FinThrive

10 min read

Redefining Patient Access for a Healthier Revenue Cycle

Picture this: It’s Monday morning, and your front desk is a hive of activity. Phones are ringing, forms are piling up and patients are waiting for answers. Every interaction from scheduling to check-in is a critical moment that shapes confidence in your...

5 min read

Protecting Rural Care: Navigating the $50 Billion Rural Health Transformation Program

Rural hospitals are the backbone of their communities, delivering vital care where it’s needed most. Today, these essential institutions face unprecedented fiscal challenges as the H.R.1 “One Big Beautiful Bill Act” (OBBBA) drives sweeping changes across...

10 min read

FinThrive Insights From HFMA RCC 2026: Revenue Cycle Trends

Last week in Arlington, Texas, we had the opportunity to attend the HFMA Revenue Cycle Conference (RCC) 2026, and it was one of those conferences that feels less like an industry update and more like a collective reset. With healthcare organizations...

5 min read

HFMA Region 5 SES 2026: Leadership Is the Differentiator

The conversations at HFMA Region 5 SES in Greenville felt different this year. Less theory. More candor. More urgency.

More than 600 healthcare finance and revenue cycle leaders came together to talk about what it actually takes to perform right now. The...

8 min read

The Denial-Free Revenue Cycle: Tools and Tactics to Keep Costs in Check

For healthcare finance leaders, denials aren’t a new problem—but the cost of managing them has changed dramatically. Increased payer scrutiny, more complex authorization rules, and ongoing workforce constraints have turned denial management into a...

7 min read

Revenue on Autopilot: How Smarter Denial Management Reduces the Cost to Collect

Claim denials are often treated as a reimbursement issue—something to be appealed, overturned and moved past. But for today’s hospitals and health systems, denials represent something far more consequential: a hidden and growing driver of cost to collect.

9 min read

HFMA WRS 2026: Leading Now in Healthcare Finance

For the eleventh time, I found myself in Las Vegas for the HFMA Western Region Symposium, and this year’s event was one for the books. As the second-largest HFMA gathering, it brought together a powerhouse of healthcare finance, revenue cycle, and policy...

10 min read

How Midsize Healthcare Orgs. Are Cutting Costs with AI-Powered RCM Solutions

For midsize hospitals and health systems – healthcare organizations with 150-400 beds and net patient revenues (NPR) ranging from $300M-$1B – cost pressures have become a permanent operating condition. Labor shortages persist. Reimbursement growth...

9 min read

How Insurance Discovery Enhances Hospital Revenue Recovery Rates

Hospitals navigate a challenging financial landscape where every dollar plays a crucial role. Despite rising operational costs, shrinking margins and complex payer rules, there’s opportunity to overcome these hurdles.

One of the most impactful areas to...

8 min read

Why Data Security Will Define Cost-Effective RCM in 2026

Revenue cycle leaders are entering 2026 with a sharper understanding of how deeply cybersecurity risk shapes financial performance. The events in recent years, especially the widespread, prolonged interruptions caused by major cyberattacks, revealed how...

6 min read

Consistency in Action: What Industry Recognition Means for Healthcare Progress

Earning recognition as a “Consistent High Performer” in healthcare revenue cycle management is about more than accolades—it’s about the visible, lasting momentum this distinction brings to some of the toughest challenges faced by hospitals, health...

8 min read

HFMA Region 9 2025: Top Takeaways and What They Mean for Healthcare Finance Leaders

Attending the HFMA Region 9 Annual Conference this year reinforced something I’ve felt for a while. Our region is not just dealing with complex financial realities. We are experiencing early signals of where national healthcare finance is heading.

With...

11 min read

How Patient Access Leaders Can Tackle Today’s Toughest Challenges

Patient access is vital to care delivery, patient satisfaction, and hospital efficiency. Yet, despite advancements in technology, challenges remain.

Here are five key issues patient access leaders face today—and practical solutions to overcome them. 

4 min read

How to Build a Scalable EHR Integration Framework That Improves Care and Revenue

Healthcare organizations face a common challenge: fragmented systems that slow workflows, increase errors and create barriers to patient-centered care. The solution? Building scalable EHR integration frameworks that unify data, streamline operations and...

9 min read

AI and Automation: Transforming Revenue Cycle Management for Better Financial Resilience

With eroding margins and cash flow pressures, revenue cycle leaders have an exciting opportunity to drive efficiency and innovation. One of the most promising areas for transformation is reducing the administrative burden within the revenue cycle....

5 min read

What’s the Real Cost of Inaccurate CDM Data?

Chargemaster accuracy is more than just a compliance checkbox; it’s a cornerstone of financial health. An inaccurate Charge Description Master (CDM) can quietly erode revenue, trigger audits and damage patient trust.

More than a compliance requirement,...

9 min read

Expense Management: A Key to Efficiency and Resilience

Managing the financial health of a hospital or health system requires a constant focus on expenses and revenue optimization. Healthcare finance leaders are tasked with reducing costs while maximizing reimbursement in a complex operational environment.

A...

7 min read

Revenue Recovery Urgency in the OBBBA Era

While caution in times of uncertainty may be prudent, complacency as a healthcare organization can have severe consequences.

The One Big Beautiful Bill Act (OBBBA), signed into law in July 2025, has fundamentally altered the healthcare landscape. By...

7 min read

Denial Metrics Are Everywhere: Do You Know What to Do with Them?

Healthcare finance leaders today are swimming in data, such as denied claims, write-offs, appeal volumes, payment variances, yet many still struggle to turn that data into action.

