Revenue Cycle Management Archives - Becker's Hospital Review

The value in RCM insourcing | OIG: Humana, UnitedHealthcare received $178M in MA overpayments | Rev cycle leaders' biggest challenges | 5 systems seeking chief revenue officers | 15 richest people in healthcare

September 16, 2026 1. The value systems see in revenue cycle insourcing Full story 2. Humana, UnitedHealthcare received $178M in combined Medicare Advantage overpayments: OIG Full story 3. Missed the in-person IT + Revenue Cycle Conference? Becker’s is bringing the…

10 billing fraud cases | J&J gives hospitals 340B ultimatum | Dignity sues Medi-Cal plan over unpaid bills | Rev cycle leaders' evolving definition of success | GoHealth to shut down majority of operations

September 15, 2026 1. Healthcare billing fraud: 10 recent cases Full story 2. J&J to hospitals: Submit claims data or lose 340B pricing Full story 3. 1,500+ executives. 400+ speakers. Four days. Becker’s 14th Annual CEO + CFO Roundtable –…

5 major healthcare layoffs | Most common CMS citations in '26 | Trump pitches $500 ACA refunds | What it takes to lead rev cycle in age of AI | 11 big Epic moves

September 14, 2026 1. From MultiCare to Trinity Health: 5 major layoffs kick off September Full story 2. Most common CMS citations so far in 2026 Full story 3. State OBBBA signals: what’s concrete, what’s still moving. Find out here.…

Conifer to lay off 1,000+ | AMA adds 299 CPT codes for '27 | 8 health system RCM partnerships | BJC taps Centene VP for rev cycle role | 20 most expensive conditions hospitals treat

September 10, 2026 1. Conifer to lay off 1,000+ as CommonSpirit contract ends Full story 2. AMA releases CPT 2027 code set with 299 new codes, 10 for AI Full story 3. If you’re a CFO at a health system,…

Hospitals' growing prepayment trend | 40 systems' days cash on hand | UF Health taps R1 for AI rev cycle overhaul | 7 called-off hospital deals | Veradigm discloses cybersecurity incident tied to vendor

September 9, 2026 1. Hospitals’ growing prepayment trend Full story 2. Days cash on hand at 40 health systems Full story 3. Practical steps to speed payment in the next 30 days — live session here. 4. UF Health, R1…

5 systems cutting rev cycle jobs | The most dangerous trends in RCM | 25 largest systems' EHR vendors | Ill. hospital's CMS funding at risk |8 recent MA contract disruptions

September 8, 2026 1. 5 health systems cutting revenue cycle roles Full story 2. The most dangerous trends in revenue cycle Full story 3. Next-level RCM requires more than AI tools. Learn strategies to accelerate cash flow here. 4.…

Oracle leaders subpoenaed over $27B EHR deal | HCA cuts corporate, support jobs | 8 Ensemble RCM partnerships | 21 systems naming rev cycle VPs | Texas hospitals face $27M-a-day Medicaid hit

September 3, 2026 1. HCA eliminating ‘small percentage’ of positions across corporate and support functions Full story 2. House VA panel subpoenas Oracle’s Ellison, Sicilia over $27B EHR deal Full Story 3. Burnout, turnover and agency spend aren’t separate problems. See the…

28 systems dropping MA plans | 6 payer reimbursement changes to know | Ohio Chamber sues UnitedHealthcare | The healthcare bills RCM leaders should watch | ChatGPT for Healthcare adds Epic integration

September 2, 2026 1. 28 health systems dropping Medicare Advantage plans Full story 2. 6 payer reimbursement changes to know in September Full story 3. Staffing flexibility shouldn’t create contracting chaos. See how leaders regain control here. 4. Ohio Chamber…

Mark Cuban: Why hospitals 'don't know their costs' | Is Epic getting too big? | UnitedHealthcare cutting 1,700 prior auth requirements | RCM cos. expand leadership teams amid AI push | 5 340B court updates to know

September 1, 2026 1. Mark Cuban: Why US hospitals ‘don’t know their costs’ Full story 2. ‘Too big for its britches?’ CIOs question Epic’s expansion beyond the EHR Full story 3. Stronger inpatient revenue capture starts in utilization review. See how systems…

Md. sues UnitedHealth, Optum | Hospital CEO blames former RCM vendor for cash flow woes | 26 systems ranked by Q2 margins | Grand jury: DeSantis admin misused $10M from Centene settlement

August 31, 2026 1. Maryland sues UnitedHealth for $380M over Medicaid administration issues Full story 2. Former RCM vendor contributed to Illinois hospital’s cash flow challenges, CEO says Full story 3. Before-and-after stories from the revenue cycle and patient access leaders…

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