard Lopez del RinconMarch 16, 2020

MGMA: Creating Access and Engagement Across the Revenue Cycle

In the wake of the 2019 White House Executive Order mandating price transparency,1 many healthcare organizations have accelerated plans to enable greater cost transparency. Physician practices can substantially strengthen these plans by acknowledging that such transparency is ...

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Best Practices
Consumerism
Podcast
Revenue Cycle

Joe PolarisMarch 13, 2020

Joe Polaris Talks M&A Risk and Benefits, Achieving Consumerism Goals

Hospital M&A activities have been trending up in recent years, and with the promised economies of scale it seems like an attractive option. However, according to Joe Polaris, Senior Vice President of Product Technology at R1, achieving the desired benefits of consolidation can be difficult.  Joe recently ...

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Automation
Blog Post
Revenue Cycle
RPA

Chris IngersollMarch 9, 2020

The Key to Generating Real ROI When Automating the Revenue Cycle: A Trusted Partner

Technologies under the general category of “automation” include artificial intelligence (AI), machine learning, robotic process automation (RPA), and self-service tools which can improve efficiency or replace entirely the work human administrators do today. The revenue cycle traditionally is a complex operational ...

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Billing
Blog Post
Physician Services
Quality Programs

Lynn Guerrant BSN, MSFebruary 28, 2020

Survival Strategies for Independent Practices in a Value-Based Environment

With the advent of MACRA, CMS has begun to shift healthcare reimbursement from fee-for-service to one based on achievement of value-based metrics.  The goals of Value-based care are to improve care quality and lower costs.  Independent providers must overhaul their financial and clinical processes to ...

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