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The SSI Group Announces Acquisition of ICA

Combination of administrative, financial, and clinical information exchange services enhances ability to meet the evolving needs of the healthcare industry

MOBILE, ALMarch 1, 2018The SSI Group, an industry leader in revenue cycle management (RCM) solutions, has announced the acquisition of Informatics Corporation of America (ICA), a leader in the aggregation and exchange of patient clinical data under the brand name of CareAlign.

The combined expertise and information services will help a diverse set of healthcare organizations improve their ability to address the growing need to combine administrative, financial, and clinical data driven by changes in healthcare delivery and payment models. SSI will continue to support the needs of HIEs and other healthcare organizations that need to aggregate and exchange patient clinical data through the CareAlign suite of products. Additionally, SSI will create new solutions derived from the integration of their administrative and clinical data services.

“The integration of the CareAlign solutions into the SSI services platform will provide SSI the ability to expand the breadth of health information exchange services offered to our clients,” said Jimmy Lyons, CEO and President of SSI. “SSI has 30 years of experience in the development and delivery of EDI clearinghouse services to support the information exchange requirements of our revenue cycle clients. The expertise gathered from the operations of this network, which connects thousands of providers and payers daily, can be leveraged to address the growing demand for clinical data exchange.”

Jeff Miller, Chief Product Officer at SSI adds, ”Integrating clinical information with the administrative and financial data used by SSI revenue cycle solutions will be critical in responding to the changes in payment models represented by value-based reimbursement programs like MACRA.” As these models evolve, healthcare business leaders will demand solutions that can provide a more holistic view of the operational aspects impacting revenue performance.

Ben Rooks, Managing Principal of ST Advisors observed, “SSI’s been a client since 2017 and we have discussed how to grow its breadth of services. Health networks sponsored by HIEs, provider communities, and health plans can meaningfully improve patient care while lowering the costs to deliver it. This expansion into clinical data will provide SSI clients with a complete view of their patients, marrying the clinical and financial.”

ICA was headquartered in Nashville, TN, and SSI has decided to keep the office and establish a local presence. “With the concentration of healthcare in the Nashville area, it was always in our plans to open a regional office there. We look forward to growing the office and establishing a presence in Nashville,” added Mr. Lyons.

SSI will be attending the HIMSS18 annual conference, March 5-9 in Las Vegas, Nevada, at booth #1929. For more information about SSI, visit www.thessigroup.com.

About SSI:

SSI delivers solutions that increase the accuracy and velocity of data exchange among healthcare providers and payers, with the highest levels of security. A privately held company since its founding 30 years ago, SSI is singularly focused on the healthcare industry. SSI’s commitment to our clients’ success is evident with nearly 50% of our clients relying on SSI solutions for 10 years or more. Our revenue cycle, EDI gateway, and clinical data interoperability solutions are among the best in the industry and help our clients effectively and efficiently manage their clinical and claims data. Learn how we can help you at www.thessigroup.com.

March 1, 2018 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 5 blogs containing over 11,000 articles with John having written over 5500 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 18 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

NextGen Healthcare Reveals Results of Its RCM Survey

Study Aims to Identify Opportunities for Practices to Improve Efficiencies and Bolster Revenue

HORSHAM, Penn.–(BUSINESS WIRE)– NextGen Healthcare Information Systems, LLC., a wholly owned subsidiary of Quality Systems, Inc. (NASDAQ: QSII) and a leading provider of healthcare information systems, services and connectivity solutions announced today the results of its RCM Survey Report: What’s Happening Behind the Billing Office Door.

NextGen Healthcare recently conducted a survey among practices across the nation to gain deeper insight into the current state of revenue cycle management (RCM) across various medical practices. Participating practices included both NextGen Healthcare clients and non-NextGen Healthcare clients, spanning varying specialties, staff size, and locations. The survey results reflect the operational and financial metrics provided by each of them.

The RCM Survey evaluated several high-level metrics including: net collection percentages; first-pass clean-claim rate; average days in A/R; and, outstanding collections for 120+ days.

The survey revealed that many medical practices fell short of best practice benchmarks and are potentially missing opportunities to optimize revenue.

