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Clinical Denials: You Can Win the Appeal and Still Miss the Pattern, Every Denial Is Telling You Something
Most revenue cycle teams measure denials management the same way: overturn rate and dollars recovered. Those numbers matter, and a team that moves them is doing real work. But both are lagging indicators. They tell you what you won back—not…
Hospital outpatient departments were paid an average of 102% more per unit than physician offices for the same physician-administered medications, a premium that adds up to about $12.7 billion a year in employer health spending, according to new research from…
The University of Oklahoma’s Oklahoma City health campus will be renamed after a $150 million gift from energy executive Harold Hamm, the largest single gift in the university’s history, according to a Sept. 22 news release shared with Becker’s. The…
It’s no surprise that denials are on the rise. You see it in your margins and feel it in your staff’s morale. Data from the Medical Group Management Association (MGMA) showed that medical groups saw a 60% increase in denials…
A professional’s guide to managing digital assets without juggling five different apps
High-earning professionals — physicians, attorneys, founders, and other specialists with demanding schedules — tend to accumulate financial complexity faster than most. A packed calendar, a high income, and a habit of researching everything thoroughly before committing to it are a…
Burlington, Mass.-based Tufts Medicine’s operating margin fell to -3.4% through the first nine months of fiscal 2026, compared with -2.3% during the same period a year earlier, as the health system’s CEO and CFO prepare to step down. Tufts reported…
Medicare’s new experiment in prior authorization has cleared its most consequential political test to date. On July 16, the Senate voted 46-50 along party lines against advancing a resolution to end the Wasteful and Inappropriate Service Reduction Model, CMS’ six-state…
For a more in-depth analysis of 2026 healthcare financial trends, find our full trends report here. A dynamic mix of risk and reward has shaped 2026. This CommerceHealthcare® report examines key issues across these areas: This report tracks the status…
Why the future of healthcare finance belongs to whoever already has the data. Healthcare’s revenue cycle was built to run late. Every denial, appeal, reconciliation and audit rests on the same quiet assumption: the right answer arrives after the fact.…
Catholic Health System is closing Sterling Surgical Center in Orchard Park, N.Y., citing declining patient volume, and relocating its surgical services to other ASCs in its network, the health system confirmed in a statement shared with Becker’s. Sterling Surgical Center,…