6 min read

Texas HB 1314: What Hospitals and Health Systems Need to Know

A new law in Texas, House Bill 1314, introduces significant changes to billing requirements for healthcare facilities.

Effective Sept. 1, 2025, this legislation altered how hospitals and health systems provide cost estimates for nonemergency medical...

5 min read

Top 5 Takeaways from Becker's RCM CIO 2025

The 10th Annual Becker's RCM CIO Conference was one to remember. Over three days, healthcare leaders from across the country came together to share insights, swap ideas and explore solutions to some of the toughest challenges facing the industry today.

...

2 min read

Oracle Health & Life Sciences Summit 2025: FinThrive’s Role in Advancing Revenue Integrity

The Oracle Health and Life Sciences Summit is one of the largest conferences for the global healthcare community. This year, in Orlando from September 9 – 11, the effect of AI on the efficiency of medicine was the focus. The conference also presented an...

9 min read

How Agentic AI is Changing Healthcare RCM

Managing the financial journey of patient care is no easy feat for today’s healthcare providers. Hospitals and health systems frequently encounter challenges such as staffing shortages, intricate payment regulations and a high volume of denied claims.

...

7 min read

10 Financial Metrics Every Healthcare CFO Must Master

Healthcare CFOs must master financial metrics like Net Patient Revenue, Operating Margin and Accounts Receivable (AR) Days to ensure organizational stability.

As costs rise and reimbursement models shift, these data points provide the insight needed to...

7 min read

Behind Every Denial Is a Pattern—Are You Looking for It?

Healthcare organizations are no strangers to claim denials. They’ve become an unfortunate fixture of the revenue cycle, quietly draining resources and frustrating both staff and patients.

6 min read

From Claims to Collections: AI Is Reshaping Revenue Cycle Management

In an ever-evolving world of healthcare, financial sustainability is no longer about cutting costs or increasing patient volume. It’s about optimizing every step of the revenue cycle; from the moment a patient schedules an appointment to the final...

8 min read

From Bottleneck to Breakthrough: How FinThrive Accelerated Customer Success with Databrick’s AI/BI Genie

Healthcare moves fast. Providers and partners don’t have time to wait days for critical data insights; they need answers now. At FinThrive, we recognize that timely, accurate data transforms not just how care is delivered but also how our customers meet...

7 min read

How OBBBA Will Reshape Medicaid, ACA and Healthcare Operations

The healthcare industry is entering a period of significant change with the introduction of the One Big Beautiful Bill Act (OBBBA). This landmark legislation is set to reshape Medicaid, the Affordable Care Act (ACA) and federal healthcare programs.

With...

5 min read

Getting Ahead of Denials: Why AI Predictive Denials Are the Future of Claims Management

For revenue cycle leaders, few issues create more friction—or more cost—than claim denials. They disrupt cash flow, inflate administrative overhead and delay payments that are already overdue. And while denial management strategies have improved, they...

7 min read

How Healthcare Revenue Cycle Analytics Can Improve Financial Performance

Healthcare revenue cycle analytics is a data-driven process that helps providers view and optimize their financial operations. By consolidating data from claims, collections, and payer contracts, analytics platforms allow organizations to streamline...

7 min read

How New Innovations in RCM Are Transforming Healthcare

Healthcare organizations today are working through significant challenges that require innovative, effective solutions. From shifting payer requirements and sweeping legislative actions like the One Big Beautiful Bill Act, to increasing pressures on...

7 min read

OBBBA Medicaid Cuts: State-by-State Impact Analysis

The One Big Beautiful Bill Act (OBBBA) signed into law on July 4, 2025, represents one of the most significant reductions in federal Medicaid spending in recent history. This legislation will fundamentally alter how Medicaid in funded across the United...

8 min read

4 Critical Challenges Healthcare Technology Leaders Face Right Now

Healthcare tech leaders are under immense pressure. Mounting cybersecurity threats, tighter budgets and the race to modernize outdated systems demand swift and strategic action. These challenges are more than operational hurdles; they influence the...

8 min read

The One Big Beautiful Bill Act: A Seismic Shift in Healthcare Policy and What It Means for Revenue Strategy

12 min read

Top 5 KPIs for Managed Care Success

10 min read

7 Essential Characteristics of Seamless Claims Management

Providers face mounting pressure to optimize their revenue cycle operations while maintaining compliance and accuracy. Claims management is the heart of this challenge, directly impacting cash flow and operational efficiency.

10 min read

HFMA Annual 2025: Exploring Bold Innovations in Healthcare Revenue Intelligence

The Healthcare Financial Management Association (HFMA) Annual Conference in Denver brought together 3,500+ healthcare leaders, and the energy was electric. With discussions spanning payer-provider collaboration, financial sustainability and cutting-edge...

6 min read

Tackling Charge Capture Challenges: Best Practices for Hospitals and Health Systems

Charge capture is vital for hospitals and health systems—it’s how services like lab tests and surgeries get documented and billed. But let’s face it, the process can be a headache. Manual workflows, data errors and team miscommunication often lead to...

4 min read

Spotting the Red Flags in Your Analytics and How to Fix Them

Healthcare revenue cycle management (RCM) is the engine that keeps your organization running smoothly. With the right analytics as your fuel, you can speed past inefficiencies, hit revenue milestones and ensure your team is always in the driver’s seat.

...

7 min read

Recent Enforcement in Healthcare Price Transparency: What You Need to Know

Recent fines issued by the Centers for Medicare & Medicaid Services (CMS) have brought price transparency compliance into sharp focus.

With two additional hospitals collectively fined over $400,000 for violations spanning hundreds of days, it’s clear...