Survey results found that:

  • Across both the practices that handled billing in-house and those that outsourced, the use of automation in the revenue management process was popular.
  • Nearly half of practices reported having just one person handling the denial resolution process.
  • On a scale of 1-10, only 15 percent of those surveyed rated their practices’ denial follow-up and resolution abilities as a “10” or “Excellent.” Thirty-one percent of practices rated their abilities between 1-5.
  • 35 percent of incoming calls from patients are regarding billing issues.
  • Only four percent of practices rated their abilities around electronic claims submissions as “Excellent.” And only 10 percent assigned that rating to their ability to check every Explanation of Benefit and Procedure CPT code to ensure they are paid according to contracts.

“The rationale behind this survey is to assist practices everywhere with the assessment of their own RCM metrics while identifying opportunities to make improvements and optimize revenue,” explained Monte Sandler, executive vice president of NextGen RCM Services. “Setting operational best practices can help healthcare organizations quickly identify areas in need of improvement and, with a team of 900+ billing and practice management experts, NextGen RCM Services comprises the right people, processes and technology to help practices best optimize revenue and improve organization-wide efficiency.”

To download the RCM Survey Report: ‘What’s Happening Behind the Billing Office Door,’ click here. To get a snap shot, download the RCM Survey Report infographic, here.

About NextGen Healthcare

NextGen Healthcare Information Systems, LLC, a wholly owned subsidiary of Quality Systems, Inc., provides integrated clinical, connectivity and financial solutions, including revenue cycle management services for ambulatory, inpatient and dental provider organizations. For more information, visit www.nextgen.com and www.qsii.com. Follow us on Twitter, Facebook,LinkedIn and YouTube.

About Quality Systems Inc

Irvine, Calif.-based Quality Systems, Inc. and its NextGen Healthcare subsidiary develop and market computer-based practice management, electronic health records and revenue cycle management applications as well as connectivity products and services for medical and dental group practices and small hospitals. Visit www.qsii.com and www.nextgen.com for additional information.

February 18, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 5 blogs containing over 11,000 articles with John having written over 5500 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 18 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

HCS Achieves Record Sales Year in 2014

Highlights Include 19% Revenue Growth, 30 New Team Members

January 8, 2015, Wall Township, NJ – HCS, a leading provider of clinical and financial healthcare information systems in over 4,500 client locations, today announced that 2014 was a record year for new sales as the company secured contracts to implement HCS clinical and financial solutions at nearly 500 new post-acute and behavioral health facilities.

The latest HCS customers represent seven multi-state organizations and include more than 30 long-term acute care hospitals, 400 long-term care facilities, and 25 behavioral health centers. Numerous existing customers also expanded their use of the Interactant platform, driving the company’s overall revenue growth by more than 19 percent.

“We are very proud of our outstanding results for 2014,” said Thomas J. Fahey, HCS president and chief executive officer. “It was our best year ever for new business sales and reflects the industry’s growing awareness of our proven ability to deliver quality RCM and clinical products to post-acute care and behavioral health facilities.”

In order to maintain its high quality support and development efforts, HCS added 30 new employees in 2014. The latest staff members are primarily serving in technical roles, including research and development, customer support, and account management.

“It’s been exciting to participate in HCS’ rapid growth over the last year,” said Tom Visotsky, executive vice president of sales and marketing for HCS. “In 2014 our development team implemented literally thousands of enhancements to the Interactant platform, benefitting both our existing customers and newest clients. Our support operations are stronger than ever and as a company we are well-positioned for continued success in 2015.”

About HCS

HCS has delivered healthcare information technology to providers since 1969 and today provides solutions to more than 4,500 client locations across the nation. The HCS Interactant™ platform is an enterprise solution that includes integrated clinical and financial modules that answer regulatory and functional requirements across the entire spectrum of care, including acute care, post-acute care, and behavioral health. The HCS suite of solutions offer the flexibility each organization requires to address their unique needs without forcing providers to change the way they practice medicine.

For more information, visit http://www.HCSInteractant.com or call 800.524.1038.

January 8, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 5 blogs containing over 11,000 articles with John having written over 5500 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 18 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Availity Acquires RevPoint, Adds Patient Access Capabilities to Revenue Cycle Suite

Transaction addresses demand for improved reimbursement management tools; simplifies “up-front” payment processes for providers and their patients

JACKSONVILLE, Fla.–(BUSINESS WIRE)– Availity, one of the nation’s leading health information networks, today announced it has acquired Nashville, Tennessee-based RevPoint Healthcare Technologies, an innovative provider of revenue cycle tools that increase patient collections at the beginning of the revenue cycle process.

