New & Notable
AMA, providers seek stricter enforcement of No Surprises Act
The AMA and nearly 100 other groups are backing legislation that would force payers to comply with IDR payment determination rules as providers continue to report nonpayment.
A tale of two health systems: the threat of hospital consolidation
A new analysis points to increased consolidation as a driver of healthcare affordability challenges, which could get worse as hospitals that temper prices face devastating cuts.
California hospitals sue Elevance over out-of-network penalty
The lawsuit seeks to block Elevance's expansion of its policy in California, which would penalize facilities with a 10% fee if care is delivered by an out-of-network physician.
DOJ forms West Coast Strike Force to stop healthcare fraud
In the administration's latest healthcare fraud crackdown, it created a West Coast Strike Force to root out fraud, waste and abuse in Arizona, Nevada and Northern California.
Prices rose after No Surprises arbitration for some care: analysis
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Revenue Cycle Management
Greenway Health
Improving healthcare through innovation is at the heart of Greenway Health’s work. We provide electronic health records (EHR), practice management, and revenue cycle management solutions that help practices in multiple specialties grow profitably, remain compliant, work more efficiently, and improve patient outcomes.
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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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AMA, providers seek stricter enforcement of No Surprises Act
The AMA and nearly 100 other groups are backing legislation that would force payers to comply with IDR payment determination rules as providers continue to report nonpayment.
-
A tale of two health systems: the threat of hospital consolidation
A new analysis points to increased consolidation as a driver of healthcare affordability challenges, which could get worse as hospitals that temper prices face devastating cuts.
-
California hospitals sue Elevance over out-of-network penalty
The lawsuit seeks to block Elevance's expansion of its policy in California, which would penalize facilities with a 10% fee if care is delivered by an out-of-network physician.
-
DOJ forms West Coast Strike Force to stop healthcare fraud
In the administration's latest healthcare fraud crackdown, it created a West Coast Strike Force to root out fraud, waste and abuse in Arizona, Nevada and Northern California.
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Skin substitute spending driven by patients, products, prices
A new analysis shows continued growth in Medicare's skin substitute spending, driven by higher prices, more patients and greater product use.
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AMA alerts officials of health plans' No Surprises Act abuse
More than 100 provider groups call for greater enforcement of the No Surprises Act after accusing health plans of circumventing its intent and raising patient costs.
Features
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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.
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How NGHS balances revenue cycle AI adoption, ROI
Northeast Georgia Health System is accelerating AI adoption, especially in revenue cycle management, but leaders have learned to balance speed of innovation with ongoing ROI.