Building the right cybersecurity defense takes vigilance and robust governance
In the last two years, more than 800 incidents of unsecured data breaches were reported. Dive into this roundtable as leaders discuss the future of cybersecurity in the healthcare space and how it is evolving.
From back office to balance sheet: Why revenue cycle is becoming strategic AI infrastructure
Healthcare finance leaders are confronting a new reality: Revenue cycle performance now directly influences organizational stability, capital planning and access to care. Rising denial rates, expanding prior authorization requirements and persistent staffing constraints have transformed revenue operations from a transactional function into a strategic enterprise capability. Recent reporting from Kaufman Hall shows denials and revenue…
Why AI is such a promising tool for eliminating a hospital’s revenue leakage
Hospitals today continue to experience revenue leakage, defined as the unintentional loss of income due to inefficiencies, missed billing opportunities and underpayments. Despite their significant investment in electronic health records (EHRs) and billing systems, they continue to lose about 3% to 5% of net revenue annually, amounting to tens of billions of dollars across the…
Operational resilience is the revenue cycle management imperative of the OBBBA era
The One Big Beautiful Bill Act (OBBBA) has altered Medicaid eligibility in ways hospitals can no longer treat as a background policy issue. Reverification of Medicaid coverage now happens so frequently that patients lose coverage for administrative reasons that have nothing to do with whether they actually qualify. Much of the industry dialogue has centered…
Questions loom over the future of telehealth policy
Federal telehealth policy continues to prove confounding for healthcare providers. The recent 43-day government shutdown marked the first extended period since the early days of the COVID-19 pandemic that traditional restrictions on telehealth reimbursement were in place. Medicare waivers of those restrictions helped telehealth utilization surge during the pandemic and remain elevated in the years…
Healthcare Technology, Episode 3: Opportunities in patient monitoring and telemetry
In the final episode of our technology series sponsored by Philips, Erika speaks with Stacy Kelleher from Philips about data opportunities in patient monitoring and how telemetry can be used more effectively.
Reshaping revenue cycle strategy
Dive into this roundtable to read a discussion from a handful of healthcare industry leaders about how they use AI, automation and analytics to streamline revenue cycle operations, improve margins and get ahead of payment challenges.
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.
Healthcare Technology, Episode 1: Solving the right problem at the right time
In the first episode of this special series sponsored by Philips, HFMA Senior Editor Erika Grotto talks with Taylor Seale of Epic and Jeff Gautney from Rush University System for Health about planning and prioritizing technology projects.
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…