7 min read

Improve Patient Registration Efficiency in 6 Steps

Efficient patient registration is critical to providing high-quality healthcare services while ensuring smooth operations for hospitals and health systems. However, many providers wrestle with time-consuming workflows, incorrect data entry and long...

6 min read

3 Ways Claim Denials Undermine Growth (and What to Do)

For healthcare finance leaders, revenue growth is a clear focus  now, with 70% of executives prioritizing it and 76% emphasizing denial reduction as a key area. While denials remain a challenge, there’s plenty of opportunity to turn this around and...

5 min read

Cyber Resilience Roundup: How to Maintain Revenue Continuity Following a Cyberattack

Cybersecurity incidents often grab headlines for their sheer scale and impact. Take the Change Healthcare data breach, for instance—it affected millions of patients and caused widespread disruption across healthcare organizations.

7 min read

The Supreme Court DSH Payment Ruling: What It Means for Hospitals Serving Low-Income Communities

Disproportionate Share Hospital (DSH) payments are critical lifelines for many hospitals, especially those serving high numbers of low-income patients. However, a recent Supreme Court ruling has cast new light on how these payments are calculated,...

7 min read

Looking for a Healthcare RCM Automation Vendor? Start Your Search With These Top Questions.

The healthcare industry is entering an exciting era of transformation, filled with opportunities to innovate and improve. Revenue cycle management (RCM) processes are at the forefront of this progress, offering a chance to streamline workflows, eliminate...

6 min read

The Future of Healthcare Revenue Cycle Management

The healthcare industry is at a pivotal juncture where financial sustainability, technological advancement and patient-centered care must converge to ensure long-term success. Revenue Cycle Management (RCM) is a crucial element in this transition,...

5 min read

Leveraging Data Analytics to Enhance CDM Effectiveness

Efficient Charge Description Master (CDM) management plays a vital role in safeguarding both the financial stability and smooth operations of healthcare organizations. With the rise of data analytics, healthcare providers now have a powerful resource to...

6 min read

Medicare DSH Payments 101

Medicare Disproportionate Share Hospital (DSH) payments are a lifeline for healthcare providers serving our most vulnerable populations. Whether it’s low-income patients, the uninsured or individuals with coverage that barely scratches the surface of...

9 min read

HFMA RCC 2025 Key Takeaways

Healthcare professionals converged at HFMA RCC 2025, where the spotlight was on advancing revenue cycle management (RCM) through cutting-edge technologies, patient-centered care and strategic governance. With over 550 attendees, the event delivered...

6 min read

Medical Revenue Recovery Services: Turn Lost Dollars Into Financial Success

In today’s complex healthcare landscape, providers face mounting financial pressures from rising deductibles, increased denials and a shifting payer mix. Ensuring that all earned revenue is captured is crucial for maintaining financial stability and...

11 min read

Reflections on HIMSS 2025: Insights, Innovations and the Path Forward

The HIMSS Global Health Conference & Exhibition is always a highlight in the healthcare calendar, bringing together the brightest minds in health information and technology. This year’s event did not disappoint, offering groundbreaking insights,...

3 min read

Rethinking Revenue Management with AI–Efficiency, Security and Growth

Artificial intelligence (AI) is reshaping the way healthcare organizations manage their revenue cycles, bringing efficiency, innovation and stronger safeguards to the forefront. Whether your role involves administration, operations or tech, understanding...

9 min read

How Data Analytics is Transforming A/R Optimization in Healthcare

Analytics in accounts receivable (A/R) isn’t just about gathering data; it’s about transforming it into actionable insights that drive smarter decisions, reduce financial risks and boost cash flow.

7 min read

Transfer DRGs 101

Effective financial management is essential for healthcare organizations tackling the challenges of Medicare reimbursements. At the heart of this process are Transfer DRGs (Diagnosis Related Groups), a key factor in ensuring hospitals get compensated...

7 min read

HFMA Region 5 Southeastern Summit Reflections

8 min read

Best Practices for Collaborating with Payers

The relationship between providers and payers plays a critical role in ensuring smooth and timely claims processing. However, these relationships often face challenges, from misunderstandings of policy requirements to shifting regulations.

8 min read

Healthcare Insurance Discovery: How It Works and Why Providers Need It

Healthcare organizations are making great strides in recovering revenue despite the complexities of the healthcare reimbursement landscape. Using insurance discovery technology, sometimes referred to as coverage discovery, providers can quickly uncover...

6 min read

From Errors to Efficiency: Transform Your Charge Capture Process

Precision is key when it comes to managing the healthcare revenue cycle, and charge capture is a perfect example of why it matters. By accurately recording the services provided to patients, charge capture helps ensure clean claims, supports compliance...

8 min read

Reflecting on the 26th Annual HFMA Western Region Symposium

The 26th annual HFMA Western Region Symposium was one for the books! It was an event full of impactful moments, bringing together healthcare professionals for thoughtful conversations, valuable insights and actionable strategies to tackle our industry’s...

8 min read

The Role of Analytics in Reducing Denials and Rejections

Analytics has become a vital tool in claims management, enabling healthcare organizations to tackle costly denials and rejections directly. According to HFMA's 2024 Health System CFO Pain Points report, 82% of CFOs say payer denials have increased...

10 min read

The High Stakes of Hospital Price Transparency Compliance

The conversation surrounding hospital price transparency is amplified and more urgent than ever.

6 min read

The Dual Role of AI in Healthcare Cybersecurity in 2025

The healthcare sector enters 2025 under the shadow of an escalating cybersecurity crisis. With a staggering 386 cyberattacks reported in 2024 alone, the American Hospital Association (AHA) warns that such breaches are not just financial crimes but...

