coding
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Revenue Cycle
The Hidden Costs of Denials: A Call to Action for Revenue Cycle Leaders
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
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
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
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
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
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
What can be done about aggressive payer tactics?
Revenue Cycle
7 Ways Baptist Health is Revolutionizing Revenue Cycle AI
Baptist Health is leading the AI charge to reduce costs, streamline operations, and improve patient care and satisfaction.
Innovation
CMS Advances Virtual Care, Digital Health Coverage in Proposed 2025 PFS
The proposed Physician Fee Schedule includes, among other things, Medicare coverage for care management using telehealth and digital health tools,...
Revenue Cycle
Proposed Rule Targets 'Highly Suspect' Billing in Shared Savings Program
The rule is part of larger plan to address anomalous spending in the program.
Revenue Cycle
How UC Davis Health Is Bolstering Neurodivergent Talent With Pilot Program
The program offers a career path for neurodivergent individuals, enabling them to be more independent.
Innovation
5 Recommendations to Improve RPM Adoption
A report issued earlier this year by the Bipartisan Policy Center offers a blueprint for expanding remote patient monitoring opportunities...