Revenue Cycle Management

Turning Denial Data Into Action: How Healthcare Organizations Can Fight Back Against Payer Denials

Healthcare providers across the U.S. are facing a growing wave of claim denials that is putting pressure on already strained hospital finances. Industry research from the American Hospital Association shows that nearly 15% of medical claims submitted to private payers are initially denied, forcing hospitals and health systems to spend about $19.7 billion annually attempting…

ROI Case Study

Denials are no longer a slow leak in the revenue cycle—they’re a fast-moving, rule-shifting game controlled by payers, and hospitals that don’t model denial patterns in real time end up budgeting around losses they could have prevented. PayerWatch’s four-digit, client-verified ROI in 2024 shows what happens when a hospital stops reacting claim by…

Transformation Without Disruption: How Access Healthcare Is Rewiring the Revenue Cycle with Agentic AI

Hospitals are juggling shrinking margins and rising costs while denial volumes remain stubbornly high. In the revenue cycle alone, hundreds of billions are lost annually to preventable errors and inefficiencies—in fact, Access Healthcare CEO Shaji Ravi cites more than $250 billion wasted each year. Meanwhile, payers have accelerated their use of AI to adjudicate…

RevSpring Uses Data, Automation and Empathy to Improve the Patient Financial Journey – Better Outcomes for Patients, Less Burden for Providers

Healthcare providers are under increasing pressure to meet consumer expectations without adding an administrative burden. According to a survey conducted by The Harris Poll in June 2024, 18% of the 2,092 American adults who were surveyed had received an unexpected medical bill of $1,000 or more in the past year, and 50% said they would…

Culture as a Growth Engine: How People-First Values Create Long-Term Success in a Tech-Driven Age

Companies everywhere are racing to integrate AI and automation into their operations—but what happens when technology threatens the very people who power the business? A recent Mercer study found that while executives see AI as a major driver of productivity, many admit their organizations are struggling to keep their workforce prepared for the pace of…

HFMA’s Historic New Leaders: The Trailblazing Women Who Are Leading Healthcare Finance

A historic milestone reshapes healthcare finance leadership as women claim unprecedented positions of power across one state's influential chapters

Sterile Processing Economics with Mark Copeland: Unveiling the Value of Sterile Processing Departments”

Hospital leaders often overlook how sterile processing departments drive profitability and operational efficiency across the entire facility

Mastering Revenue Cycle Management: The Key to Thriving in Dallas-Fort Worth’s Healthcare Boom

Healthcare leaders in Dallas-Fort Worth are discovering that optimized revenue cycles unlock competitive advantage in one of the nation's fastest-growing medica

Building Trust Through Education and Data Innovation

Organizations leverage data insights and education to bridge healthcare disparities affecting underserved communities

Addressing Provider Challenges in the Revenue Cycle

Healthcare leaders are missing critical blind spots that compound denial rates and staffing strain across their operations