6 min read

Best Practices in Denial Management

Denials remain a significant challenge in healthcare revenue cycle management (RCM), creating disruptions that can compromise both financial stability and operational efficiency. With denial rates rising, it’s more important than ever for healthcare...

4 min read

Maximizing Revenue Through Efficient A/R Management: Best Practices for Hospitals

Optimizing accounts receivable (A/R) management is more important than ever as billing processes grow more complex and value-based care becomes the standard. This blog highlights the significance of effective A/R management and outlines actionable...

7 min read

Why is Revenue Cycle Management Important in Healthcare?

Revenue Cycle Management (RCM) is vital for a thriving healthcare organization. Balancing exceptional care with financial steadiness can be challenging, but with the right RCM platform and analytics, you can navigate the intricate healthcare industry...

7 min read

The Dangers of Delayed Claims Processing: How to Speed Up Your A/R Cycle

In today’s healthcare landscape, where financial sustainability is top of mind, delayed claims processing can be a significant roadblock to cash flow and overall revenue cycle efficiency. Hospitals and health systems face heightened risk when claims are...

6 min read

Understanding the Claims Lifecycle: A Step-by-Step Guide

Grasping the details of the claims lifecycle in healthcare is crucial for getting timely reimbursements and maintaining financial well-being. As healthcare organizations strive for an efficient and accurate claims management process, it’s crucial to...

5 min read

Contract Management Case Study: Midwestern Health Network

In today’s complex healthcare landscape, accurate reimbursement is crucial for maintaining financial health and operational efficiency. Revenue cycle management teams face the challenge of ensuring payment accuracy from multiple payers, each with its own...

5 min read

Shadow Billing 101

Medicare offers important financial protection by providing health insurance coverage to 67 million people in the U.S., including adults age 65 or older and younger adults with long-term disabilities.

8 min read

Medicare Bad Debt 101

Medicare offers important financial protection by providing health insurance coverage to 67 million people in the U.S., including adults age 65 or older and younger adults with long-term disabilities.

4 min read

Top 5 Mistakes in Claims Management – And How to Avoid Them

Claims management accuracy and efficiency are crucial for hospital billing, accounting and finance professionals. However, common missteps can cause expensive delays, denials and reimbursement deficiencies. Below, we explore the top five mistakes in...

4 min read

The Importance of Accurate Charge Capture: Avoiding Common Pitfalls

In the complicated world of healthcare billing, capturing charges accurately is crucial for a hospital’s revenue cycle. Charge capture errors can cause substantial revenue losses, payment delays and even compliance problems.

8 min read

Top Technology Investments for Healthcare Organizations

The determination to overcome recent challenges like reduced patient visits and tighter margins is now paying off for providers with a promising transition from survival mode to revenue growth, as highlighted in Kaufman Hall’s March 2024 National...

9 min read

Recapping the 2024 Becker’s Health IT, Digital Health and Revenue Cycle Management Conference

7 min read

Improving Collaboration Between Healthcare Providers and Payers

The relationship between providers and payers has always been challenging, and the current landscape is marked by heightened tension. With rising denial rates and increasing administrative burdens surrounding payer rule changes, it's clear both sides...

5 min read

Ensuring Continuity in Claims Management with a Standby Partner

In today’s healthcare environment, maintaining secure and continuous claims management is more crucial than ever. Recent cyberattacks highlight the vulnerabilities organizations face without robust backup systems. When claims systems fail, revenue...

7 min read

Addressing Healthcare Staff Satisfaction through Innovation and Support

The healthcare industry is currently grappling with a major challenge: ensuring staff satisfaction. Several key issues contribute to this problem, including overwhelming workloads, frustration with multiple systems and limited opportunities for career...

6 min read

Streamline for Success: Top 3 Signs It's Time to Consolidate Your Healthcare RCM Vendors

Picture this: you’re juggling multiple RCM vendors, each claiming to be the best at their part of the puzzle. But instead of fitting together seamlessly, they create a complex web of processes that stretch your resources thin. So, how do you know when...

7 min read

Why Reducing Denials and Rejections Matters More Than Clean Claim Rates

In the world of healthcare revenue cycle management, you often hear terms like clean claim rate, claim denial rate and claim rejection rate. While each of these metrics plays a crucial role in the financial health of a healthcare organization, focusing...

6 min read

Enhancing Patient Payment Experience with Accurate Payment Estimations

In today’s healthcare landscape, patient satisfaction is paramount. With the rising costs of healthcare and the increasing financial burden on patients, transparency in billing has never been more critical. Patients expect clear, accurate and timely...

7 min read

7 Effective Strategies to Prevent Healthcare Denials

Preventing healthcare denials is both essential and challenging for health systems and hospitals.

6 min read

How Healthcare Organizations Can Improve Their Insurance Verification Process

In the healthcare industry, accurate insurance verification is crucial for patient care and overall revenue. Despite its importance, many healthcare providers are still prone to common errors during the verification process.

7 min read

What You May Have Missed at HFMA 2024 – Industry Trends and More

The 2024 HFMA Annual Conference returned to Las Vegas this year…and man was it HOT! Not only did we have triple-digit temps all week, the conference also had some exciting content as well. The event kicked off with the Rat Pack of all things, Den-O, old...

5 min read

Enhance Patient Experience with Continuous Insurance Coverage Search

Navigating the complex landscape of healthcare can be challenging for patients, especially when it comes to understanding and managing insurance coverage. One of the critical ways providers can improve the patient experience is through searching for...

