Revenue Cycle Management Archives - Becker's Hospital Review

HCA takes $400M payer mix hit | Pa. hospital misses 2 payrolls in a row | 6 most overhyped EHR tools | AI boosts Trinity coding quality by 10% | Elevance puts hospitals on alert

Plus: 455 top-ranked hospitals by state: Healthgrades October 27, 2026 1. HCA absorbs $400M payer mix hit in Q3: 8 things to know Full story 2. Pennsylvania hospital misses 2 straight payrolls Full story 3. Revenue cycle and accounting rarely reconcile…

109 systems ranked by revenue | Bon Secours eyes $5.7B Surgery Partners deal | Johns Hopkins alerts 3,000+ patients of AI data exposure | Big employers sue UnitedHealth over improper claims | Rev cycle habits hospitals are dropping

Plus: Judy Faulkner vs. Larry Ellison: 2 AI strategies for the EHR October 26, 2026 1. 109 health systems ranked by annual revenue Full story 2. Visitor fatally shot at HCA Missouri hospital; patient charged Full story 3. CMS reset…

9 rules Judy Faulkner won't break | Why 43% of hospitals are losing money | Oracle, Amazon push insurers on prior auth reform | 10 systems seeking rev cycle VPs | Uninsured rate hits 11.2%: Survey

Plus: Elevance’s new payment playbook: 7 notes October 22, 2026 1. 9 business rules Judy Faulkner won’t bend Full story 2. Why 43% of hospitals are losing money Full story 3. Modern UM approach fuels 11–14% cash growth for one…

Judy Faulkner's 'BFF' strategy | CMS freezes $1.2B more Medi-Cal funds | Ex-hospital CMO gets prison for $1.9M fraud | 72 rev cycle up-and-coming leaders | Healthcare on the ballot: 8 measures to watch

Plus: Epic targets ‘swivel-chair’ AI Connector work October 21, 2026 1. Judy Faulkner on Epic’s ‘BFF’ role: 1 staffer for each customer Full story 2. CMS defers $1.2B more in California Medicaid payments Full story 3. This rural hospital traded Excel…

7 systems outsourcing RCM | Epic eyes AI agents for routine care | Where 5 rev cycle leaders see opportunity | 41 hospital jobs ranked by pay | Healthcare software owner sentenced in $1B Medicare fraud case

October 20, 2026 1. 7 health systems outsourcing RCM functions Full story 2. Epic explores AI agents for routine visits Full story 3. A tool can read a payer’s denial letter but still not route it to the right patient account.…

7 big, unasked questions in rev cycle | 10 billing fraud cases | Minn. may claw back Medicaid funds from providers | Immediate jeopardy surveys by state | UnitedHealth hits 2,807 subsidiaries as M&A slows

October 19, 2026 1. Healthcare billing fraud: 10 recent cases Full story 2. The questions revenue cycle leaders wish people asked Full story 3. SCA Health and Cleveland Clinic on the payer takebacks quietly draining ASC margins here. 4.…

Epic, Amazon, Mark Cuban team up on Rx price tool | Why some CEOs are prioritizing rev cycle in '27 | 68 systems cutting jobs | 10 biggest rev cycle risks | Cigna accused of underpaying ambulances

October 15, 2026 1. Epic teams with Amazon, Mark Cuban on prescription price tool Full story 2. Why revenue cycle is climbing some CEOs’ 2027 priority lists Full story 3. Stanford Health Care and Penn Medicine on cutting denials and redistributing…

UnitedHealth's AI push: What rev cycle leaders should know | CMS' new power to exclude providers: 7 notes | 4 systems cutting admin roles | Centene launches gold card | Texas Health shifts to bulk denial appeals

October 14, 2026 1. UnitedHealth’s AI push: What revenue cycle leaders should know Full story 2. CMS gains new authority to exclude providers from Medicare, Medicaid Full story 3. A tool can read a payer’s denial letter but still not route…

What happens to Epic after Judy Faulkner? | CommonSpirit's centralized payer contracting adds $445M | UnitedHealth Q3 profit up 75% | 6 systems' estimated losses from 340B cut | Mark Cuban vs. PBM prices

October 13, 2026 1. What happens to Epic after Judy Faulkner? Full story 2. CommonSpirit’s centralized payer contracting adds $445M Full story 3. Every unworked denial is margin left on the table. The right partner can get it back. See how…

Where readmission penalties hit hardest | Mich. accuses BCBS of illegal monopoly | Patients take denials to the C-suite | NC State Health Plan sues Atrium | What the payer transparency rule means for hospitals

October 12, 2026 1. Where readmission penalties hit hardest: 9 findings Full story 2. Michigan accuses BCBS of illegal insurance monopoly in new lawsuit Full story 3. Utilization management still depends on human judgment. This webinar shows where AI supports…

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