Healthcare Revenue Cycle Management

Healthcare Technology, Episode 2: Helping patients harness their own data

Patients have access to more data than ever, but there can be confusion when they try to interpret it. In this week’s episode, we speak with Tim Church, MD from Wondr Health and Jonathan Henderson from Encore Rehabilitation.

By Erika Grotto October 29, 2025

Cutting through the clutter: Practical strategies to reduce administrative waste in payer-provider interactions

Administrative costs in healthcare continue to rise, often consuming more resources than direct patient care. Nowhere is this more visible, or more solvable, than within revenue cycle management (RCM). These costs are not just a patient care concern; they strain the workforce and directly impact financial sustainability. Much of the challenge stems from a persistent…

By HFMA October 9, 2025

AI coding at UMass Memorial tempers staffing shortage 

UMass Memorial Medical Center’s radiology department has been able to sidestep a lack of bill coding professionals by adopting AI in the medical center’s coding for radiology.   “It’s really hard to get certified coders these days,” said Barbara Scully, associate vice president, physician billing with UMass Memorial, which is located in Worcester, Massachusetts.   “It’s one…

By Paul Barr, MS, MBA, CRCR October 7, 2025

Successful implementation of RCM technology demands a collaborative approach

Providers need to look no further if seeking assistance in improving cash flow, navigating staffing shortages or enhancing technology infrastructure. Check out this article to discover tools and solutions for current healthcare trends.

By HFMA September 29, 2025

AI and Automation in Revenue Cycle Research

A survey of 272 healthcare executives was conducted to understand how automation and AI are being utilized in their organizations and if not, what barriers or concerns they have to adopting new technologies.

By HFMA September 29, 2025

How enhanced medical documentation can combat rising payer denials

Hospital executives across the country are increasingly frustrated with rising denial rates from payers. At a recent HFMA conference, revenue cycle leaders voiced concerns about what they perceive to be bad-faith payer denial practices. Although such frustrations have some validity, hospital leaders will accomplish little if they focus solely on payer behavior. Instead, they should…

By Fawaz Habeeb, MD, CMPC September 26, 2025

Boost charge capture by bridging gaps between teams

This whitepaper identifies some of the most common underlying issues driving charge capture mishaps — and outlines a new path forward optimizing charge capture.  

By HFMA September 11, 2025

Why claim denials are rising and how providers are responding

Payment for healthcare services starts with a claim that details what type of care the patient received, why and the amount charged by a hospital or provider for these services. From there, the claim is typically sent to the patient’s health plan for reimbursement. But the path to reimbursement for healthcare claims has become much…

By Jeni Williams August 11, 2025

Optimizing the revenue cycle workforce: Balancing automation with empathy to elevate the patient experience

In today’s healthcare landscape, every financial conversation shapes not just patient satisfaction, but organizational trust. As health systems work to manage rising costs and operational complexity, revenue cycle teams find themselves carrying the dual burden of protecting financial performance while supporting patient experience, often without the resources to excel at either. Automation presents undeniable advantages…

By HFMA August 8, 2025

Soaring charity care grabs hospital leaders’ attention

Across the country, hospitals are reexamining their approach to uncompensated care, with first movers in this space increasing the availability of financial assistance and working harder to reduce the chances that an account will be sent to collections. And now, new data paints a picture of the collective impact of these efforts and other trends…

By Jeni Williams July 31, 2025
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