Denial Management
The medical lockbox has existed for decades — with many banks offering this treasury management service to their healthcare clients. Traditionally, medical lockboxes are the consolidation point for paper payments and remittances, where banks process multiple payment types including ERAs, EFTs (ACH), checks, wire transfers, and now virtual cards. However, over the past decade, a…
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A report entitled An Analysis of Outpatient Revenue Cycle Management Outsourcing, the result of a collaboration between HFMA and health information technology company XIFIN and reflecting responses from 157 US-based HFMA members, reveals that over one in five revenue cycle leaders handle their own inpatient revenue cycle management (RCM) operations. However, according to a study conducted…
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Mergers and acquisitions (M&A) are common occurrences in the healthcare market. Whether it’s consolidation of healthcare providers/hospitals/systems or synergistic healthcare technology companies advancing their capabilities to improve healthcare, M&A within the industry is seen as a major positive. Over the past decade, we’ve seen what have been dubbed “mega-deals,” including: Microsoft acquiring Nuance for $19B…
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PYMNTS.COM leads with a jarring statistic: At more than $4 trillion, healthcare spending in the United States accounts for nearly 20% of gross domestic product (GDP), a far greater share than other Organization for Economic Cooperation (OECD) countries. There are many reasons for this disparity, but inefficiency and ineffectiveness in purchasing and payments loom large among them. Because…
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Check Fraud and Recognition Solutions Business Will Continue to Run Independently Billerica, MA, August 16, 2022 – OrboGraph, a premier supplier of check processing automation, fraud detection, and healthcare payment electronification, announced today that Revenue Management Solutions (RMS), a provider of automated healthcare payments reconciliation services has acquired OrboGraph. Thompson Street Capital Partners (TSCP), a private…
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According to McKinsey & Company, insurers are much closer to their vision of near-optimal claims processing in 2030 than they were just a few years ago. HealthPayer Intelligence reports that this means commercial health payers can expect the benefits of an integrated, digital claims payment process that benefits every stakeholder. A claims payment solution that…
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According to the new market research report entitled “Healthcare IT Market by Products & Services (Healthcare Provider Solutions, Healthcare Payer Solutions, & HCIT Outsourcing Services), Components (Services, Software, Hardware), End-User, and Region – Global Forecast to 2026″ (download HERE), the global Healthcare IT market is projected to reach USD 821.1 billion by 2026 from USD 326.1…
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As inflation soars and pandemic-era aid comes to an end, MedCity News reports that many industries and Americans have been struggling to thrive in the post-pandemic economic landscape. The U.S. healthcare system is not exempt from this state of affairs: Kaiser Permanente recorded a net loss of $961 million in the first quarter Ascension’s net loss was $884.7…
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Early data indicates that the No Surprises Act — signed into law in 2020 and designed to protect against unforeseen charges and escalated bills, and which took effect on January 1, 2022 for most consumers enrolled in individual and group health insurance plans — is delivering on its promise in spite of significant enforcement challenges.…
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In case you missed it, over the past month, we have published incredible content on our OrboNation Blog and Modernizing RCM with AI. Review the latest OrboNation Newsletter online or via PDF download.
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