5 min read

Pioneering Business Continuity in Healthcare: FinThrive's Standby Solutions

In an era marked by rapid technological advancements and unforeseen challenges, healthcare institutions are increasingly vulnerable to interruptions. These interruptions, often in the form of cybersecurity threats, have the potential to halt operations...

7 min read

Dispelling 3 Common Myths About End-to-End RCM Platforms

Across the industry, provider organizations are experiencing pressure due to staffing shortages, payer challenges, shrinking margins and constantly evolving regulations. In response, vendors are developing comprehensive platforms that house a full suite...

4 min read

How a Top-Ranked Medical Center Reduced Denials by More Than 50% with FinThrive

Last year, over half of healthcare providers reported an increase in denied claims within their organizations. Common reasons cited included registration errors, inadequate documentation and inaccurate or missing patient information.

8 min read

Streamlining Healthcare Revenue: The Power of Automated Reimbursement Calculations

In the complex world of healthcare, managing revenue efficiently is critical. With multiple payer types and diverse patient categories, the reimbursement process can be daunting, prone to errors, and highly labor-intensive. The evolution of technology...

7 min read

Cyber Security in Healthcare: How Providers Can Improve Data Safety and Cyber Resilience

The escalation of data breaches and cyberattacks targeting hospitals and healthcare facilities is a growing concern. According to the HHS Office for Civil Rights (OCR), there has been a notable increase in cyber incidents within the healthcare sector. ...

5 min read

Healthcare Voices Series: Can Technology Impact Value-Based Care?

Last month, we shared insights with Dr. Neil and Dr. Jubelt, highlighting the importance of a patient-centric approach and collaboration to advance a shift towards value-based care.

In this edition of our Healthcare Voices series, we met with two...

8 min read

No Surprises Act: Two Years Later, IDR Process Results and How Providers can Prepare for Success

It has been a little more than two years since the No Surprises Act was implemented, with provisions designed to address unexpected gaps in insurance coverage that result in “surprise medical bills” when patients unknowingly obtain medical services from...

7 min read

Healthcare RCM Trends: The Biggest Shifts from 2023 to 2024

The healthcare industry is a dynamic landscape, constantly evolving to meet the changing needs of both providers and patients. Providers are feeling the financial squeeze due to rising labor costs and deteriorating payer relationships, all while trying...

6 min read

Navigating CMS Updates: Adapting to Evolving Healthcare Machine-Readable File Regulations

The recent requirements introduced by the Centers for Medicare & Medicaid Services (CMS) on November 22, 2023, outlined significant changes to the Price Transparency initiative, specifically focusing on the machine-readable file (MRF).

5 min read

Using End-to-End Analytics to Improve Your Healthcare Revenue Cycle Management

The healthcare industry is constantly evolving, but one constant remains – providers continue to face a variety of challenges, including reduced payments, increased denials, higher labor costs and decreased patient volumes.

6 min read

Solving the Top Challenges of Prior Authorizations in Healthcare

Navigating the healthcare system as a provider can often feel like an elaborate game of approvals, especially when it comes to the prior authorization process. Despite advances in technology, this critical element of maintaining financial health elicits...

4 min read

Unveiling the Future of Contract Negotiations in Healthcare: Intelligence-Driven Solutions

The pressure to optimize revenue streams while maintaining financial stability is a constant challenge in the ever-evolving healthcare arena. Amidst this complexity, the accuracy of contract negotiations and payment reconciliation emerges as a critical...

5 min read

Enhancing Healthcare Revenue Streams: Key Steps for Your RCM Team to Improve Patient Collections

According to a recent survey from the Healthcare Financial Management Association (HFMA) and Eliciting Insights, hospitals and health systems find themselves navigating financial hurdles amidst lower reimbursement rates and increased denials. As a...

19 min read

How to Choose the Right Insurance Discovery Vendor: Eight Essential Tips

Operating margins continue to shrink for healthcare organizations, making it critical to capture every dollar of earned revenue. While your current processes help mitigate revenue leakage, partnering with an external insurance discovery vendor can help...

9 min read

Healthcare Voices Series: A Dual Perspective on Value-Based Care from Dr. Jubelt and Dr. Neil

Recently, we had the opportunity to interview two impactful healthcare leaders, Dr. Lindsay Jubelt and Dr. Gianni Neil. Through our discussion, both leaders offer insightful perspectives about the intersection of technology, data and value-based care....

4 min read

Crucial Chain in the Healthcare Revenue Cycle Management: Patient Identity Verification

In the world of healthcare, everything comes down to making sure patients get the best care possible. But to do that, there's a lot going on behind the scenes, especially when it comes to healthcare revenue cycle management and making sure providers are...

6 min read

Reflecting on HIMSS 2024: Key Takeaways from Orlando

6 min read

Navigating Year-End Updates: Adapting to Evolving Healthcare Machine-Readable File Regulations

The recent proposal introduced by the Centers for Medicare & Medicaid Services (CMS) on July 31, 2023, outlined significant changes to the Price Transparency initiative, specifically focusing on the machine-readable file (MRF).

5 min read

Transforming Revenue Management with Unparalleled Data Management and Insights

In the dynamic realm of healthcare, adaptability is key, and FinThrive Analyze delivers flexible innovation. Today, we're thrilled to introduce two groundbreaking modules, Data Hub and Insights Hub, as part of our FinThrive Analyze analytics solution....

