revenue cycle
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Revenue Cycle
CMS Proposes Modest Payment Bump, Major Policy Shifts in 2026 OPPS Proposed Rule
CMS suggests a modest 2.4% payment update in the 2026 Hospital Outpatient Prospective Payment System proposed rule on top of...
Revenue Cycle
Inside payers' latest plans to streamline prior authorization
With state and federal policymakers eyeing restrictions on health insurers? use of the care-delaying cost-control process of prior authorization, the...
CFO
An AI For An AI—How CFOs Can Reverse The Tide of Denials in Revenue Cycle
With denials on the rise, more health systems are turning to AI in the revenue cycle.
Revenue Cycle
Payer Profit Warnings Signal Trouble Ahead for Hospital Revenue
Payers retracted earlier financial forecasts, which could signal trouble ahead for revenue cycle leaders.
Revenue Cycle
Infographic: Top 6 Rev Cycle Stories of 2025 (So Far)
From the relentless rise of claim denials to major policy debates around prior authorization and the 340B program, the first...
Revenue Cycle
Survey Says Commercial Denials Are Top Threat to Revenue Cycles
The volume of commercial payer claim denials continues to rise and the appeals process has slowed, according to a new...
Revenue Cycle
Infographic: A New Pact on Prior Auth
More than 40 payers have voluntarily signed onto to pact to transform prior authorization processes. Here is a breakdown of...
Revenue Cycle
HL Shorts: Navigating Rising Patient Costs and Growing Collection Hurdles
The patient financial landscape is being reshaped by contradictory forces: rising patient out-of-pocket costs and growing restrictions on providers' ability...
Revenue Cycle
CMS to Test New Prior Authorization Requirements in Traditional Medicare
A new CMS model will introduce new prior authorization requirements to traditional Medicare in six states, raising provider concerns about...
CFO
How to Collaborate With Payers in 2025: Advice from HFMA
CFOs can get ahead with payers by using tech, leveraging data, and planning early.
Revenue Cycle
What Revenue Cycle Leaders Are Reading: Our Top 6 Stories (So Far) from 2025
From relentless claim denials and payer pressures to policy debates around prior authorization and the 340B program, this mid-year briefing...
Revenue Cycle
HL Shorts: How Technology is Transforming the Patient Financial Experience
Throw out your pens and paper. Technology has transformed not only the way that health systems bill patients, but also...