denials
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Revenue Cycle
New CPT Code Changes Put Hospital Revenue at Risk
New CPT code changes for invasive cardiology and interventional radiology will take effect on January 1, 2026, impacting a significant...
Revenue Cycle
HL Shorts: How AI Impacts Medical Necessity Appeals
Bill Arneson of Moffitt Cancer Center explains how an AI tool for medical necessity appeals cut the cost to work...
CFO
No Surprises Act IDR Disputes: Insurers Report Surge in Ineligible Claims. What Are the Financial Implications for CFOs?
Insurers report that nearly 40% of payment disputes filed under the No Surprises Act's independent dispute resolution (IDR) process are...
Revenue Cycle
Infographic: Claim Denial Rates on the Rise
A survey reveals that claim denial rates are at a three-year high, and while only 14% of providers are using...
Revenue Cycle
Can AI Rein in Claim Denial Rates?
While denial rates continue to climb, few health systems are using AI in claims management despite its potential to address...
CFO
3 Ways Nonprofits Were Able to Increase Cash Flow
For CFOs, the report is both a spotlight on improved performance and cautious reminder of where challenges still lie.
Revenue Cycle
Infographic: Rev Cycle Leaders' Top Challenges
A recent survey revealed that rising volumes of claim denials are the top threat to provider revenue cycles, while staffing...
CFO
Investing in Revenue Cycle Technology: Lessons from Moffitt Cancer Center
At Moffitt Cancer Center, true revenue cycle transformation means aligning financial strategy, patient experience, and mission-driven outcomes.
Revenue Cycle
From Challenge to Champion: A Rev Cycle Partnership Success Story
To confront disappointing performance in its revenue cycle, leadership at Bon Secours Mercy Health made the decision to outsource. The...
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
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...