revenue cycle

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...

Drug companies are more likely than hospitals to violate 340B regulations, according to a recent American Hospital Association report.

Inconsistent payer rules are a major pain point for revenue cycles with direct clinical and financial impact on patients, according...

Here's how CFOs can keep pace with, or even get ahead of, payers.

More than 40 payers have voluntarily committed to significant prior authorization reforms, but will this time be any different?

The numbers are in, revealing a clear performance gap between providers on eight KPIs. See the metrics that separate top-performing...

The latest data from Kodiak Solutions shows significant variation among provider organizations in their performance against key performance indicators (KPIs),...

Panelists during a recent National Association of Healthcare Revenue Integrity webinar shared how they are forming strategic partnerships in their...

Providers should prepare for the fallout following a recent CMS announcement that it will take a more aggressive approach to...