Becker's Hospital Review | Healthcare News & Analysis

The revenue cycle has outgrown the generalist. Take the federal Independent Dispute Resolution process, or Federal IDR: a payment pathway with rules and timelines so specific that broad, generalist teams routinely leave earned dollars behind. Payer contracting, coding and denials…

Hospitals lose millions of dollars each year to decisions made before a patient is ever discharged. The most consequential is often the first: whether to classify a patient as observation or inpatient — a single choice that can alter reimbursement…

Join Dr. Kalie Dove-Maguire, President and Chief Product Officer at Evidently, and physician leaders from major health systems for a direct conversation about what repeatable clinical AI outcomes look like when clinicians finally have the full complexity of the patient…

Payment integrity has long been constrained by audit capacity and review quality. When teams only audit what they’re staffed to handle and consistency varies widely across reviewers, it’s difficult to measure true hit rates or maintain quality at scale. AI…

Pressure injuries remain one of the most common and most preventable forms of patient harm — and CMS is about to measure them far more closely. The CMS Hospital Harm: Pressure Injury (HH-PI) electronic clinical quality measure (eCQM) introduces reporting…