New & Notable
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.
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.
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.
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.
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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Financial Responsibility
CareCredit
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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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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.
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Gen AI company Abridge raises $300M, targets revenue cycle
The rapidly growing healthcare AI start-up Abridge raised more funding to expand its generative AI for clinical documentation to revenue cycle management, per a new announcement.
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'Big Beautiful Bill' puts rural hospitals at even greater risk
The House-passed reconciliation bill would push the 338 rural hospitals already at risk of closing, converting or stopping service lines to shutter their doors, new data shows.
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Uncompensated care to rise by $283B under reconciliation bill
The House reconciliation bill and the expiration of enhanced premium tax credits for Marketplace plans would increase the level of uncompensated care, particularly at hospitals.
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How AdventHealth taps technology to get ahead of claim denials
A new AI-driven technology is helping AdventHealth prevent claim denials while the health system builds a more intelligent revenue cycle.
Features
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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.
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Understanding the Fundamentals of Accountable Care Organizations
Accountable care organizations, or ACOs, promote higher care quality at lower costs while shifting risk to healthcare providers, making the model a staple of value-based care.