Russ Thomas, Availity CEO (Photo: Business Wire)Russ Thomas, Availity CEO (Photo: Business Wire)

Unlike traditional collection tools developed to support the end of the revenue cycle, the RevPoint solution focuses on the front office – where it matters most – enabling an increase in patient payments before the patient visit. The acquisition expands Availity’s ability to satisfy one of the provider market’s top pain points: more timely and consistent cash flow. Improved cash flow is especially critical as the popularity of high deductible health plans means more of the payment responsibility moves to patients, and thus physicians, to ensure timely payment. The acquisition also accelerates Availity’s reach into the hospital and health system sectors, while deepening its capabilities to meet the demands of an evolving revenue cycle.

“Health care is transforming quickly, and with it the revenue cycle process is changing dramatically for providers,” said Russ Thomas, Availity CEO. “With patient financial responsibility on the rise, a wave of new payment models in the market, and increased pressure to reduce operating costs, providers must be able to accelerate their patient collections earlier to maintain a healthy cash flow. The tools developed by RevPoint make that possible by facilitating an integrated and automated workflow for up-front patient collections, enabling us to deliver an even more powerful solution to our customers.”

Availity’s deep expertise in provider workflows supporting the billing and reimbursement processes will be enhanced with RevPoint’s experience in early-cycle reimbursement, enabling Availity to offer customers enhanced patient access tools for improving business performance.

“We are very excited about joining Availity,” said Hal Andrews, Chief Executive Officer for RevPoint. “Their relentless focus on delivering high-value solutions that simplify the provider revenue cycle is a perfect complement to RevPoint’s capabilities. Coming together with them is a real win for both our companies and our customers.”

RevPoint will operate under the Availity brand as part of its revenue cycle management suite of solutions and will continue to be run out of Nashville. “We look forward to building a strong presence in the Nashville market, which has been a hub of innovation and leadership in health care,” said Thomas.

Brentwood Capital Advisors LLC served as the exclusive financial advisor to RevPoint in this transaction. Terms of the arrangement are not being disclosed.

June 2, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 5 blogs containing over 11,000 articles with John having written over 5500 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 18 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

HBMA 2013 Fall Conference Addressed Urgent Challenges of Today’s Revenue Cycle Management Professionals

10% Increase in Attendance over 2012 Event Demonstrates the Heightened Need for Clarity in a Time of Complex Legislative and Regulatory Issues 

ORANGE COUNTY, Calif. – October 1, 2013 — Recognized as the most influential healthcare revenue and management services association in the nation, the Healthcare Billing & Management Association, HBMA (www.hbma.org), announced the successful conclusion of its Fall Conference for medical billing professionals, held September 18-20, 2013 at Caesar’s Palace Hotel in Las Vegas.

This year’s conference, which focused on the legislative and regulatory issues faced by today’s revenue cycle management professionals, saw an attendee increase of 10 percent over last year’s event.

The opening keynote featured Steve Rizzo, author, television star and Fortune 500 presenter, who showed attendees how to “SHIFT” focus to increase productivity, improve enthusiasm and achieve new levels of success.

Additional highlights of the conference included a presentation by John Boland, managing director, Navigant Healthcare on “Evolving Physician Reimbursement and the Billing Company.” The session investigated pertinent market trends and provided attendees with best practice advice to position their provider clients for future success.

Bill Finerfrock, senior vice president, health policy, Capitol Associates presented his ever-popular “Washington Update.” During the session, HBMA’s director of government affairs provided up-to-the-minute updates on pending legislation and regulations affecting the medical billing community.

Other important topics crucial to healthcare addressed at the HBMA conference included sessions on practice revenue cycle analysis, technology advances, the role of billing companies in Medicare, Medicaid and third-party payor audits, successful ICD-10 implementation, administrative simplification, EHR incentive programs and more.

During the first day of the conference, the association presented a donation to representatives of Three Square, the event’s chosen local charity. Three Square provides more than 18.8 million meals per year for hungry Americans. To learn more about how to support their efforts, visit www.threesquare.org.

HBMA President, Jud Neal, CHBME opened and concluded the conference with his remarks.

About HBMA

HBMA is a key stakeholder in the $38 billion physician revenue cycle management industry, and represents more than 30,000 employees at well over 700 third-party medical billing firms and first-party billers. Every year, HBMA members submit more than 350 million initial claims on behalf of both hospital and office-based physicians, and other allied healthcare providers.

October 1, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 5 blogs containing over 11,000 articles with John having written over 5500 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 18 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.