New & Notable
CMS releases FY 2026 IPPS final rule, bumping rates 2.6%
The FY 2026 Hospital IPPS and LTCH PPS final rule will increase the IPPS operating rates by 2.6%, contributing to an overall $5 billion in hospital payments next year.
Top use cases for agentic AI in revenue cycle management
High-value use cases for agentic AI in revenue cycle management are emerging as early adopters realize greater efficiencies, automation and payment accuracy.
Waystar makes $1.25B bet on AI for healthcare payments
Waystar has signed a definitive agreement to acquire Iodine Software, a $1.25 billion deal that seeks to empower healthcare payments with more AI capabilities.
More physicians exiting Medicare fee-for-service: Study
A new study shows physician exits from Medicare fee-for-service accelerating since 2010, with primary care physicians leading the drop from Traditional Medicare.
Insights
Insights is research conducted by and for TechTarget Xtelligent Healthcare. Our work aims to leverage Xtelligent’s diverse readership of healthcare professionals across various sectors of the industry to understand real-world challenges and identify effective solutions.
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Sponsored Sites
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RCM Management
ZOLL Data Systems
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Revenue Cycle Management
Brault
Brault is a revenue cycle and practice management organization that partners with hospitals and independent physician groups. Their intelligent practice solutions include coding and billing, MIPS optimization, provider documentation training, and practice management.
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Autonomous Coding
Solventum
Healthcare Strategies: A Podcast
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A podcast for healthcare professionals seeking solutions to today's and tomorrow's top challenges. Hosted by the editors of Xtelligent Healthcare Media, this podcast series focuses on real-world use cases that are leading to tangible improvements in care quality, outcomes, and cost.
Guests from leading provider, payer, government, and other organizations share their approaches to transforming healthcare in a meaningful and lasting way.
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Latest News
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Exploring the 2026 OPPS, ASC Payment System Proposed Rule
CMS announced the CY 2026 OPPS and ASC Payment System Proposed Rule, which includes a 2.4% rate outpatient rate hike, site-neutral payments and hospital price transparency changes.
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Omega Healthcare expands agentic AI for RCM with Microsoft
Omega Healthcare is deepening its partnership with Microsoft Azure to enhance its generative and agentic AI capabilities to support revenue cycle management through new solutions.
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CMS proposes CY 2026 Medicare Physician Fee Schedule
The proposed CY 2026 Medicare Physician Fee Schedule seeks a conversion factor increase after years of cuts, as well as payment polices supporting chronic disease management.
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How AI is improving revenue cycle management
A survey of healthcare finance and IT leaders shows growing confidence in AI for revenue cycle management as realized improvements averaged 20% or higher across key outcomes.
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Claim denials the biggest threat to revenue cycle: Survey
According to a survey, revenue cycle leaders see claim denials as their top threat as organizations face challenges with working denials, managing appeals and tracking patterns.
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New CMS model goes after healthcare fraud through prior auths
A new CMS Innovation Center model plans to reduce healthcare fraud, waste and abuse in Traditional Medicare by using AI to improve and expedite the prior authorization process.
Features
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The next big thing: Agentic AI for revenue cycle management
Agentic AI is the next big thing in healthcare, carrying promises to tackle revenue cycle management's biggest challenges, including staffing shortages and workflow inefficiencies.
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Key takeaways from hospital price transparency updates
Federal agencies unveiled hospital price transparency updates requiring more dollar-and-cents pricing, marking a pivotal shift from complex codes to consumer-friendly pricing data.
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What MAHA means for the CMS Innovation Center, APMs
Under Trump's "Making America Healthy Again," the CMS Innovation Center is overhauling alternative payment model design to include more downside risk and prospective payments.
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The state of revenue cycle management software
Revenue cycle management software supports operational efficiency and financial outcomes for healthcare providers, leading to a robust and growing market for solutions.