Financial/Revenue Cycle Management

Unable to claim payments, more than half of physician practice respondents in a new American Medical Association survey reported using personal funds to cover expenses, and 31% said they could not make payroll.

Using AI-enabled analytics has allowed Ministry of National Guard Health Affairs in Riyadh, already an accomplished HIMSS adopter, to make big improvements to a fundamental challenge.

To help health IT leaders address the risks associated with AI, here are some key steps to help approach digital transformation in a safe and sustainable way.

Payers will not only need to comply with the 2024 CMS Final Rule pertaining to materials and content, but they will need to go the extra mile because it affects star ratings, says Ernie Crawford, president and CEO of Crawford Technologies.  

Joe Gagnon, CEO of 1upHealth, talks about how collaborating more on APIs can help providers generate EHR requests for information from payers.  

Also: CloudWave and FDA extend their threat intelligence partnership to offer an open-source vendor assessment framework.

David Smith, CFO of Anatomy IT, says direct oversight must be weighed against investments in new technology.  

The agency says threat actors are targeting organizations' IT help desks with phone calls from a local area code claiming to be revenue cycle or administrator employees. After gaining access, they divert legitimate payments.

Also: Cohere Health expedites prior auth through Epic's Payer Platform

As Kaiser Permanente closes its acquisition of the Pennsylvania-based IT innovator, Gesinger will be the first health system to join the nonprofit organization, which was created by Kaiser to speed the adoption of value-based care nationwide.