Revenue cycle performance is typically tracked through operational metrics such as denial rates, days in accounts receivable and cost to collect. In 2026, hospital and health system CEOs also discussed it as part of their broader strategy in turnaround plans,…
Revenue Cycle Management
R1 has completed its acquisition of Humata Health, an AI-powered touchless prior authorization company, according to a Sept. 16 post on R1’s LinkedIn page. R1 first announced plans to acquire Humata in August. R1 said the deal marks a significant…
As health systems work to shore up margins in 2026, revenue leakage has become one of the most direct operational targets. At UC San Diego Health in San Diego, Calif., Chief Revenue Cycle Officer Mike Vigo has built fiscal 2027…
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. Baptist Health, based in Little Rock, Ark., seeks a coding supervisor. 2.…
Chicago-based CommonSpirit has promoted Julie Morgan to system vice president of physician enterprise revenue cycle, according to a post on her LinkedIn page. In her new role, Ms. Morgan will lead professional fee revenue cycle strategy and operations across the…
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UChicago Medicine is using automation to move revenue cycle staff away from routine insurance and prior authorization tasks and into more complex cases that require human judgment. Matthew Kennedy, director of patient access and financial clearance at UChicago Medicine, discussed…
Chicago-based Northwestern Medicine has built a three-person revenue cycle automation team that processed about 400,000 tasks over the past fiscal year — work the health system estimates is equivalent to roughly 24 full-time employees. Northwestern’s automation team manages about 30…
New Orleans-based Ochsner Health has turned to automation and AI to keep pace with roughly 30% volume growth while reducing the manual workload tied to prior authorization and patient estimates. Ochsner operates 46 hospitals and more than 370 outpatient and…
Growing without losing control: How Fort Bend Rheumatology built a revenue cycle that scales
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As physician organizations grow — adding locations, specialties or private equity partners — the revenue cycle processes built for a single site often start to break down. During a recent Becker’s Healthcare webinar sponsored by NextGen Healthcare, Jerri Ivey, vice…
Prior authorization volumes are climbing and payer policies shift mid-year. Denial rates continue to rise across the industry. In that environment, the pull for revenue cycle teams is to pursue every new problem, respond to every escalation, chase every trend.…