8 min read

Unlocking Revenue Success: Key Healthcare RCM KPIs for a Strong Bottom Line

Healthcare organizations have a lot on their plate, and how well they manage revenue is crucial to their financial well-being. Revenue Cycle Management (RCM) acts as a vital link in the intricate world of patient care, documentation, payment, regulations...

5 min read

Fixing Inefficient and Costly Prior Authorization: A Path to Modernization

Prior Authorization: A critical barrier to revenue cycle management

As the year 2024 unfolds, the urgency of addressing the inefficient and costly authorization process for healthcare financial leaders persists. With its intricate web of time and...

5 min read

HIMSS24: Sessions to Most Look Forward to in Orlando

The world's largest healthcare conference is on the horizon, geared up to welcome nearly 40,000 participants. From vendor booths on the exhibit hall floors to educational sessions, networking and peer-reviewed presentations, HIMSS can be overwhelming as...

5 min read

4 Ways to Streamline the Prior Authorization Process

The prior authorization process stands as one of the most intricate and resource-intensive tasks faced by healthcare providers today. It has been a pervasive issue in the industry for years, and there has not been much collaboration or headway made to...

5 min read

Four Tips to Reduce Uncompensated Care

Healthcare organizations are feeling the sting of unpaid care, which surged by 33% from Q1 2023 to July 2023. And while it may not be possible to eliminate it, there are initiatives you can put in place today to lessen its impact.

6 min read

Navigating the Healthcare Staffing Shortage with People-First Technology

The healthcare sector is confronting an unprecedented staffing crisis, which has only intensified since the pandemic, and is putting strain on revenue cycle management (RCM) teams. According to a recent HFMA survey, every respondent reported open revenue...

5 min read

Three Reasons to Invest in Digital Check-in Technology

A consumer-centric patient financial experience is critical to the success of any healthcare organization. While other industries have mastered the art of customer engagement, hospitals and healthcare systems lag in terms of meeting patients where...

5 min read

5 Top Questions to Effectively Evaluate a Claims Management Solution

In 2023, more than 50% of healthcare providers said the number of denied claims rose for their organizations, most often due to errors in registration, lack of documentation and missing or incorrect patient information.

9 min read

HFMA Western Region Symposium 2024 Recap

6 min read

Delight Your Patients, Empower Your Staff: The Power of Virtual Intake

Let’s be honest – navigating healthcare is a difficult and stressful experience. At a time when almost everything in our lives has gone digital – booking flights, making dinner reservations, getting a ride, ordering groceries, and more. Unfortunately,...

6 min read

4 Ways to Maximize Government Reimbursements

With Medicare reimbursements from the Centers for Medicaid and Medicare Services (CMS) accounting for approximately 32% of hospital revenue, it’s essential for healthcare leaders to comprehend the complexity of these payments.

8 min read

3 Ways to Optimize Automation in Revenue Cycle Management

As the healthcare industry embraces digital transformation, automation has emerged as a promising approach to challenges that threaten the financial stability of organizations. In fact, 50% of providers are projected to have invested in automation by the...

4 min read

3 Ways Improving RCM Can Combat Staffing Shortages

Since 2020, the healthcare industry has been hit hard by staffing shortages, with an estimated 20% in workforce reduction. Labor shortages are affecting all areas of healthcare organizations, not just clinical.

7 min read

Improving the Efficiency of Healthcare RCM: A Key to Financial Health

In today’s challenging healthcare landscape, effective revenue cycle management (RCM) has become paramount for healthcare providers despite years of investment in point solutions and the EHR system. With the complexity of RCM, process improvement across...

6 min read

Addressing Medicare Bad Debt Reimbursement Issues in Healthcare

Navigating reimbursements for the Medicare program has been a long-standing challenge for many providers. With the government reimbursement landscape constantly shifting due to policy changes, complex regulations and nuances related to patient coverage,...

8 min read

Discover the Power of Friendship, Inclusivity and Innovation on National Certification Nation Day

Every year, Great Place to Work’s National Certification Nation Day shines a spotlight on organizations that have gone above and beyond to create a positive and fulfilling workplace for their colleagues. On this day we recognize and celebrate the...

8 min read

Becker's Hospital Review: 8th Annual Health IT + Digital Health + Revenue Cycle Annual Meeting

11 min read

Q&A: Benefits of Using Chargemaster Data for HEOR

Adoption of chargemaster data in health economics and outcomes research (HEOR) is typically less common than more prevalent real-world datasets such as claims or EHR data, primarily due to chargemaster being a hospital specific dataset. However,...

5 min read

2023 Trends Report: How Healthcare RCM Leaders Embrace Change

Introduction

Earlier this year, FinThrive partnered with AlphaSights to conduct a comprehensive body of research among RCM leaders. This initiative was designed to gather the latest trends and better understand top-of-mind objectives, initiatives and...

4 min read

What You Missed at HFMA Region 8 Mid-America Summer Institute

The 2023 HFMA Region 8 Mid-America Summer Institute (MASI) was a great educational conference. There were about 400 folks in attendance, ranging from large health systems and critical access to EMS and business partners. This conference lent itself to...

6 min read

Preventing Claim Denials: 6 Top Reasons Claims Are Denied and How to Avoid Them

Claim denials can be a frustrating and costly experience for both healthcare providers and patients—in 2022, the costs of claim denials rose 67%. To prevent claim denials and ensure a smooth, efficient revenue cycle management process, it’s important to...

7 min read

Compliance as the Cornerstone: Building Revenue, Cutting Costs and Delivering Exceptional Patient Care

In the healthcare industry, compliance is essential to protect providers from potential and significant legal or financial risks. However, compliance can also serve as a cornerstone for building revenue, cutting costs and delivering exceptional patient...

