The health systems and health plans that have pushed AI furthest into their operations are among the least equipped to prove what it is returning, according to a survey of 64 U.S. healthcare CFOs and finance leaders published Aug. 12…
Revenue Cycle Management
Utilization management has long lived inside the EMR by default, not by design. For many health systems, that means physician advisors and UR nurses work from different views of the same patient, reviews go unprioritized, and cases that should be…
Metrics drive revenue cycle operations, but the people behind those results are more than just numbers. From handwritten notes to dad jokes, 14 revenue cycle leaders shared with Becker’s how they work to ensure their teams feel valued, not just…
R1 RCM struck a deal to acquire Humata Health, an AI-powered touchless prior authorization company. The deal marks a significant step in advancing R1’s strategy to comprehensively automate the revenue cycle through its Phare Operating System, the company said in…
EnableComp has acquired revenue recovery firm Helix Advisory to expand its zero balance review capabilities, according to an Aug. 12 news release. The deal adds three capabilities to EnableComp’s platform: technology that identifies underpayments standard audit logic misses, clinical signal…
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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. Boston Children’s Hospital seeks a senior director of revenue cycle performance and transformation. …
The federal government has referred dozens of hospitals, pharmacy benefit managers and pharmacies to investigators over potentially fraudulent billing related to pediatric gender-affirming care. Vice President JD Vance referred hospitals and clinics identified in a new HHS report to the…
When President Trump signed the No Surprises Act into law in 2020, the straightforward premise was that patients should not be blindsided by massive emergency care bills from out-of-network physicians they never chose. On that front, the law has largely…
Here are 17 health systems that have had their credit ratings upgraded by Fitch Ratings or Moody’s Investors Service in 2026: Broward Health’s credit rating was upgraded to “A2” from “A3” by Moody’s. The upgrade reflects the Fort Lauderdale, Fla.-based…
Four health systems recently posted job listings seeking chief revenue officers. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 2. Lexington Health, based in West Columbia, S.C., seeks its inaugural chief revenue officer. 3. Michigan…