Payer Behavior Is A Large Threat to Hospital Revenue… And Most Teams Aren't Ready
Nearly two-thirds of RCM leaders now identify payer-driven denials and underpayments as their #1 barrier to revenue growth in 2026.
Blog & Insights
Expert perspectives on ERISA recovery, healthcare compliance, and industry trends
Why Hospital CFO's Are Re-Examining Zero-Balance Accounts
In many hospitals, once an account reaches a zero balance or is written off, the revenue opportunity is assumed to be gone. Yet across the industry, finance leaders are starting to challenge that assumption.
The Hidden Cost of Write-Off Culture in Hospital Revenue Cycles
Rising claim denials & staffing shortages are driving hospitals to write off recoverable revenue.
Setting Revenue Cycle Goals for 2026: Why Denied Claims Deserve a Second Look
As hospitals begin setting financial goals for 2026, Revenue Cycle Management (RCM) leaders face familiar challenges: rising denial rates, ongoing staffing constraints, payer complexity, and constant pressure to improve
AI Fatigue in RCM: When the Buzz Starts to Blur the Value
If you’ve read a healthcare revenue cycle management article in the past year, chances are it mentioned AI… often repeatedly. Artificial intelligence has become the centerpiece of nearly every headline, product launch, c
Closing Out 2025 Strong: Why Hospitals Can’t Afford to Leave Denied Claims Unrecovered
As hospitals work to strengthen their financial performance heading into the final quarter of 2025, denied claims remain one of the biggest and most underestimated drivers of lost revenue. Nationwide, claim denial rates
The Modern Maze: What’s Challenging Hospital Revenue Cycle Managers in 2025?
The current healthcare environment is extremely unpredictable, and revenue cycle managers (RCMs) at hospitals are facing more pressure and complexity than ever before. From technology transformation and AI adoption to…
The Crucial Role of AI and Human Expertise in Resolving Denied Claims for Hospitals
In today’s rapidly evolving healthcare landscape, the intersection of artificial intelligence (AI) and human expertise is revolutionizing the way hospitals navigate denied insurance claims. While AI and technology have s
Battling Denied Claims: The Uphill Struggle Facing Dialysis Centers
Dialysis centers across the United States often face significant challenges when it comes to denied insurance claims, which can have profound implications for both patient care and their financial stability.…