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Some of the themes that will drive revenue cycle market momentum in 2023 and beyond are technology, investments, efficiency, patient experience, underpayment recovery, and coding automation. We are seeing a new wave of consolidation, invention, and innovation at the tail end of a long period of adversity due to COVID-19 and an already challenging economic

When claims go unpaid for an extended period of time, healthcare CFOs must make the difficult decision to write them off. Delays in accounts receivable follow-up reduce the likelihood of being paid, so the speed of response of follow-up is critical. While the revenue cycle team manages reimbursements, healthcare providers must focus on providing high-quality

As healthcare providers face multiple challenges, such as rising labor shortages and declining reimbursements, they must maximize revenue cycle recovery. Claim denials, a major source of revenue loss for healthcare practices, are on the rise across all payer types. Coding-related denials are a significant source of denials. A thorough and focused denial management medical billing

Hospitals and medical billing company systems now face unprecedented inflation as the industry’s financial and operational leaders struggle to find the funds for care delivery and administrative procedures. They must outsource RCM tasks and pick partners who can provide trained and certified resources because of inflationary pressures and a subpar revenue cycle.   How the

Revenue cycle management (RCM) is the process used in healthcare to monitor and collect money from patients. Revenue cycle management starts when a patient is scheduled for a clinical visit and ends with the final payment for the healthcare services provided. The revenue cycle is “all administrative and clinical functions that contribute to the capture,

Now is the time for US hospitals and medical billing services providers to consider how to become profitable. They are experiencing some of the worst margins since the pandemic began, according to a Kaufman Hall report. A perfect storm has formed as a result of the rising cost of caregiving, economic unpredictability, the effects of

The US healthcare sector is undergoing constant change. The shift from the fee-for-service model to the value-based care model was motivated by the perception that there was no correlation between healthcare costs and quality. Healthcare decision-makers are facing a challenging environment due to a number of additional challenges, including decreasing reimbursements, rising hospital care costs