Revenue Cycle Management Archives - Page 6 of 187 - Becker's Hospital Review

What's to blame for claim denials? | Inside Inspira's $120M Epic gamble | 386 cleanest hospitals | Calif. hospital down to 8 days cash on hand | 10 UnitedHealth updates

September 22, 2025 1. What's to blame for claim denials? Full story 2. Inside Inspira Health's $120M Epic gamble Full story 3. Experience Zotec's personalized patient financial journey—to boost collections, satisfaction, and care continuity. Visit Booth #427. Learn More 4.…

759 hospitals at risk of closure | DOJ sues Calif. payer | 5 healthcare policies to watch | Best-rated health plans of 2025: NCQA | Systems rethink workforce compensation

September 18, 2025 1. 759 hospitals at risk of closure, state by state Full story 2. Justice Department sues California payer over $320M in alleged Medicaid overpayments Full story 3. Hospitals are keeping legacy systems for access — and paying…

The lowest-rated health plans of 2025: NCQA | AHA pushes back on Aetna inpatient pay policy | 12 systems naming chief revenue officers | What to know about TEAM | Epic's revenue grows to $5.7B

September 17, 2025 1. The lowest-rated health plans of 2025: NCQA Full story 2. Hospital group pushes Aetna to repeal inpatient reimbursement policy Full story 3. Not all AI reduces denials. 6 questions finance leaders should ask before they buy:…

Former COO admits to embezzlement | UnitedHealth meets with Trump admin | MA payer hit with cease-and-desist | Ill. hospital CEO dismissed | Intermountain goes live with Epic

September 16, 2025 1. Former COO admits to $4.3M embezzlement from Jackson Health Foundation Full story 2. UnitedHealth seeking influence with Trump administration: Report Full story 3. ED claims tied to auto and work injuries pay more. Are you capturing…

73 systems cutting jobs | Cigna policy under more pressure | Calf. system taps chief rev cycle officer | AMA posts 2026 CPT code set: 5 notes | Providence transformation chief to exit

September 15, 2025 1. 73 hospitals, health systems cutting jobs Full story 2. Senator joins call asking Cigna to rescind new downcoding policy Full story 3. Hartford HealthCare is using AI to optimize nurse shifts & retention. Learn how —…

Oracle Health tackles payer-provider friction | No link between MA growth, hospital profits: Report |18 best health system employers: Fortune | Why Larry Ellison is taking on Epic | 5 systems seeking rev cycle exec directors

September 11, 2025 1. Oracle Health tackles payer-provider friction Full story 2. No link found between growing MA enrollment, hospitals’ profit margins: Report Full story 3. ED claims tied to auto and work injuries pay more. Are you capturing them?…

Medicare prior auth pilot funding blocked | 21 hospital closures | Duke CEO joining Kaiser | NH system outsourcing some RCM functions | CMS pauses MA supplemental benefit notification rule

September 10, 2025 1. House panel blocks funding for traditional Medicare prior authorization pilot Full story 2. 21 hospital closures in 2025 Full story 3. More patients can’t pay. More revenue is at risk. See how top RCM teams are…

Why this payer is calling the insurance industry broken | 24 systems naming rev cycle VPs | OBBBA could cost hospitals up to $25B a year | CMS' MA audit expansion hits snag | How CFO tenures stack up

September 9, 2025 1. 'Denial is not a strategy in 2025': Why this payer is calling the insurance industry broken Full story 2. 24 health systems naming revenue cycle vice presidents Full story 3. 100,000-worker shortfall by 2028: Why health…

Epic antitrust suit to proceed | 8 systems outsourcing RCM | Aetna, Optum to settle 'dummy code' case for $8M | Avg. hospital margins drop to 2.6% | Medicaid + system liquidity: 10 notes

September 8, 2025 1. 8 health systems outsourcing RCM functions Full story 2. Epic to face key antitrust claims in ongoing lawsuit Full story 3. The revenue cycle is only getting tougher. Hear how AdventHealth, Baylor Scott & White, CommonSpirit…

Layoffs hit former Cerner campus | Why one health system bets on a loss leader | MA risk adjustment 'a failing system' | Mont. system strikes RCM partnership | HHS to crack down on data blocking

September 4, 2025 1. Oracle lays off staff at former Cerner campus: Report Full story 2. Why this system is investing in a 'loss-leading' service many hospitals are abandoning Full story 3. Big Beautiful Bill + revenue risk: RCM leaders share…