Recent CMS changes removed over 2,000 diagnostic codes and introduced 200-plus that don’t map to reimbursement under previous rules. For health systems and ACOs, missing these changes can translate into massive revenue losses and poor risk scoring. Health systems like…
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Today’s healthcare environment is shaped by volatility: policy shocks, financial whiplash and compressed timelines. The One Big Beautiful Bill Act accelerated that change — underscoring the need for planning tools that are faster, more integrated, and built for dynamic decision-making.…
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For many community hospitals, revenue cycle management is becoming unsustainable — with outdated billing workflows, rising denial rates and staffing gaps straining both margins and mission. Outsourcing it isn’t a new concept, but few hospitals have used it as a…
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Traditional, in-house revenue cycle management is buckling under the pressure of shrinking margins and persistent talent shortages. Without decisive action, hospitals risk rising denials, slower reimbursement and frustrated patients. This report, based on survey insights from 100 health system finance…
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More than half of U.S. hospital facilities are over 50 years old, with $390 billion in deferred maintenance accumulating risk year over year. Aging HVAC, chillers and mechanical systems are more than operational headaches — they threaten care delivery and…
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Providers spend more than $31 billion a year just dealing with claim denials. That financial leakage isn’t just a billing issue. It’s an operational risk — and one that’s layered on top of evolving payer rules, regulatory complexity and staff…
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Denials are surging, and reactive strategies aren’t enough. Leading systems like UPMC, SGMC Health and Mount Sinai Medical Center are tackling the problem at its source: documentation. This whitepaper unpacks lessons from CorroHealth’s 2025 Driving Results Through Documentation summit at…
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Anesthesia billing is complex, time-based and full of secondhand data. This complexity requires rigorous attention to detail when it comes to revenue cycle management. However, most billing partners give up on the hardest claims. This report from Arietis Health and…
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The 2025 State of Patient Access Report reveals a sharp rise in financial friction: more than 1 in 3 patients now regularly struggle to pay for care, and more than 40% say they’d delay treatment without an accurate cost estimate.…
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The financial landscape is shifting fast, forcing 87% of hospitals to adjust their strategic plans in the past two years due to revenue shortfalls. To stay ahead, hospitals nationwide are turning to RCM automation to cut administrative costs, accelerate revenue…
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