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Revenue Cycle
Prior Authorization Delays Are Driving Patients Away From Providers
Almost 80% of physicians surveyed by the AMA say patients are skipping care because of delays in prior authorizations.
Revenue Cycle
Proposed PFS Rule Lowers Reimbursement, Increases Billing Scrutiny
The proposed 2025 Medicare Physician Fee Schedule puts more financial pressure on providers.
Revenue Cycle
Data Shows High Medicaid Hospitals Received Less Overall Reimbursement
A new report by Manatt Health found that high-Medicaid hospitals were reimbursed up to 22% less than average hospitals.
CFO
How UC San Diego's CRO Leveled Up RCM Efforts
How do health systems evaluate mission-critical tech in RCM efforts?
Revenue Cycle
Round Up: Billing Quality, Integrity, and Best Practices
Here are four HealthLeaders articles that emphasize the importance of efficient, and compliant, billing practices.
CFO
The 3-Pronged Battle: How CFOs Are Staying Afloat Amongst Inflation, Labor Cost, and Inadequate Payment Rates
CMS' OPPS proposed rule checks some boxes for hospitals, but misses the mark for others.
What the Chevron Case Means for Rev Cycle Executives
One health system has already filed a lawsuit, could it happen to you?
Innovation
Why Patient Experience is Crucial to Healthcare Innovation
Health systems are investing heavily in the patient experience. At Springfield Clinic, that strategy is critical to continued sustainability in...
Revenue Cycle
HL Shorts: How Many Vendors Do You Need to Manage Rev Cycle Operations?
There's a rev tech solution for just about every revenue cycle process and even more vendors.
Revenue Cycle
HL Shorts: Rev Cycle Leader on Tackling Eligibility and Authorization
Payers and difficulties with eligibility and prior authorizations keep patients from getting the care they need.
Revenue Cycle
CMS Final Rule Mandates 'Standard Machine-Readable' Price Information Reports
Hospitals must add a footer at the bottom of their homepage with a link to the report.
Revenue Cycle
3 Rev Cycle News Stories You May Have Missed
Providers affected by the Change ransomware attack were tossed a lifeline and CMS tackles suspicious billing.