Accurate risk adjustment isn’t just a box to check; it’s now a strategic lever. Hierarchical Condition Category (HCC) coding underpins risk scores that drive Medicare Advantage and other value-based ...
Health systems are eager to adopt generative artificial intelligence solutions for revenue cycle management, seeing the ...
On November 25, 2025, the Centers for Medicare & Medicaid Services (CMS or the “Agency”) released the 2027 Medicare Advantage ...
Beth Israel Lahey’s VP of Mid-Revenue Cycle says that AI’s primary role is to stabilize output, proactively flag compliance risks against payer contracts, and ensure accurate documentation before ...
Several payers are accusing providers of driving higher healthcare costs through aggressive coding practices. The long-standing tension between payers and providers reared its head during recent ...
ASCs are entering 2026 in a tough spot: pay updates are landing, but many leaders say they’re still being squeezed by inflation, payer tactics and rising procedure complexity. Five dynamics, in ...
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 ...
The Price to Earnings (P/E) ratio, a key valuation measure, is calculated by dividing the stock's most recent closing price by the sum of the diluted earnings per share from continuing operations for ...
If 2024 was the year of proof-of-concept and 2025 was the year of early adoption and scale, 2026 is shaping up to be something different — a year defined by normalization. AI in healthcare won't fade ...
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