Vikram Singh Negi

🚨 Big news from Commure: We’ve raised $200 million in growth financing from General Catalyst’s Customer Value Fund (CVF) to accelerate our AI-powered platform for healthcare. This milestone marks a major step in scaling our next-gen infrastructure for health systems—spanning RCM automation, ambient clinical documentation, and AI-enabled practice management. Read more about our momentum and vision for transforming healthcare operations: https://lnkd.in/gvEfpTDR Special thanks to Tanay Tandon and Hemant Taneja

240

8 Comments

After 20+ years building healthcare AI, our CEO Chetan Parikh saw the pattern: ❖ Risk adjustment teams spending months evaluating vendors ❖ Training models that plateau at 70% accuracy ❖ Coding teams buried in false positives ❖ RADV audits increased 900% This drove us to create our 𝗡𝗼𝘃𝗲𝗹 𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗔𝗜 𝗣𝗹𝗮𝘁𝗳𝗼𝗿𝗺, a fundamental rethink of how risk adjustment technology should work. 💡 What Chetan demonstrates in this interview with Dr. Shannon I. Decker, PhD., MBA, MBA, M.Ed., M.Ed.: Uploading real charts during a discovery call and reviewing 92%+ accurate results in the same conversation. 𝗧𝗵𝗲 𝗱𝗶𝗳𝗳𝗲𝗿𝗲𝗻𝗰𝗲: ✓ No training data required ✓ No implementation cycles ✓ Neuro-Symbolic AI that understands risk adjustment from day one 👇 Watch the moment when healthcare executives realize vendor evaluations don't have to be painful anymore. The industry standard was never inevitable. We just accepted it. Until now. ⚡ Learn more about our autonomous retrospective risk adjustment solution → https://bit.ly/3VI4FJ4 . . . #RetrospectiveRiskAdjustment #NeuroSymbolicAI #NovelClinicalAI

39

Health-care software vendor Athenahealth on Tuesday said it will offer Abridge's artificial intelligence scribing tool to its network of more than 160,000 clinicians. Athenahealth has developed an electronic health record, revenue cycle management tools and patient engagement tools for ambulatory care providers, which include outpatient facilities like independent practices. The company introduced a solution called Ambient Notes in October that allows doctors to choose between various AI-powered documentation tools, and Abridge is the latest addition. Abridge uses AI to draft clinical notes in real time as doctors consensually record their visits with patients. The startup is part of a red-hot market that has exploded as health-care executives search for solutions to help reduce staff burnout and daunting administrative workloads.

146

3 Comments

Rising patient volumes, payer complexity, and staffing shortages are pushing traditional revenue cycle management models to their limits. At IKS Health, we’ve reimagined revenue cycle as a connected, AI-powered system, one that starts at the point of care and delivers measurable results. Our new blog explains how generative AI, autonomous coding, and human expertise working together results in an accurate, compliant, and audit-ready chart before the claim is even submitted. Read more here: https://hubs.la/Q03tm6Sq0

48

Not all risk adjustment programs are created equal—and among payers, providers, and vendors, the level of understanding of those programs varies wildly. In this blog post, Edifecs Senior Solution Consultant Betty Stump takes a closer look at the three most common risk adjustment programs and the differences between each: https://lnkd.in/e_95V9NY #riskadjustment #providers #healthcaredata

54