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

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...

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...

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

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

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...

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...

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...

5 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 head-on. With billions at stake annually, a data-driven approach is no longer optional—it’s essential.

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

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...

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...

8 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.

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...

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...

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...

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....

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...

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...

9 min read

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

By Jonathan G. Wiik, Vice President, Health Insights, FinThrive

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....

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...

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...

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...

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...