Rethinking rev cycle, plus the 2026 Medicare proposed rule on physician fee schedule
Mayank Pant from IKS Health talks about why healthcare organizations haven’t been able to overcome longstanding challenges, and Nick Hut talks with HFMA Policy Director Katie Gilfillan about the 2026 Medicare Proposed Rule on physician fee schedule.
AI technology brings wholesale CDI benefits to Intermountain Health
At a time when the healthcare labor picture is marked by sustained high costs and shortages of key roles, one department at Intermountain Health found a way to operate as though it had six additional FTEs without an increase in the headcount. The enhanced productivity was one benefit of implementing AI technology in clinical documentation…
Vendor and staffing management, plus the latest in budget reconciliation
Danelle Newman from OSS Health discusses how to strike a balance in vendor and staffing management. Also in this episode, HFMA Senior Editor Rich Daly talks with HFMA Policy Director Shawn Stack about the House-passed reconciliation package.
The art of digital delegation
Nick Hut and Shawn Stack discuss price transparency regulations, and Erika Grotto talks with Stuart Newsome from Infinx about AI in revenue cycle.
How AI and automation are revolutionizing revenue cycle operations for faster, more accurate reimbursement
Revenue cycle management (RCM) is a critical component of healthcare operations, yet providers face mounting challenges in ensuring timely and accurate reimbursements. Manual processes, evolving regulatory requirements and administrative inefficiencies contribute to revenue leakage and operational burdens. Traditional RCM processes are labor-intensive, relying heavily on manual billing, coding and claims submission. These inefficiencies not only…
Healthcare organizations increasingly rely on third-party solutions for RCM tasks
While healthcare organizations rely on native EHR functionality for certain revenue cycle management (RCM) tasks, they increasingly look to third-party solutions for others. But what questions should they be asking? Check out key takeaways in this research report.
Fortifying defenses: essential cybersecurity strategies for revenue cycle management
Healthcare leaders understand that the quality of their organization’s revenue cycle is directly reflected in its bottom line. However, it is also reflected in quality outcomes and patient satisfaction scores. Inefficiencies in eligibility, coverage, prior authorization and other revenue cycle processes can lead to delays in care and surprise patient bills, in addition to poor…
Annual Conference Day 4: Geeta Nayyar discusses information gaps and the promise and perils of technology
Applications of technology and the purveyance of information are key issues impacting the efficacy of the healthcare system, author and healthcare technology expert Geeta Nayyar, MD, MBA, explained during Thursday’s keynote session in Las Vegas. In a sit-down discussion with HFMA President and CEO Ann Jordan, Nayyar described working at the intersection of medicine and…
Engaging in operating rule development and adoption amidst the era of healthcare automation
Over the past two decades, the healthcare industry has collaborated to accelerate automation, alleviate administrative burdens and lower the cost of conducting common business transactions. Although much work remains to be done to streamline healthcare administration, the industry’s approach to developing and implementing operating rules to improve revenue cycle automation, independent of standards development, is…
PMMC provides organizations with the tools and the knowledge to maximize their net revenue
Learn how PMMC's revenue cycle software and services improves the financial performance of healthcare providers to have more resources devoted to patient care.