revenue cycle

CMS suggests a modest 2.4% payment update in the 2026 Hospital Outpatient Prospective Payment System proposed rule on top of...

With state and federal policymakers eyeing restrictions on health insurers? use of the care-delaying cost-control process of prior authorization, the...

With denials on the rise, more health systems are turning to AI in the revenue cycle.

Payers retracted earlier financial forecasts, which could signal trouble ahead for revenue cycle leaders.

From the relentless rise of claim denials to major policy debates around prior authorization and the 340B program, the first...

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...