HFMA
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HFMA
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Redesigning denials management in the OBBBA era
Under OBBBA, executives face denials as a continuous operational and financial pressure. Traditional reactive approaches — reviewing and appealing after denials occur — are no longer sustainable. The organizations that succeed in this new era will use predictive analytics, automation and disciplined processes to prevent denials before they happen. The problem with the traditional model For decades,…
Reshaping revenue cycle strategy
Dive into this roundtable to read a discussion from a handful of healthcare industry leaders about how they use AI, automation and analytics to streamline revenue cycle operations, improve margins and get ahead of payment challenges.
Cutting through the clutter: Practical strategies to reduce administrative waste in payer-provider interactions
Administrative costs in healthcare continue to rise, often consuming more resources than direct patient care. Nowhere is this more visible, or more solvable, than within revenue cycle management (RCM). These costs are not just a patient care concern; they strain the workforce and directly impact financial sustainability. Much of the challenge stems from a persistent…
HFMA Comments on CY 2026 Hospital OPPS and ASC Proposed Rule
HFMA submits comments to CMS pertaining to CMS-1834-P CY 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Proposed Rule.
Inside SRHO’s Flawless Audit: How They Achieved Zero Findings—And How You Can Too
Discover how proactive planning and the right partner can simplify Healthcare Connect Fund audits and reduce financial risk.
Healthcare leaders optimistic that automation and AI will improve revenue integrity
According to new survey data, of 272 healthcare directors, presidents, CFOs, managers and other members of HFMA, 90% believe that with human oversight, technologies like automation and AI will improve financial performance effectively. Review this research report for prospective workflows and common barriers.
Successful implementation of RCM technology demands a collaborative approach
Providers need to look no further if seeking assistance in improving cash flow, navigating staffing shortages or enhancing technology infrastructure. Check out this article to discover tools and solutions for current healthcare trends.
CareCloud Announces Acquisition of HFMA’s MAP App to Expand AI-Driven Benchmarking in Hospitals and Integrated Health Systems
CareCloud, Inc. announced its definitive agreement to acquire MAP App to deliver next level innovation and improvements. The transition period is through the end of 2025. There should be no significant changes to MAP App users, and clients should continue in the tool as they would normally.
AI and Automation in Revenue Cycle Research
A survey of 272 healthcare executives was conducted to understand how automation and AI are being utilized in their organizations and if not, what barriers or concerns they have to adopting new technologies.
HFMA and Third Horizon launch price transparency data tool Starset Analytics
Exclusive to HFMA Enterprise Solution Provider Members, the tool transforms complex pricing data into actionable insights for negotiation, benchmarking and strategy. CHICAGO (Sept. 29, 2025) – The Healthcare Financial Management Association (HFMA) and Third Horizon today announced the launch of Starset Analytics, a new toolset that helps hospitals unlock the full potential of price transparency…