From the denials to critical updates on 340B and prior authorization, here is a look back at the trends and tactics that defined the revenue cycle in 2025.
Hospitals and health systems have been challenged by lower collection rates from insured patients and higher initial denial rates, which created financial headwinds in 2024, according to data from ...
Maintaining business continuity and achieving financial goals are significant challenges for healthcare organizations. Revenue cycle management (RCM) plays a pivotal role in addressing these ...
Preventing denials, implementing automation, and bridging departmental gaps are just some of the tasks these revenue cycle executives are leading out at their organizations. Gender equality in the ...
Seismic shifts in buying group behavior and business dynamics are causing havoc for frontline B2B marketing teams, which would now benefit greatly from a new strategy called revenue life cycle ...
Ronnie Simpson, vice president of Conifer Health Solutions, has worked in the revenue cycle for 15 years. He knows well that of the three parts of the revenue cycle – front, middle and backend – it's ...
Health system executives in charge of their organization’s revenue cycle are fretting about their dealings with payers, with many noting elevated denial rates across the board and within Medicare ...
Revenue cycle leaders need creative, data-driven solutions to counteract lower payment rates by patients and higher denial rates from payors as trends from 2024 expected to continue ...
The U.S. spends more on healthcare administration than other countries, according to a JAMA study. In fact, the estimated cost of waste accounts for approximately 25% of total healthcare spending.
Ask a Revenue Cycle Leader is a new series featuring insights from health system and hospital revenue cycle executives nationwide. Becker’s poses questions on the most pressing issues — from payer ...
Iodine Software is releasing next-generation artificial intelligence technology to identify revenue opportunities that fall through the cracks after a patient is discharged from the hospital. The cost ...
Complacency is one of the biggest pet peeves for OhioHealth’s system vice president of revenue cycle, Girish Dighe, PharmD. “In order to win multiple awards, you can’t get complacent; you have to ...