Revenue Cycle Management

Overcoming the Barriers to AI Adoption in Revenue Cycle Management

by Jacqueline LaPointe

About a third of hospital financial leaders have never used automation in revenue cycle operations. Nearly two-thirds of hospitals haven’t automated any part of claims denial management. And approximately a third of prior...

How Do Healthcare Organizations Feel About Autonomous Coding?

by Victoria Bailey

Autonomous coding can help streamline revenue cycle processes and reduce administrative burden, but over half of surveyed healthcare finance leaders are not familiar with it, while others do not fully...

Generative AI’s Potential Shines on Revenue Cycle Management

by Jacqueline LaPointe

Healthcare has its eyes on generative artificial intelligence (AI). The technology, including the popular ChatGPT tool, has passed medical exams, diagnosed complex cases, and designed new ways to combat COVID-19. However, its most...

62% of Hospitals Don’t Automate Any Part of Denials Management

by Jacqueline LaPointe

Most hospitals and health systems are not automating any component of denials management, according to a recent survey of healthcare finance and revenue cycle leaders. Commissioned by technology...

Healthcare CFOs Concerned About Economy, Regulations

by Jacqueline LaPointe

The volatile economic environment is keeping healthcare CFOs up at night, suggests a new survey from the Deloitte Center for Health Solutions. The survey of more than 60 finance leaders of US health...

Claims Reimbursement Speed, Denial Rate Tied to Location

by Jacqueline LaPointe

Does your practice experience claims reimbursement delays? That may be because of where your practice operates, according to a recent analysis of financial transaction data. The new Crowe report,...

Firm Selection, Rollout Key Considerations of Revenue Cycle Outsourcing

by Jacqueline LaPointe

Firm selection, contracting, and rollout are among the top considerations shared by providers who recently outsourced revenue cycle management, according to a recent KLAS report. The KLAS report,...

Key Ways to Boost Collection of Patient Financial Responsibility

by Jacqueline LaPointe

Patient financial responsibility keeps growing, creating challenges for healthcare organizations looking to collect all revenue for services provided to patients. According to the latest “KFF Employer Benefits Survey,” the...

Exploring Front-End Revenue Cycle, How to Optimize Its Performance

by Jacqueline LaPointe

The healthcare revenue cycle is broken down into three parts: the front-end, mid-cycle, and back-end. Much focus goes into mid and back-end functions, such as coding and billing, claims management, and denials management. However, what...

Hospital-Owned Practices Pull Ahead, But Staffing Shortages Ding All

by Jacqueline LaPointe

Hospital-owned practices are faring better than their physician-owned counterparts despite significant revenue challenges last year, according to new data from the Medical Group Management Association...

How Revenue Cycle Automation Keeps A Physician-Owned Practice Open

by Jacqueline LaPointe

Every penny counts when you are an independent physician-owned practice, according to Melissa Huff, CIO of the Clinics of North Texas. Founded over 100 years ago, the Clinics of North Texas is a multispecialty network of more than 30...

Key Types of Revenue Cycle Technology That Optimize Operations

by Jacqueline LaPointe

The healthcare revenue cycle is a sprawling operation that encompasses patient registration and insurance verification to denials management and patient collections. Provider organizations of all sizes have leveraged revenue cycle...

Providers Are Outsourcing Revenue Cycle Services Amid Workforce Shortages

by Victoria Bailey

Ambulatory provider organizations are outsourcing their revenue cycle management services as changing payer requirements and workforce shortages create challenges, according to a KLAS report. The...

The Next Step in UnityPoint Health’s Revenue Cycle Technology Journey

by Jacqueline LaPointe

Digital transformation is taking UnityPoint Health’s revenue cycle system from automation to machine learning in order to drive efficiencies and capture value. The non-profit health system consisting of 17 regional hospitals, 19...

Hospital Finances Break Even as PHE Ends, Medicaid Unwinds

by Jacqueline LaPointe

Finances broke even as the COVID-19 public health emergency (PHE) ended, leaving hospitals with little financial flexibility, healthcare consulting firm Kaufman Hall reports. The median year-to-date...

Private Equity Firm Invests in RCM Company Alpha II

by Jacqueline LaPointe

Global private equity firm TA Associates has signed a definitive agreement to make a substantial growth investment in revenue cycle management (RCM) company Alpha II, according to a recent...

Denial Management Calls for More Expertise, Survey Says

by Jacqueline LaPointe

Paging subject matter experts for denial management. According to a recent survey from healthcare AI vendor AKASA and the Healthcare Financial Management Association (HFMA), denial management requires...