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Revenue cycle management news, trends and strategy

Revenue cycle management news covering how health systems get paid. Becker's reports on claim denials and prior authorization, revenue cycle automation, revenue integrity and patient collections.

Twelve hospitals and health systems, including Community Health Systems, recently posted job listings seeking revenue cycle vice presidents. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Adventist HealthCare, based in Gaithersburg, Md., seeks a…

Ensemble Health Partners expanded its financial advocacy services nationwide to help health systems flag patients at risk of losing insurance coverage and guide eligible patients through state-specific Medicaid enrollment before the Jan. 1, 2027, federal deadline for new Medicaid eligibility…

VisiQuate has acquired Finvi’s Artiva HCx business, adding a revenue cycle workflow platform, the team that runs it and its clients to the company’s analytics and automation offerings. Artiva HCx routes and manages insurance follow-up, denial management and collections work,…

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 eight hospitals and health systems that have outsourced revenue cycle…

Humana and healthcare technology company Athenahealth are expanding electronic prior authorization capabilities, spanning more than 180,000 clinicians in Athenahealth’s network. According to a Nov. 3 news release, more than 6,000 providers processed almost 35,000 electronic prior authorization transactions with Humana…

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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…

Atlanta-based Grady Health System has struck a revenue cycle management agreement with Ensemble Health Partners. Ensemble will support the system with an end-to-end operating model that will help sustain Grady’s high-quality patient care. Ensemble will manage Grady’s revenue cycle across…

Franklin, Tenn.-based Community Health Systems is still waiting longer for insurers to pay its claims, but the slowdown has not worsened, CFO Jason Johnson said on the system’s Oct. 29 third-quarter earnings call. In July, Mr. Johnson said insurers were…

Revenue cycle leaders are raising concerns about Elevance Health’s new site-of-care billing requirements, and some patients are taking insurance denials straight to payer CEOs. Here are 10 revenue cycle updates that Becker’s reported in October:  1. Forty percent of providers…

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