Quarterly audits detect compliance problems months too late, after thousands of claims create costly exposure. Continuous risk monitoring prevents denials by catching errors before submission.
A recent article revealed some of the top priorities for revenue cycle leaders in 2026, and data from the MDaudit…
Initial claim denials hit 11.8% in 2024. Learn how to shift from reactive appeals to proactive denial prevention by identifying cross-payer patterns before they cost you.
Discover when to shift from reactive appeals to proactive denial prevention by identifying cross-payer patterns costing your organization revenue.
Healthcare loses 3-5% of revenue from charge capture errors. Learn how to identify gaps and recover millions in unbilled services.
If you run a hospital or health system, you know the gut punch that comes with Diagnosis Related Group (DRG)…
Here’s something that should get your attention: the Centers for Medicare & Medicaid Services (CMS) announced they’re expanding Risk Adjustment…
Healthcare organizations lose between 2% and 5% of net patient revenue annually due to inefficient revenue cycle management practices, with…
RAC and RADV audits require different preparation strategies. Learn how to protect your organization from recoupments with audit-specific workflows.
Why prospective audits are replacing retrospective reviews. Learn how preventing errors before submission improves cash flow and reduces denials.
OIG scrutinizes Medicare sepsis billing in 2024; hospitals must improve documentation and audits to ensure compliance before FY 2025.
