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Revenue Integrity & Revenue Cycle

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Healthcare revenue cycle leaders are facing a pressure they didn’t anticipate even five years ago: payers are using artificial intelligence…

HHS just announced it will use AI to scan every federal grantee audit for signs of fraud. For CCOs with…

Site of care denials are surging in 2026. Learn how CMS site-neutral policies, IPO list changes, and payer tactics put hospital revenue at risk.

Hospitals lose 3-5% of net revenue to charge capture failures. Learn where charges disappear, why manual processes can’t keep up, and how to build a systematic recovery strategy.

CMS updated split/shared visit rules in 2024, and most organizations still haven’t operationalized the changes. Learn substantive portion requirements, documentation standards, and how to avoid audit exposure.

CMS is expanding RADV audits to all 550 MA contracts. Learn which high-risk HCC codes to audit internally before CMS finds your documentation gaps.

MDaudit recently hosted a webinar titled, Revenue Integrity in 2026: Predictions, Priorities, and Payer Reality. The session brought together benchmarking…

Learn how to detect Medicare Advantage overbilling risks, MEAT criteria failures, and HCC coding gaps before federal auditors arrive.

Learn which coder productivity metrics—first-pass acceptance, specificity capture, and compliance accuracy—actually protect revenue in 2026.

A recent article revealed some of the top priorities for revenue cycle leaders in 2026, and data from the MDaudit…

Discover when to shift from reactive appeals to proactive denial prevention by identifying cross-payer patterns costing your organization revenue.