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Revenue Cycle Claims, Denials and Appeals Research Report

This report surveyed 172 healthcare executives to understand how denial challenges and payer complexities are affecting hospital revenue cycle operations.

By HFMA July 2, 2025

Redefining healthcare financial KPIs in a post-COVID era: A strategic imperative

The COVID-19 pandemic compelled hospitals and health systems to rethink nearly every aspect of their operations. Nowhere was the disruption more profoundly felt than in the revenue cycle. Long-standing financial key performance indicators (KPIs) such as accounts receivable (AR) days, clean claim rates and denial percentages, quickly lost their relevance amid staffing shortages, unpredictable patient…

By HFMA July 1, 2025

5 key strategies for a successful mid-cycle

Today’s mid-cycle teams face mounting pressure. Oversight is tightening, payer policies are shifting rapidly and margins continue to shrink. This phase is no longer a simple pass-through, it’s a vital operational checkpoint that demands both strategic leadership and attention to detail. Hospitals that implement structure and prioritize accuracy tend to stay ahead. Those that don’t…

By HFMA June 2, 2025

How Revco Solutions maximizes cash recoveries and improves the patient financial experience

Learn how one company optimizes revenue recovery through proactive denial prevention, clean claims strategies and intelligent automation — ensuring faster, more accurate reimbursement.

By HFMA May 30, 2025

Why labor benchmarking is so critical to healthcare productivity

With ambulatory volumes expected to increase 10% by 2027, labor productivity benchmarking tools can help inform smarter staffing decisions. Learn how to improve staffing and understand the benefits to benchmarking in this article.

By HFMA May 30, 2025

Most healthcare organizations are adopting AI in the revenue cycle: HFMA poll

A recent survey found that 63% of healthcare organizations use artificial intelligence (AI) and automation in the revenue cycle with expectations to see that percentage rise to offset staffing shortages, increase cashflow and generate more revenue.

By HFMA May 30, 2025

How some healthcare providers are handling the growing nurse shortage

In this roundtable discussion, several healthcare finance professionals shared the challenges their organizations face with nurse staffing and discussed business models such as virtual nursing that can help improve patient outcomes, staff satisfaction and key financial measures.

By HFMA May 30, 2025

How to strengthen eligibility determination with a proactive approach

How can healthcare revenue cycle teams strengthen engagement around eligibility determination and improve patient satisfaction, operational efficiency and their bottom line? Discover solutions to these challenges in this white paper.

By HFMA May 30, 2025

Fortifying revenue management: The critical role of health information management in cybersecurity preparedness

A hospital’s health information management (HIM) team oversees the flow of patient care documentation in healthcare organizations, supporting accuracy, accessibility and security. In the revenue cycle, HIM maintains financial integrity by managing patient data, ensuring proper coding and documentation for billing and verifying clinical data for compliance and reimbursement. HIM also plays an active role…

By HFMA May 7, 2025

5 keys to enhancing automation, expanding capacity and improving efficiency to reduce costs

Healthcare organizations face unrelenting financial pressures, with rising costs and shrinking margins. Dealing with reimbursement challenges, they face an uphill battle to maintain a profitable revenue cycle. This leaves no room for inefficiency. There is a way out, but healthcare leaders must look beyond traditional methods to automation to expand capacity and improve operational efficiency. 

By HFMA April 3, 2025
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