Operator playbooks and industry trends on revenue cycle management, AI, denials, metrics, economics, and health equity, published in Health Data Management. New pieces are added as they're released.
This proposed rule exemplifies why the story beneath the headline is usually the one that changes the balance sheet. That's why hospitals must comment now.
Multiple issues facing providers — denial rates, avoidable utilization, patient financial experience — must be analyzed to lessen risks and improve patients' financial experiences.
Cancer treatment is often expensive, and denials can cause havoc for providers. Agentic AI can help close the margin gap.
With payers' denial rates spiking, careful planning can turn these fundamental codes into a technology-powered machine to boost margins.
There's increasing likelihood that payers will increase scrutiny of claims, so providers need to become proactive to anticipate new payer logic.
