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publication date

Payer
How Providers Can Stop Losing Money on Their Medicare Advantage Contracts
Laura Beerman | June 05, 2025
Dr. Sachin Jain and Mike Plumb detail what providers are missing and how collaborative health plans can help.
Revenue Cycle
Will CMS' Aggressive Approach to MA Audits Affect Provider Revenue Cycles?
Luke Gale | June 03, 2025
A recent CMS announcement signals a more aggressive approach to auditing Medicare Advantage plans. Revenue cycle leaders should be prepared...
Revenue Cycle
HL Shorts: How Organizational Culture Informs Physician Coding Education
Luke Gale | May 06, 2025
Grady Health System's director of physician revenue discusses the impact of organizational culture on physician coding education.
CMO
How to Use Technology to Turn Around Staff Turnover
Christopher Cheney | March 25, 2025
Ardent Health's CMO shares how embracing technology is retaining physicians and nurses.
Revenue Cycle
The Hidden Costs of Denials: A Call to Action for Revenue Cycle Leaders
Amanda Norris | January 13, 2025
In the high-stakes world of healthcare revenue cycle management, few issues cast as long a shadow as claim denials.
Revenue Cycle
Payer Practices are Top Health System RCM Stressors. Here's What to Do
Delaney Rebernik | December 17, 2024
In a year rife with denials and discord, RCM execs say these three tactics may help turn the tide.
CMO
8 Key Insights on Advancing AI in Clinical Care
Christopher Cheney | December 10, 2024
Clinical AI is top of mind for CMOs and clinical leaders. Here are eight insights they shared that you need...
Revenue Cycle
(Robotic) Hand in Glove? How Nascent Tech Stands to Shape RCM Outsourcing
Delaney Rebernik | December 03, 2024
Amid a flurry of outsourcing activity, one rev cycle VP says RPA, AI, and other emergent tools are "making us...
Revenue Cycle
Spark Joy, Vanquish Vapor: How Mass General Brigham Uses Tech to Rev Up RCM
Delaney Rebernik | November 21, 2024
Chief among the system's drivers of ROI is a coding automation platform grown close to home.
Innovation
CMS Opens the Door to More Virtual Care, Digital Health
Eric Wicklund | November 06, 2024
New Advanced Primary Care Management codes will give providers more incentives to use virtual care and digital health to improve...
CFO
Payer Denials Shake Community Health Systems Q3 Earnings
Marie DeFreitas | October 30, 2024
What can be done about aggressive payer tactics?
Revenue Cycle
7 Ways Baptist Health is Revolutionizing Revenue Cycle AI
Amanda Norris | October 15, 2024
Baptist Health is leading the AI charge to reduce costs, streamline operations, and improve patient care and satisfaction.
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