Last week, the HHS announced it was pausing $1 billion in federal Medicaid payments pending additional documentation review. The reason: high-risk claims that required verification before federal matching funds could be released. For most health systems, the details felt distant. But beneath the surface is a compliance infrastructure problem that exists in every health system in America.
CFOs who will thrive over the next two to three years are those who treat revenue integrity not as a separate compliance initiative, but as a foundational aspect of financial strategy. The ones who say: before we optimize anything else, we need to make sure we’re capturing what we’ve actually earned.
MDaudit CEO Ritesh Ramesh is featured in HIStalk with a timely examination of why reactive revenue integrity is no longer…
CMS has proposed significant changes to physician reimbursement, coding requirements, and billing compliance. Here’s what you need to know, and…
Part 2 of The Audit Clock Series Fifty state Medicaid Fraud Control Units. Ninety medical professionals charged in a single…
KLAS Emerging Insights: Wellesley, MA — June 25, 2026 — In response to payer audits, coding-related denials, and complex compliance…
When KLAS Research publishes a First Look report, the findings aren’t ours to write. They belong to the customers: the…
A recap of MDaudit’s HFMA 2026 Thought Leader Roundtable and the insights shared by revenue cycle leaders from across the…
We’re glad to share that our CEO, Ritesh Ramesh, was featured in Healthcare IT Today in How Continuous Risk Monitoring…
Healthcare revenue cycle leaders are facing a pressure they didn’t anticipate even five years ago: payers are using artificial intelligence…
The Department of Health & Human Services just announced it will use AI to scan every federal grantee audit for…
Our CEO was featured in Healthcare IT Today discussing the shift from reactive denial management to proactive pre-bill prevention in revenue cycle management.
