New & Notable
Patient access has a revenue leakage issue. Can AI solve it?
A new report finds that a typical health system loses $6.2M in avoidable referral leakage, but AI-enabled patient access centers are recapturing lost revenue.
FinThrive bets AI can prevent denials with new product
A new product from FinThrive uses AI to get ahead of claim denials, using data from real-world payer behavior as the company undergoes another financial restructuring.
New No Surprises Act rules won't fix $51M crisis, TX group says
Radiology Associates of North Texas expects to pay millions to participate in the No Surprises Act's IDR process even as CMS tries to alleviate major pain points for providers.
Athenahealth unveils over 80 revenue cycle AI features
The company announced its revenue cycle management roadmap, including new AI capabilities in its flagship platform for prior authorizations, coding and denial resolution.
Eli Lilly issues data sharing ultimatum to 340B hospitals
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RCM Management
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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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Healthcare
Huron
Change is constant in healthcare, and its speed is accelerating. Huron works with healthcare organizations every day to strengthen and innovate their businesses and build more resilient operations to thrive now and in the future.
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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FinThrive bets AI can prevent denials with new product
A new product from FinThrive uses AI to get ahead of claim denials, using data from real-world payer behavior as the company undergoes another financial restructuring.
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Athenahealth unveils over 80 revenue cycle AI features
The company announced its revenue cycle management roadmap, including new AI capabilities in its flagship platform for prior authorizations, coding and denial resolution.
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No Surprises Act IDR gets major overhaul from CMS
A new final rule slashes IDR fees to $15, speeds up eligibility checks to 5 days, expands claim batching and boosts transparency to fix No Surprises Act bottlenecks.
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Innovaccer keeps humans in the loop with CaduceausHealth deal
Innovaccer's latest acquisition supports its autonomous revenue cycle goals, while also underscoring the role RCM experts play in getting there.
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CMS proposes new cap on supplemental Medicaid payments
The proposed rule would align state-directed Medicaid payments with Medicare rates in a move to save $775B over the next ten years.
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Private payer rates outpaced Medicare's by 47%: KFF
New data shows a widening gap between what private payers and Medicare pay for hospital care as lawmakers blast hospitals for rising costs and seek reform.
Features
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New No Surprises Act rules won't fix $51M crisis, TX group says
Radiology Associates of North Texas expects to pay millions to participate in the No Surprises Act's IDR process even as CMS tries to alleviate major pain points for providers.
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The U.S. finally bent the healthcare cost curve, one economist says
Health economist David Cutler's new analysis shows a deceleration in U.S. healthcare spending as technology advancements make care cheaper.
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How AI scribes are shifting coding intensity, reimbursement
The proliferation of AI scribes for clinical documentation has started a shift in coding intensity, raising concerns about reimbursement and affordability.
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Agentic AI evolution begins to pave way for autonomous revenue cycle
A fully automated revenue cycle in which staff work hand-in-hand with AI is looming, but success will require a mature AI strategy.