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Revenue Cycle Management

As Elevance Health prepares to implement new site-of-care billing requirements, revenue cycle leaders are raising concerns about additional administrative burdens, potential payment delays and growing complexity across payers. “My broader concern is growing variation across payers, which adds cost and…

Elevance Health executives detailed how the company is using AI and tighter claims review to manage costs during the company’s Oct. 21 earnings call. “We are strengthening Medicaid cost management really by acting directly on the utilization and the payment…

From CommonSpirit naming a system vice president of physician enterprise revenue to Ohio State University Wexner Medical Center naming a chief revenue officer, here are 43 revenue cycle executive moves Becker’s has reported so far in 2026: 1. Towson, Md.-based…

Lifemed AI, a non-generative AI-driven healthcare technology company, today announced its formal partnership with MEDITECH as an Accelerator-level member of the MEDITECH Alliance program. The designation brings Lifemed’s non-generative deep-learning neural network platform, DeepClaim, which is purpose-built to eliminate claims…

Towson, Md.-based GBMC HealthCare has named Jay Wagner executive director of revenue cycle, according to an Oct. 15 post on his LinkedIn page.  He joins GBMC from Columbia, Md.-based MedStar Health, where he was director of professional revenue cycle systems…

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Experian Health has acquired eInsights, a company that finds patient insurance coverage that providers missed at registration. eInsights searches for coverage after care is delivered, including retroactive Medicaid, secondary coverage and coordination of benefits, according to an Oct. 20 news…

Amid mounting reimbursement complexity, rising denial rates and staffing challenges, organizations ranging from independent rural hospitals to large, multihospital systems are striking partnerships with revenue cycle management firms.  Here are seven hospitals and health systems that have outsourced revenue cycle…

Baton Rouge, La.-based FMOL Health has named David Worthy as vice president of revenue cycle for Franciscan Health Physicians, the health system’s employed provider group, according to a post on his LinkedIn page.   Mr. Worthy most recently served as a…

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…

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