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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...
4 min read
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
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
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
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...
6 min read
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...
9 min read
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
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
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...
8 min read
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...
7 min read
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 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,...
3 min read
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...
6 min read
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...
8 min read
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...
6 min read
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
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
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
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?
