News

Taking Hold of the AI Opportunity in Revenue Integrity

Posted in Client News Coverage on Friday, September 25, 2020.

Health care is realizing the promise of artificial intelligence (AI) across a broad and seemingly endless range of use cases. The opportunities for using advanced technologies to accelerate labor-intensive processes touch everything from research and operations to supply chain and point-of-care decision making.

Data-hungry revenue integrity and billing compliance functions are no exception. AI tools such as machine learning, natural language search, and anomaly detection are fueling new and expanded insights into revenue integrity, billing compliance, and quality assurance to advance process improvement initiatives. And not surprisingly, the value proposition of these tools is growing rapidly amid COVID-19 as health care organizations try to maximize reimbursements against notable challenges such as revenue shortfalls and rapidly changing regulations.

ForTheRecord»

KLAS Spotlight Report Finds Carrot Health Customers Highly Satisfied Overall, Happy with Scalability, Tangible Outcomes

Posted in Press Releases on Monday, September 21, 2020.

MINNEAPOLIS – September 21, 2020 – In a newly published KLAS® Research Spotlight Report, 100% of Carrot Health customers interviewed said they were satisfied or highly satisfied with the Carrot MarketView® software and analytics platform, and would both recommend and purchase it again. The report, “Carrot Health: Using Analytics to Drive Outcomes in SDOH,” is based on detailed feedback from Carrot Health customers in the payer and health plan space on how well the company’s social determinants of health (SDoH) insights help them drive outcomes – delivering a more targeted level of care to their patient populations.

Hayes Recognized for IT Services, COVID-19 Response in 2020 CEO World Awards®

Posted in Press Releases on Monday, September 21, 2020.

Wellesley, MA — September 21, 2020 –– Hayes, makers of the industry’s leading integrated compliance and revenue integrity platform for the nation’s premier healthcare organizations, announced today that CTO Ritesh Ramesh won Silver in the 8th Annual CEO World Awards®, Executive Achievement of the Year for Information Technology Services category. Hayes also took Bronze for Team of the Year in the inaugural COVID-19 Business Response category in recognition of its work tailoring the company’s flagship MDaudit Enterprise platform to help hospitals optimize pandemic-related reimbursements and attain billing compliance.

Carrot Health CEO to Share SDoH Insights at AHIP National Conference on Medicare, Medicaid and Dual-Eligibles

Posted in Press Releases on Monday, September 14, 2020.

MINNEAPOLIS – September 14, 2020 – Carrot Health CEO Kurt Waltenbaugh will share insights into ways public health and public safety are influenced by barriers and inequities, and how social determinants of health (SDoH) continue to shape health outcomes, during the AHIP’s online National Conference on Medicare, Medicaid and Dual-Eligibles. “Addressing Upstream Community Health for SDoH Interventions” takes place at 3:30 p.m. ET on September 14.

Hayes Launches Revenue Optimizer To Help Hospitals and Healthcare Organizations Reverse Revenue Declines, Reduce Claim Denials

Posted in Client News Coverage on Tuesday, September 08, 2020.

Finding new revenue opportunities and avoiding claims denials has taken on greater urgency as hospitals and other healthcare organizations face growing reimbursement shortfalls in the wake of the COVID-19 pandemic.

It is why Hayes, makers of the industry’s leading integrated compliance and revenue integrity platform for the nation’s premier healthcare organizations, has launched Revenue Optimizer to equip healthcare organizations with actionable insights that help eliminate barriers to revenue integrity and manage overall financial performance.

Electronic Health Reporter»

Hayes Launches Revenue Optimizer to Help Hospitals and Healthcare Organizations Reverse Revenue Declines, Reduce Claim Denials

Posted in Press Releases on Thursday, August 27, 2020.

Wellesley, MA — August 27, 2020 –– Finding new revenue opportunities and avoiding claims denials has taken on greater urgency as hospitals and other healthcare organizations face growing reimbursement shortfalls in the wake of the COVID-19 pandemic. It is why Hayes, makers of the industry’s leading integrated compliance and revenue integrity platform for the nation’s premier healthcare organizations, has launched Revenue Optimizer to equip healthcare organizations with actionable insights that help eliminate barriers to revenue integrity and manage overall financial performance.

What Epidemiology Is and Reasons to Study It

Posted in Client News Coverage on Thursday, August 20, 2020.

THE CORONAVIRUS pandemic has underscored that the field of epidemiology, which focuses on discovering the causes of disease outbreaks and tracing the spread of illness, is an academic discipline with real-world relevance. When policymakers propose solutions to the COVID-19 outbreak, they often base their recommendations on advice from epidemiologist.

Epidemiologists, sometimes referred to as "disease detectives," are trained to recognize, control and mitigate the proliferation of disease within a population and often work in academia, government or the nonprofit sector. They also sometimes work for corporations that require guidance on occupational and environmental health and safety measures. 

U.S. News and World Reports»

Inching Closer to a National Patient Identifier – House Passes Removal of Ban on National Patient ID

Posted in Client News Coverage on Tuesday, August 04, 2020.

Little by little, we’re working towards a National Patient Identifier.  For those not familiar with the topic, the US government in a section of the federal budget has banned HHS from even working with the private sector to develop a national patient identifier.  However, the House of Representatives thanks to leadership from Representative Bill Foster (D-IL) and Representative Mike Kelly (R-PA) have passed a bill to remove this ban.