4 min read

The Growing Challenges of Hospital Denial Management

Several recent trends in the healthcare market have worsened the urgent issue of hospital denial management. Hospitals are grappling with the collection of their rightful payments, and each of these new developments poses an added threat.

Let's explore...

8 min read

What is Revenue Cycle Management in Healthcare?

Medical practices, health systems and hospitals’ primary goals are to provide life-saving care and keep patients healthy. Like any other business, however, these healthcare organizations must also focus on their own financial health to stay afloat....

10 min read

What You May Have Missed at HFMA 2023 – Industry Trends and More

2023 HFMA Annual did not disappoint! I was honored to be at such an electric event amongst many health system, hospital, provider, and business partner leaders across the country. The Gaylord Opryland Resort was beautiful and provided the perfect venue...

5 min read

Reduce Denials with These Four Tips to Uncover Hidden Coverage

A recent report by The Kaiser Family Foundation showed that claim denials are on the rise, with some plans reaching up to 80% in denials. Based on these findings, combined with a shifting payer mix, it’s estimated that 52% of patients will have...

8 min read

3 Ways Providers Can Navigate the End of the Public Health Emergency

On May 11, 2023, the federal Public Health Emergency (PHE) will expire, and along with the Consolidated Omnibus Act, will impact coverage for millions of Americans on Medicaid. This is arguably the biggest thing to happen to Medicaid since the passing of...

6 min read

Uncover Missed Health Insurance Coverage with Automation

Hospitals grapple with many complex issues that impact their financial health—staffing shortages, policy changes, retail competitors. However, one of the top financial impacts is fairly simple: missed insurance reimbursement due to eligibility denials.

9 min read

FinThrive Customer Advisory Board – Insights to Transform our Industry

Last week, key customer executives from FinThrive gathered for two days in Sarasota, Florida. The discussion was electric, innovative, engaging, and transformative. Seema Verma, former CMS Administrator, and Donald Rucker MD, former National Coordinator...

8 min read

Improving Health Outcomes by Reducing Medical Debt

Medical debt is more than a financial problem. Research is beginning to show that, for millions of Americans, medical debt leads to poor health outcomes.

7 min read

Third-party Data Ensures Compliance with Medicaids New Maintenance of Effort Provisions

More than 1.5 million people—including nearly 750,000 children—lost their Medicaid coverage in 2018, according to a study conducted that year. Researchers determined it was most likely due not to ineligibility but to paperwork barriers.

6 min read

3 Ways to Reinvent Primary Care

The Father of Population Health says America needs a new strategy for primary care.

12 min read

End-To-End RCM: A Vision for the Future with a Strategy that Starts Now

From top analysts to hospital board rooms, healthcare leaders have emphasized a consistent theme for 2023: an end-to-end approach to revenue cycle management (RCM). End-to-end capabilities featured prominently in the Everest Group’s recent Revenue Cycle...

6 min read

Drug Effectiveness and Pharmacy Experience Start with Equitable Clinical Trials

Approximately 20% of the new drugs approved in the last several years have known racial and ethnic differences in disposition. Still, the most recent data snapshot on diversity and inclusion from the U.S. Food & Drug Administration revealed that 75% of...

7 min read

4 Ways to Deliver ROI by Addressing Social Determinants of Health

Health organizations are zeroing in on Social Determinants of Health, removing socioeconomic barriers to healthcare and social services in order to improve patient outcomes. In the process, they’re also improving the financial health of the entire...

6 min read

3 Ways Regional Health Systems Can Improve Community Health

If we were designing the healthcare system from scratch, Brook Ward says most of us would have a clear vision for what it should look like.

7 min read

The Results Are In: See How the Everest Group Ranked 15 Top RCM Platforms

2022 was a tough year for healthcare providers… and patients. For providers, expenses outpaced revenue, driven up by the labor shortage, premium-priced outsourcing services and inflationary supply costs. For patients, job instability, insurance...

6 min read

Health Data Collaboration Can Save Our Healthcare Economy

The average healthcare patient account bounces back and forth between payers and providers multiple times before it gets anywhere near payment.

5 min read

4 Must-Dos for a Healthy, Compliant Chargemaster

By Sherry Nardi, Solution Strategy Director, FinThrive 

Maintaining a healthy chargemaster is a key component to preventing revenue leakage but can also be labor intensive and time-consuming. With thousands of ongoing line-item updates, limited staff and...

8 min read

FinThrive Monthly Insights: December 2022

As 2022 draws to a close, we reflect on one of the worst financial years for U.S. hospitals. The latest reports are showing the 10th straight month of negative margins, labor issues persist and volumes have yet to stabilize. Not what we want to see as we...

9 min read

3 Ways to Address Political Determinants of Health and Advance Health Equity

For those who question the far-reaching impact of political determinants of health, Population Health Professor Geoffrey Roche recounts this story:

5 min read

Revolutionizing Claims Management Through Robotic Process Automation

For modern healthcare to realize its true potential, revenue cycle management needs a new vision. The future requires a connected and holistic approach that empowers the providers, payers and patients who make the healthcare economy. Current processes...

6 min read

Empowering Providers, Payers and Patients: Financial Excellence for All

At Becker’s 7th Annual HIT RCM Conference in Chicago, FinThrive’s Chief Innovation Officer John Yount was joined by Brad Tinnermon, VP of Revenue Cycle and Revenue Integrity at Banner Health, and Matt Leary, VP of Finance at Centura Health.

Read on to...

