As payer reimbursement timelines grow longer, hospitals and other health care providers are left struggling with cash flow issues. In 2024, the largest hospital systems, those with operating expenses totaling…

Despite a recent uptick in margins, providers continue to face significant pressure on their revenue cycles as a result of potential reimbursement cuts, workforce recruitment challenges, and higher costs.

Ambulatory surgery centers (ASCs) in 10 states will soon face new prior-authorization requirements for a handful of procedures, as the Centers for Medicare & Medicaid Services (CMS) expands its oversight…

Health care organizations are increasingly turning to AI to address the challenges of tighter reimbursement policies and rising denial rates. The focus is especially strong on the back end of…

Up-and-comers in health IT and revenue cycle management are stepping into key leadership roles, driving innovation in organizational strategy, financial performance and care delivery.

The case for revenue cycle automation as strategic infrastructure has been broadly established. As outlined in the opening editorial of this series, the margin pressures facing health systems, such as…

As health systems recalibrate financial operations to weather reimbursement volatility and labor shortages, the imperative for intelligent automation in revenue cycle management (RCM) has never been stronger.

Revenue cycle automation has moved beyond operational efficiency to become a core strategic asset for health systems navigating financial instability.

Clinical lab billing teams face an overwhelming number of challenges if revenue cycle strategies fall short

As ambulatory surgery centers (ASCs) enter the second half of 2025, they are dealing with a fast-changing revenue cycle environment. From rising denial rates to tighter payer scrutiny and mounting…