On behalf of our patients and caregivers, Intermountain Healthcare applauds House passage of the Foster-Kelly Amendment and looks forward to a future in which patients can accurately, safely, and consistently be matched to their health data across the care continuum,” said Ryan Smith, Vice President and Chief Information Officer at Intermountain Healthcare.

Healthcare IT Today»

Healthcare’s Evolving Reimbursement Imperative

Posted in Client News Coverage on Friday, July 31, 2020.

Embracing the shift from revenue cycle to revenue integrity

Reimbursement is becoming increasingly complex for today’s providers. And while it is fair to say that a certain amount of missed revenue has always been part of the bottom-line equation, healthcare organizations simply cannot afford to leave money on the table in the current market climate.

Already operating within razor-thin margins, today’s hospitals and health systems must now address current and future reimbursement and revenue risks introduced by the COVID-19 pandemic. In a recent study, Strata Decision Technology estimated that 97% of health systems will lose an average of $1,200 per coronavirus case, or as high as $8,000 in some instances—even with the 2% Medicare payment increase.

HealthIT Answers»

Just Associates Joins Patient ID Now to Support Advancement of a Nationwide Patient Identification Strategy

Posted in Press Releases on Friday, July 31, 2020.

Coalition of healthcare organizations seeks relief from statutory language blocking HHS from supporting a solution to address serious issues preventing accurate patient matching.

CENTENNIAL, Colo. – July 31, 2020 – Just Associates, Inc., a nationally recognized leader in patient matching and health information data integrity and management, is lending its voice to Patient ID Now in support of efforts toward a nationwide patient identification strategy. The newly formed coalition of healthcare organizations is dedicated to eliminating regulations that create barriers to public-private collaboration on solutions to the intractable problem of inaccurate patient identification.

Kurt Waltenbaugh, Founder & Chief Executive Officer, Carrot Health

Posted in Client News Coverage on Tuesday, July 21, 2020.

Carrot believes in enabling a future where each of us has no barriers to leading our healthiest lives. Unfortunately, health in this country is distributed very inequitably. In the Twin Cities we have communities with a 30-year gap in mortality: Medina at ~90 years, Frogtown in St. Paul at ~60 years.

That distribution is often based on lines drawn by racism. Take food insecurity. Those who struggle to get enough to eat report the highest levels of poor health – exacerbating nearly every medical condition.

In Minnesota, the ‘average’ person has much better access to food than the national average – only 75% of the national risk. Until we look at the data by race – in North Minneapolis, a family has 1.6x the likelihood of food insecurity, compared to the nation as a whole.

Medical Alley»

 

CV19 Lab Testing Dashboard Powered by hc1 Expanded to Deliver Local Antibody Testing Insights and Risk Trending

Posted in Press Releases on Monday, July 20, 2020.

New Data Fills Needed information Gap to Inform Local Public Health Strategy

Indianapolis, Indiana - July 20, 2020 - The award-winning CV19 Lab Testing Dashboard™ powered by hc1® has added the industry’s only side-by-side view of COVID-19 viral and antibody testing, as well as local-risk and age-group trending at the national, state, county and sub-county levels. Already well-established as a critical, hyperlocal, free resource for SARS-CoV-2 viral testing trends, the complimentary dashboard provides local lab testing insights including the hc1 Local Risk Index™ (LRI), COVID-19 viral and antibody testing rates, as well as anonymized test results and key demographic filters.

Overcoming Telehealth Reimbursement Risks

Posted in Client News Coverage on Monday, June 15, 2020.

Saying that telehealth has moved front and center amid the COVID-19 pandemic is an understatement. With the Centers for Medicare and Medicaid Services (CMS) now reimbursing for remote care models, adoption of telehealth is rapidly advancing as physicians strive to overcome barriers to continuity of care and maintain operations amid stay-at-home orders.

Notably, one analysis found that from March 14 to April 1, daily telehealth claims for upper respiratory infections using ICD-10 diagnosis codes from private insurance increased nearly 12 times from the daily average over the previous month. In this case, upper respiratory infections were chosen to reflect COVID-19-related illnesses prior to the introduction of a diagnosis code for COVID-19.

Physicians Practice»

 

Elevating Billing Compliance and Revenue Integrity amid the Pandemic

Posted in Client News Coverage on Friday, June 12, 2020.

While the introduction of new COVID-19 reimbursement rules and regulations have brought on their share of confusion, there is one certainty healthcare organizations can bank on: oversight of incentive dollars will be a regulatory priority. In fact, federal watchdogs are not wasting any time, as reports suggest monitoring of billing and claims data is already underway to ensure that hospitals are not upcoding to take advantage of higher COVID-19 reimbursement rates.

RACmonitor»

Carrot Health and HealthMine Form Strategic Partnership to Improve Health Plan Performance and Member Satisfaction

Posted in Press Releases on Wednesday, June 10, 2020.

Collaboration enables a complimentary end-to-end quality solution combining industry-leading consumer and healthcare datasets with a best-in-class engagement and rewards solution

MINNEAPOLIS AND DALLAS, June 10, 2020 --  Carrot Health, a leading provider of healthcare solutions powered by consumer data, and HealthMine, the health action engagement company, announced a strategic product integration partnership for the health plan market. By combining Carrot Health’s MarketView™ platform and consumer data analytics with HealthMine’s engagement and rewards solution that empowers individuals to take the right actions to improve their health, this partnership creates a solution enabling health plans to improve performance and member satisfaction.