Extending Your Reach: Why Revenue Cycle Partnerships Matter Now More Than Ever
Discover how strategic revenue cycle outsourcing, powered by automation and AI, can help healthcare organizations reduce revenue loss, ease staffing pressures, accelerate collections and improve the patient financial experience.
Supporting, not substituting: How revenue cycle leaders are putting AI to work
In this roundtable discussion, healthcare revenue cycle leaders explored how AI is being used to improve efficiency, accuracy and performance across coding, authorizations, denials management and appeals.
The Hospital of the Future Part II: Technology drives a new era of healthcare
Technology is transforming healthcare by improving patient experiences, supporting clinical teams, and increasing efficiency through innovations such as AI, automation, and smart hospital rooms. However, healthcare leaders must make strategic investments that balance financial sustainability with long-term benefits, including better patient outcomes, reduced administrative burdens, and more personalized care.
Inside Intermountain’s RCM denials strategy
Intermountain Health executives have ramped up the health system’s revenue cycle management (RCM) AI and machine learning to prevent what they believe are excessive billing denials from insurers. It’s been working so far. The Salt Lake City-based health system has created an RCM strategy that relies on both machine learning and human oversight. The approach…
Patient registration errors: Preventing revenue loss before it starts
Revenue loss often begins at registration, even though it is discovered after adjudication. An outdated insurance ID or a skipped eligibility check looks minor at the front desk. Weeks later it returns as a denial, and several teams must reopen work that was supposed to be finished. For hospitals and health systems, the denial is…
The unhappy surprise of No Surprises, plus news and MAP Award applications
Erika Grotto interviews hfm columnist David Johnson about his latest piece in the magazine, Nick Hut and Katie Gilfillan discuss the upcoming midterm elections and Todd Nelson talks about MAP Award applications.
Revenue cycle strategy helps a rural hospital regain its financial footing
This article was lightly edited for clarity. When Joel Jackson took the helm of Three Rivers Health in April 2023, the 10-bed critical access hospital had fewer than 10 days of cash on hand. But in 15 months, Jackson led the team in recovering $2.6 million in accounts receivable (A/R) by addressing a backlog of…
Why financial risk builds across the revenue cycle
Financial risk is rarely noticed at the point where it starts. A problem with eligibility or claim information becomes a denial. A reimbursement discrepancy turns into an underpayment. An unclear financial conversation leaves a patient unsure what they owe. By the time the impact shows up in accounts receivable or cash flow, the underlying issue…
What is denials management?
Understanding this key healthcare revenue cycle function One out of five adults say they have experienced a denied claim: when an insurance company refuses to pay for the healthcare services they’ve received or a prescription, according to a recent survey.[1] Yet only half of people appeal a denied claim, mostly because they aren’t sure how…
Revenue cycle sustainability demands more than cost-cutting
In this roundtable several revenue cycle management and finance leaders share their top challenges associated with revenue cycle transformation and lessons learned.