Healthcare Management

Financial

Untangling Healthcare’s Appeals and Grievances for Payers

BY
Elevsis Delgadillo

When a claim is denied, the appeals and grievances process is what gives members a way to ask for a ...

Financial

From Bookkeeping to Boardroom: How Healthcare Finance Teams Can Evolve into Strategic Business Partners

BY
Brock Davis

Healthcare CFOs are navigating a fundamental shift: as margin pressure, workforce constraints, and technological disruption intensify, finance teams can no ...

Medical coder looking at a screen
Healthcare Management

Why It’s Time to Bring HCC Coding In-House

BY
David Talby

Accurate risk adjustment isn’t just a box to check anymore. It’s a strategic lever. Hierarchical Condition Category (HCC) coding underpins ...

Financial

Driving growth: Digital investments and smart capital strategies in health care

BY
Danny Schmidt

Some health care leaders are moving past post-pandemic cost containment and are forging forward with strategic growth initiatives. Inextricably linked ...

Revenue Cycle Management

Agentic AI: Revolutionizing Healthcare Revenue Cycle Management

BY
Ryan Christensen

Healthcare revenue cycle management (RCM) is at a breaking point. Escalating claim denials, shrinking reimbursements, and persistent staffing shortages are ...

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