RevCycle Blog
Insurance Claims & Prior Authorizations Streamlined with AI & RPA
In the complex world of healthcare revenue cycle management, insurance claims and prior authorizations are among the most time-consuming and error-prone processes. But with the rise of Artificial Intelligence (AI) and Robotic Process Automation (RPA), healthcare...
Upcoming Blog Series on Claim Denials
Our February blog post is going to introduce and outline our upcoming five-part series on claim denials. Experian’s Health Report for 2024 had nearly three out of four respondents stating their claims denials have gone up, versus less than half of respondents only two...
CFPB Uproar Overshadows State-level Regulations
The healthcare industry is abuzz with the recent finalization of the CFPB rule removing medical bills from credit reports. Rightfully so, as it removes a key piece of leverage in the collection of medical debts. However, ACA International has already filed a lawsuit...
Preparing for 2025: Key Trends & Predictions in Medical Collections
As healthcare providers navigate the evolving landscape of medical collections, staying informed about emerging trends and potential regulatory changes is crucial. In 2025, a strategic approach to collections, leveraging technology and focusing on patient...
How To Maximize Medicare Reimbursements
Medicare presents both opportunities and challenges for healthcare providers, with reimbursement management being the primary focal point. With complex regulations, evolving policies, and an intricate reimbursement structure, maximizing Medicare reimbursements is...
Denial Management Strategies for 2025: Trends & Best Practices
As healthcare continues to evolve, so do the complexities of managing the revenue cycle, with denial management being one of the most persistent challenges. Denial management is an essential component of healthcare revenue cycle management (RCM) because denials...
Streamlining Payer Requests for Information: A Provider’s Guide
Hospitals are facing a growing threat to their bottom lines, namely payer requests for information (RFI’s). A study by Kodiak Solutions shows that the denial rate from initial RFI’s has increased by nearly 9% since 2022. The increase is not due to a decrease in data...
Patient Access: The Cornerstone of Healthcare Success
Patient access, often overlooked as a mere administrative function, is the linchpin that connects patients to care. It encompasses the systems and processes that determine how easily patients can obtain healthcare services, from finding a provider to scheduling...
How to Infuse Enthusiasm in Organizational Change
Change is a constant force in today's business landscape. New technologies emerge at breakneck speed, customer expectations evolve, and market forces constantly shift. While some employees thrive on constant evolution, change can also be disruptive and demotivating...
Credit Reporting Changes Should Prompt Revenue Cycle Optimization
By this point you’re certainly aware of the changes around the credit reporting of medical debt, which to recap are: Medical debts that have been satisfied will no longer appear on credit reports The amount of time before medical debt can be reported to the credit...
