Staffing shortages, inflation and payer friction now cost hospitals billions. Yet digital payment volume is set to quadruple, opening new revenue opportunities if teams can process the work. Automation and AI are quickly becoming must-have tools, not future nice-to-haves. …
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Presented by:
Lauren Tungate
St. Manager, Solution Strategy, Waystar
Revenue cycle leaders are under immense pressure to prevent denials, improve payment accuracy and relieve administrative burden. But manual workflows can’t keep pace with the demands of modern RCM. This new Forrester Consulting report reveals how health systems using AI…
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From new educational pathways to clinical developments, here are three milestones in anesthesia so far in 2025: 1. Lexington-based University of Kentucky Markey Cancer Center has begun using surgical robotics to diagnose and treat early-stage lung cancer in a single…
The No Surprises Act took effect in January 2022 with the goal of preventing surprise billing by implementing an independent dispute resolution process for payment disputes between payers and out-of-network providers. Despite the law’s intention, some anesthesia providers say that…
Charleston, S.C.-based Articularis Healthcare Group has crafted a model that preserves the independence of community rheumatologists, a contrast to large hospital systems, where financial priorities can dictate care. Founding Partner Colin Edgerton, MD, joined Becker’s to discuss how the group…
With high-deductible health plans on the rise, denials increasing and a greater share of receivables coming directly from patients, hospital margins are under significant strain. Capturing every last dollar has become critical to revenue protection. Keck Medicine of USC is…
Presented by:
John Yount
Chief Innovation Officer, FinThrive
Rudy Braccili
Senior Director Revenue Cycle Operations, Keck Medicine of USC
Here are three cardiology center closures Becker’s has reported on in the last year: 1. Butte, Mont.-based Providence Heart Institute permanently shuttered in July, leaving the 3,000 patients it serves without a provider. The institute, located inside Butte Hospital, had…
The CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) represents a significant compliance lift. However, payers have the opportunity to leverage the rule as a means to accelerate broader transformation. From streamlining prior authorizations to integrating clinical, claims and SDOH…
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New York City-based NYU Langone Hospitals recently was named No. 1 for cardiology, heart and vascular surgery in U.S. News & World Report’s 2025-26 Best Hospitals rankings. Health system leaders told Becker’s the recognition reflects decades of investment and recruitment…
With CMS-0057 on the horizon — and growing friction with providers and members — health plans know utilization management needs more than a tune-up. But fragmented systems, outdated policies and poor access to clinical data continue to slow progress. In…
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