Why this year’s OPPS rule could have a big impact
Nick Hut and Shawn Stack talk about the 2026 Medicare proposed rule for the Outpatient Prospective Payment System and why it could have a more significant impact on hospitals than rules from previous years. Also in this episode, Aneal Gadgil from Abridge discusses clinical documentation and coding.
Get paid what you’re owed: Smarter contracting, internal alignment can reduce denials
Hospitals and health systems are grappling with rising denial rates, particularly among commercial and Medicare Advantage plans. Years ago, denials might have been isolated friction points in the billing process; but as rates have risen, denials have become a strategic-level issue with a measurable impact on financial performance. Historically, denial mitigation efforts tended to focus on…
New data points to financial upsides in rethinking patient payment plans
According to a recent survey conducted with more than 200 healthcare finance professionals, providers struggle to obtain out-of-pocket costs from patients. Now, providers collect just 24% of patient billings, or the amount owed after insurance covered its portion.
Take Action Now: Discover How Strategic RCM Can Improve Employee Satisfaction
You don’t just care about patient outcomes. You also care about the people you employ and the economic health of your community. So how can you keep up with modern demands on your organization while continuing to champion your employees? Surprisingly, by outsourcing your revenue cycle management. In this whitepaper we’ll breakdown all the reasons…
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.
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…
Insurers, patients pay less of their bills
Healthcare providers faced growing challenges last year in getting paid for care among patients covered by insurance, according to new benchmark data from Kodiak Solutions. And it was both insurers and patients who were lagging in payment or not paying at all. Denials of coverage by health plans, already a problem in 2023, increased during…
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…
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.
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.