Healthcare Revenue Cycle Management News

More hospitals adopt tech-driven screenings for charity care eligibility

Hospitals are increasingly implementing technology-driven screenings to automatically qualify patients for charity care, as recommended by the American Hospital Association, in order to reduce administrative burdens and ensure all eligible patients receive financial assistance.

By Rich Daly December 9, 2025

Reimagining the patient financial experience

Patients judge their healthcare experience long before they see a clinician. In an era of consumer-driven healthcare, transparency, affordability and ease of use are now as critical as clinical outcomes. Yet, while the care experience has evolved, the financial journey still lags behind. Hospitals that elevate the patient financial experience — making it as seamless,…

By HFMA December 8, 2025

Survey of revenue cycle executives points to the need to move from reactive to proactive clinical documentation

Review this report to learn how to swap out the processes and technologies that don’t support an effective, sustainable approach to clinical documentation. Revenue cycle teams will get key takeaways to rethink documentation as a proactive strategy rather than a back-end fix.

By HFMA November 21, 2025

Buried Revenue: How to Recover Cash Hiding in Your Paper and PDF Correspondence

This how-to guide gives healthcare RCM leaders practical guidance on how to use modern, AI-powered solutions.

By MediStreams November 20, 2025

Redesigning denials management in the OBBBA era

Under OBBBA, executives face denials as a continuous operational and financial pressure. Traditional reactive approaches — reviewing and appealing after denials occur — are no longer sustainable. The organizations that succeed in this new era will use predictive analytics, automation and disciplined processes to prevent denials before they happen. The problem with the traditional model For decades,…

By HFMA November 10, 2025

Healthcare Technology, Episode 2: Helping patients harness their own data

Patients have access to more data than ever, but there can be confusion when they try to interpret it. In this week’s episode, we speak with Tim Church, MD from Wondr Health and Jonathan Henderson from Encore Rehabilitation.

By Erika Grotto October 29, 2025

Cutting through the clutter: Practical strategies to reduce administrative waste in payer-provider interactions

Administrative costs in healthcare continue to rise, often consuming more resources than direct patient care. Nowhere is this more visible, or more solvable, than within revenue cycle management (RCM). These costs are not just a patient care concern; they strain the workforce and directly impact financial sustainability. Much of the challenge stems from a persistent…

By HFMA October 9, 2025

AI coding at UMass Memorial tempers staffing shortage 

UMass Memorial Medical Center’s radiology department has been able to sidestep a lack of bill coding professionals by adopting AI in the medical center’s coding for radiology.   “It’s really hard to get certified coders these days,” said Barbara Scully, associate vice president, physician billing with UMass Memorial, which is located in Worcester, Massachusetts.   “It’s one…

By Paul Barr, MS, MBA October 7, 2025

Successful implementation of RCM technology demands a collaborative approach

Providers need to look no further if seeking assistance in improving cash flow, navigating staffing shortages or enhancing technology infrastructure. Check out this article to discover tools and solutions for current healthcare trends.

By HFMA September 29, 2025

AI and Automation in Revenue Cycle Research

A survey of 272 healthcare executives was conducted to understand how automation and AI are being utilized in their organizations and if not, what barriers or concerns they have to adopting new technologies.

By HFMA September 29, 2025
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