Ask a Revenue Cycle Leader is a new series featuring insights from health system and hospital revenue cycle executives nationwide. Becker’s poses questions on the most pressing issues in healthcare finance — from payer relations and automation to workforce and…
Revenue Cycle Management
Ten hospitals and health systems recently posted job listings seeking revenue cycle management expertise. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Ardent Health, based in Brentwood, Tenn., seeks a vice president of revenue…
The American Medical Association’s push to create new billing codes for autonomous AI is drawing concern from nursing leaders, who argue hospitals could soon be reimbursed for clinical work performed by algorithms while registered nurses remain excluded from direct payment…
Raintree Systems has acquired Spike Technologies, a developer of agentic AI voice technology, to embed automated voice agents directly into its EHR and practice management platform for rehabilitation and physical therapy organizations. The acquisition targets some of the most labor-intensive…
Amid a wave of automation and AI investment across revenue cycle operations, some leaders point to a less flashy lever as their biggest win: the workforce itself. At New Orleans-based Ochsner Health, senior vice president of revenue cycle and HIM…
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The American Medical Association is launching an initiative to develop and deploy SNOMED CT to CPT terminology mappings that support electronic prior authorization. The project aims to reduce administrative burden for physicians and help patients receive timely care by connecting…
Here are eight revenue cycle company mergers and acquisitions that have been announced or completed since March 17: 1. IKS Health on July 9 completed its $557 million acquisition of TruBridge, which provides revenue cycle management and EHR services for…
Denials get the attention, the dashboards and the dedicated staff. But revenue cycle leaders say some of the largest, most persistent leakage never shows up as a denial at all. It hides in short payments that look like clean claims,…
Health systems spent years decentralizing revenue cycle operations to give hospitals, physician groups and service lines greater autonomy. Now, many of the country’s largest health systems are moving in the opposite direction. Revenue cycle leaders recently interviewed by Becker’s pointed…
Health systems have spent two decades investing in revenue cycle automation, and it has paid off: the 2025 CAQH Index estimates the industry avoided $258 billion in administrative costs in 2024. Yet denials keep climbing, with 41 percent of providers…