revenue cycle

The volume of commercial payer claim denials continues to rise and the appeals process has slowed, according to a new...

More than 40 payers have voluntarily signed onto to pact to transform prior authorization processes. Here is a breakdown of...

The patient financial landscape is being reshaped by contradictory forces: rising patient out-of-pocket costs and growing restrictions on providers' ability...

A new CMS model will introduce new prior authorization requirements to traditional Medicare in six states, raising provider concerns about...

CFOs can get ahead with payers by using tech, leveraging data, and planning early.

From relentless claim denials and payer pressures to policy debates around prior authorization and the 340B program, this mid-year briefing...

Throw out your pens and paper. Technology has transformed not only the way that health systems bill patients, but also...

Drug companies are more likely than hospitals to violate 340B regulations, according to a recent American Hospital Association report.

Inconsistent payer rules are a major pain point for revenue cycles with direct clinical and financial impact on patients, according...

Here's how CFOs can keep pace with, or even get ahead of, payers.

More than 40 payers have voluntarily committed to significant prior authorization reforms, but will this time be any different?

The numbers are in, revealing a clear performance gap between providers on eight KPIs. See the metrics that separate top-performing...