4 min read

Maximize Reimbursements: Tips to Improve Your Collections Strategy

Amending your overall collections strategy—to focus more on total collections versus average cost to collect—can help ensure you get the best return on your investment.According to a recent survey from AHIMA, the average net patient revenue for US...

7 min read

SDOH Data Drives Community Health and Healing

Data shows that only 20% of a patient’s health outcomes are influenced by their access to and quality of healthcare. That leaves 80% to be determined by other factors, such as where we live, work, play, go to school, and get our groceries. These...

6 min read

The New NCQA Standard that Health Plans Can’t Afford to Ignore

As a health plan, you are likely familiar with the National Committee for Quality Assurance (NCQA). A government agency whose mission is to “work for better health care, better choices, and better health,” the NCQA offers a wide variety of programs for...

7 min read

Enhance Member Experience During Open Enrollment: Top 3 Strategies for Health Plans

It’s that time of the year: changing seasons, fresh starts, new relationships and a nice sprinkle of chaos. We’re not talking about going back to school – we’re talking open enrollment.

5 min read

Advice to Health Plans: Don’t Let Secondary Insurances Break the Bank

Imagine if the power of health plans could truly be unleashed. If they were fully invested in improving the health of the lives they serve, connecting members to meaningful wellness tools, helping people navigate complex healthcare networks, supporting...

5 min read

A Caring Culture: Why FinThrive Was Just Named One of the Best Workplaces in Healthcare

FinThrive has been recognized as one of the Best Workplaces in Healthcare by Great Place to Work and Fortune. Our values –customer-centric, agile, reliable and engaged – guide us in everything that we do. These values lead us on the path to achieving our...

6 min read

Your Health System Needs AI to Bridge the Staffing Shortage Gap

The Great Resignation has hit the healthcare industry from all angles. The loss of clinical staff has hurt the frontline of many health systems.

However, what many do not realize is that revenue cycle teams are inundated with claims, denials and requests...

6 min read

Four Reasons Robotic Process Automation Improves Your Revenue Cycle

A lot has changed with revenue management in the last three years, especially the transition from traditional onsite employees to remote employees, leading to persistent staffing gaps.

5 min read

Boost Staff Productivity and Cut Costs with RPA in Healthcare

With staffing shortages still on the minds of healthcare finance leaders, it’s important for hospitals and health systems to consider time and cost-savings technology options, such as robotic process automation (RPA). RPA can easily adapt to fluctuating...

6 min read

Health Plans’ Top 5 Challenges, Solved: Quick Tips for Improving Member Outcomes and Engagement

Healthcare continues to become increasingly complex. Member health outcomes and financial measures are managed by disparate systems that trap information in silos, causing inefficiency, introducing human error, and causing friction between members,...

5 min read

3 Ways SDOH Data Helps Health Plans Succeed

Our lives changed significantly during the pandemic—lost jobs, cross-country moves, pay cuts and lost or changed health insurance. Healthcare behavior also changed. A survey released by the Prevent Cancer Foundation found that 43% of people surveyed had...

6 min read

Five Simple Steps to Advance Your Autonomous Revenue Cycle Strategy

The benefits of automating your revenue management processes are clear. From reduced costs to enhanced care, happier patients to more satisfied staff, automation delivers measurable value at each stage of the revenue cycle. 

While healthcare leaders...

8 min read

The Three Best Automation Investments

Today’s health care leaders know that tackling unchecked costs requires innovation and digital transformation. But where do you start?  Automation has virtually infinite applications across the revenue cycle – where will it make the greatest impact?

We...

6 min read

Four Ways That Automated Revenue Management Unlocks Real Value

The current state of healthcare is incredibly costly for providers, payers, and patients. In 2020, hospitals lost $42.7 billion to uncompensated care. They spent $500B on administrative costs, $395B on waste, and $90B on inflated pricing. Payment cycle...

4 min read

5 Ways Healthcare Organizations are Using SDOH to Make a Difference

So much of our overall health is impacted by various socioeconomic factors, which don’t involve ever stepping foot into a doctor’s office, clinic or hospital. Social determinants of health—commonly referred to as SDOH—and healthcare utilization have an...

5 min read

Using Social Determinants of Health Data to Forge an Equitable Future

Ongoing COVID-19 challenges and its emerging aftermath have left people struggling—financially, personally and socially. Especially those most vulnerable. Given how closely financial health is linked to overall wellness,¹ it’s important to recognize that...

3 min read

It’s Time to Transform the Healthcare Economy

Over the past 24 months, already-thin hospital margins were further exacerbated by COVID-19. Hospitals are seeing up to $50 million in revenue leakage per facility per year from underpayments from payers, poor claims management, denials, under and...

4 min read

Emerging Revenue Management Approaches for 2022

For a hospital CFO, the COVID-19 pandemic shifted priorities and emphasized cost containment and innovation in reimbursement models. It has forced leaders to take a hard look at their revenue management processes. In fact, per a recent...

4 min read

Three Common Sources of Missed Coverage

In 2020, 47% of hospitals saw increases in bad debt and uncompensated care.1 Incomplete or inaccurate patient demographic information, an unverified primary payer, resource constraints and more contribute to this deficit. At a time when margins are...

4 min read

Emerging Trends in Revenue Management

To improve patient financial experiences and protect profitability, healthcare financial leaders need a strategy that focuses on end-to-end revenue management.

3 min read

Capture Hard-to-Find Insurance Coverage

In 2020, hospitals across the U.S. saw their median operating margin drop by 55.6%.1 The Coronavirus Aid, Relief, and Economic Security Act (CARES) helped offset escalating expenses, but the pandemic hasn’t been the only factor contributing to ongoing...