Revenue Cycle Management Archives - Page 12 of 190 - Becker's Hospital Review

CMS under Dr. Oz: 15 notes | AHA urges expanded MA audits, penalties | Oracles Health's biggest 2025 moves | Ohio system reduces ACA offerings | CHS selling lab assets

July 23, 2025 1. CMS under Dr. Oz: 15 key actions Full story 2. AHA calls for expanded audits, penalties in Medicare Advantage Full story 3. Discover the real cost of 'good enough' tech — here. 4. Oracle Health's biggest…

Humana cutting prior auths | Epic's biggest 2025 moves | Medicare Part D's uncertain future | DC system lays off leaders | 9 systems naming chief revenue officers

July 22, 2025 1. Humana to cut prior auth requirements, introduce gold card program Full story 2. Epic's biggest moves so far in 2025 Full story 3. Fewer denials, more efficiency. Why a 1% improvement makes a big difference here.…

6 systems outsourcing RCM | Dr. Oz visits AtlantiCare | 24 large systems growing bigger | Medicaid cuts could strain EDs | 10 UnitedHealth updates

July 21, 2025 1. 6 health systems outsourcing RCM functions Full story 2. Dr. Oz visits AtlantiCare, speaks with CEO Full story 3. Avoid costly rip-and-replace projects — meet CMS mandates with existing tech here. 4. 24 large health systems…

10 billing fraud cases | UnitedHealth made up of 2,694 subsidiaries | Tenn. system outsourcing RCM | NJ hospitals lose charity care challenge | 1 proposed merger, 1 proposed dissolution

July 17, 2025 1. Healthcare billing fraud: 10 recent cases Full story 2. UnitedHealth is composed of nearly 2,700 subsidiaries: 10 notes Full story 3. Inova Health is rewriting the playbook on payer collaboration. What they're doing differently here. 4.…

Calif. issues cease and desists over insurance fraud scheme | Senator seeks Medicaid cut reversal | CMS floats 2.4% outpatient pay bump | HHS layoffs resume | 32 systems raising workers' pay

July 16, 2025 1. California issues 11 cease and desists over insurance fraud scheme Full story 2. Senator introduces bill to reverse Medicaid cuts he voted for Full story 3. These 2 health systems are reducing denials without adding RCM…

GOP signals deeper cuts to Medicaid, Medicare | 4 systems seeking rev cycle exec directors | AI at Epic: 5 notes | CMS proposes physician pay raise | UnitedHealthcare names 4 division CEOs

July 15, 2025 1. House GOP eyes deeper Medicaid, Medicare cuts in next budget bill: Bloomberg Full story 2. 4 health systems seeking revenue cycle executive directors Full story 3. From clinical conversations to revenue cycle impact — 3 systems…

UnitedHealth targets critics | 20 systems naming rev cycle VPs | Will RFK Jr.'s wearables push work? | Rush rolls out $19 monthly care membership | Ousted NY hospital CEO plans lawsuit

July 14, 2025 1. UnitedHealth cites CEO's killing in moves to stymie criticism: NYT Full story 2. 20 health systems naming revenue cycle vice presidents Full story 3. How ASC leaders are hardwiring revenue integrity — get the playbook here.…

40 systems' days cash on hand | UnitedHealth names Medicaid CEO | UTMB taps rev cycle VP | Where people spend most, least on health insurance | An 'interesting dichotomy' ahead for M&A

July 10, 2025 1. Days cash on hand at 40 health systems Full story 2. UnitedHealth Group names new Medicaid CEO Full story 3. Healthcare data breaches average $9.8M. Protect your organization, here. 4. UTMB Health taps VP of revenue…

DOJ questions former UnitedHealth employees | 51 hospitals cutting jobs | 3 Ensemble partnerships | HHS layoffs back on the table | Health systems brace for 'Big Beautiful' fallout

July 9, 2025 1. WSJ: Former UnitedHealth employees questioned in DOJ investigation Full story 2. 51 hospitals, health systems cutting jobs Full story 3. CMS' interoperability + patient access mandate: How 1 org tackled compliance and cut costs — here.…

CMS under Dr. Oz: 12 notes | 11 systems seeking rev cycle VPs | A 'perfect storm' strains rural hospitals | 25 hospital M&A deals in H1 | Pa. system cuts jobs

July 8, 2025 1. CMS under Dr. Oz: 12 key actions Full story 2. 11 health systems seeking revenue cycle vice presidents Full story 3. Missed Medicaid eligibility = missed revenue. The step RCM leaders are using to close the…