revenue cycle
publication date
CEO
Rising Patient Cost Sharing Is Creating Financial Risk for Rural Hospitals
Growing patient responsibility is forcing rural providers to confront a new source of strain, and rethink collections and service strategy.
Revenue Cycle
Jefferson Health Sues Aetna Over Controversial Inpatient Downcoding Policy
The Pennsylvania-based health system claims the payer's policy violates Medicare's two-midnight rule and forces hospitals into a burdensome appeals process.
Revenue Cycle
HL Shorts: Winning the Revenue Cycle on the Front End
Mercy's Chief Revenue Cycle Officer explains how a focus on front-end clearance helps to protect patients from administrative friction and...
Revenue Cycle
Elevating the Revenue Cycle to the C-Suite at UHS
UHS' CRO is transforming operations by staying true to a foundational EHR build, embedding physician advisors to fight denials, and...
HLM Mastermind
The Revenue Cycle Is Being Rebuilt From the Ground Up, And the Pressure Is Real
The revenue cycle has always been complex, but 2026 is testing leaders in entirely new ways.
Revenue Cycle
Infographic: 3 Takeaways from the 2025 CAQH Index Report
With a $21 billion savings opportunity on the table, revenue cycle leaders must prioritize workflow standardization and vendor partnership ahead...
Revenue Cycle
Inside Mercy's Revenue Cycle Strategy to Reduce Denials and Push Back on Payer AI
Mercy is reengineering its revenue cycle strategy to reduce preventable denials, counter increasingly aggressive payer algorithms, and elevate the role...
Revenue Cycle
HL Shorts: Driving Patient Loyalty Through Financial Education
By actively helping patients navigate programs to pay for their high healthcare costs, UHS is transforming the revenue cycle into...
Revenue Cycle
Are Revenue Cycle Leaders Ready for More Regulations?
As the deadline for the CMS Interoperability and Prior Authorization Final Rule approaches, new data shows that providers are losing...
Revenue Cycle
HL Shorts: Where Automation Offers Cost Savings
To achieve meaningful ROI, health systems must layer AI on top of standardized digital workflows rather than using it to...
Revenue Cycle
AI Coding Dispute Intensifies as Payers Challenge Rising Hospital Charges
The clash between payers and providers over AI-driven coding is intensifying, with insurers arguing that documentation tools are inflating reimbursement...
Revenue Cycle
Infographic: 3 Tips for AI Implementations in the Rev Cycle
Recent survey data reveals that while AI adoption is growing, revenue cycle leaders must prioritize collaborative governance and front-end accuracy...