Latest Articles

Denials don’t start in the back office, they start at the front end.

Medical coding used to be a back-office function that almost no one above the RCM director thought about. That's no longer true.

According to the Congressional Budget Office (CBO), millions of Americans could lose health insurance coverage if enhanced ACA subsidies expire in 2026, with enrollment in marketplace plans projected...

For many hospitals, one of the most overlooked opportunities to improve financial performance is already sitting inside the revenue cycle: aging accounts receivable.

Denials continue to climb across healthcare, creating mounting pressure on revenue cycle teams. What was once a back-end clean-up function has become a front-line financial priority....

Staffing shortages, rising operating costs, and complex reimbursement rules are pushing many organizations toward a hybrid revenue cycle model that blends internal teams with external partners....

On January 17, 2024, the Centers for Medicare & Medicaid Services (CMS) finalized the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F), a sweeping regulatory change that...

Revenue leaders are under intense pressure in 2026, from rising denials to payer volatility and labor shortages, and the strategies they’re betting on now...

For many rural and community hospitals, as well as other provider organizations, claim denials aren’t just an inconvenience, they’re a persistent drain on already-limited...