Healthcare Revenue Cycle

Articles focused on patient access, billing, coding, claims management, collections, denials prevention, and revenue cycle optimization.

DOGE has plans for HHS. Here’s what could happen next.

Nick Hut and Shawn Stack discuss DOGE cuts to the Department of Health and Human Services and what they could mean for patients and providers.

By Erika Grotto April 7, 2025

Revenue cycle staffing challenges persist: Hospitals turn to automation, outsourcing

Read this discussion from several industry leaders on how to implement solutions for today’s top revenue cycle challenges to help prevent delays in care and payment, thereby improving outcomes for both patients and providers.

By HFMA March 31, 2025

HFMA Revenue Cycle Conference tackles issues big and small

Some of the most interesting experiences to be had at HFMA’s 2025 Revenue Cycle Conference held March 19-21 in San Antonio could be found off the stage during snack and meal breaks. A conversation with a group of revenue cycle management (RCM) professionals really struck a chord in highlighting the dedication many of them apply…

By Paul Barr, CRCR, MS, MBA March 31, 2025

How 2 regions increased provider leader attendance at their symposium

Leadership of the January 2025 HFMA Western region symposium, held in Las Vegas, credits scholarships and peer-to-peer outreach for increasing attendance at the event by more than 10% in two years. Event leaders engaged 14 HFMA chapters across regions 10 and 11 to establish a planning strategy. Keys to the symposium’s success were prioritizing provider…

By Deborah Filipek March 27, 2025

David Johnson: A case study in today’s revenue cycle dystopia

Vendor pronouncements that AI technologies can transform the healthcare revenue cycle are commonplace and overblown. While both health systems and suppliers want to believe that AI can be their savior, there are limits to how it can improve payment mechanics between commercial health insurers and providers. No revenue cycle company flew closer to the sun…

By David W. Johnson March 21, 2025

The art of digital delegation

Nick Hut and Shawn Stack discuss price transparency regulations, and Erika Grotto talks with Stuart Newsome from Infinx about AI in revenue cycle.

By Erika Grotto March 14, 2025

How AI and automation are revolutionizing revenue cycle operations for faster, more accurate reimbursement

Revenue cycle management (RCM) is a critical component of healthcare operations, yet providers face mounting challenges in ensuring timely and accurate reimbursements. Manual processes, evolving regulatory requirements and administrative inefficiencies contribute to revenue leakage and operational burdens. Traditional RCM processes are labor-intensive, relying heavily on manual billing, coding and claims submission. These inefficiencies not only…

By HFMA March 5, 2025

New medical debt rule already is just about null and void

The future is shaky at best for a new rule preventing medical debt from appearing on consumer credit reports. The Biden administration’s leadership at the Consumer Financial Protection Bureau (CFPB) published the regulations in mid-January, with an effective date of March 17. But the Trump administration pushed back the effective date back by 90 days,…

By Nick Hut February 11, 2025

Addressing social determinants of health in revenue cycle management

Integrating SDoH into RCM provides equitable care and improves financial outcomes. By addressing economic and social barriers early in the RCM process, providers enhance patient experiences and reduce costs. This approach aligns with value-based care models and improves overall health outcomes.

By HFMA February 7, 2025

Revenue and Cost Pressures Research Summary

HFMA, with sponsorship from Humana, surveyed 166 healthcare executives to reveal key areas for managing costs of care, operational performance, and risk. To learn more, download the key findings from the survey. 

By HFMA February 3, 2025
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