Learn how PEPPER data highlights medical necessity risks in Medicare Part A and strategies hospitals can use to protect revenue and ensure compliance.
Examining Medical Necessity Compliance in Medicare Part A Read More
Explore what Revenue Integrity means in 2026 and how hospitals can reduce denials, improve documentation, and achieve sustainable financial health.
What Revenue Integrity Means in 2026 Read More
The Case Mix Index (CMI) has been a key performance indicator across hospitals nationwide. But as margins shrink and complexity grows, it’s time to ask: Is your hospital relying on outdated and incomplete measures?
What Your CMI Isn’t Telling You Read More
To maintain balanced, hospitals must track key performance indicators (KPIs) that reflect the broader ecosystem rather than just isolated departmental goals.
The Bigger Picture: Aligning Patient Care, Compliance, and Financial Health Read More
Discover why Physician Advisors are essential for bridging hospital clinical and administrative needs.
The Physician Advisor: The Administrative Role Hospitals Can’t Afford to Overlook Read More
Discover key factors hospitals may overlook when transitioning to an internal Physician Advisor program in Dr. Tim Brundage’s latest blog.
Thinking of Transitioning to an Internal Physician Advisor Program? Read More
Effective inpatient clinical revenue cycle management (RCM) is crucial for hospitals aiming to maintain financial health…
Leveraging Hospital Inpatient Clinical Revenue Cycle Management to Prevent Revenue Issues Read More
Successfully navigating the intricate maze of healthcare revenue cycle management demands a sharp comprehension and a well-thought-out strategy…
Optimizing Revenue, Ensuring Compliance: A Guide to Healthcare Revenue Integrity Read More
You’re a hospital administrator faced with the complex task of dealing with insurance reimbursements. How does this process work?…
How Does Insurance Reimbursement Work for Hospitals? Read More
Understanding the significance of medical billing and coding is crucial. These processes ensure accurate patient records and correct payment…
Why Is Medical Billing and Coding Important? Read More
Are you facing challenges with the health of your revenue cycle? The following tips will guide you…
In the ever-evolving landscape of healthcare, effective revenue cycle management (RCM) stands…
5 Benefits of Revenue Cycle Management Read More
The intricacy of healthcare revenue cycle management can be found in its six distinct stages, each playing a pivotal role in enhancing financial operations within a hospital or healthcare system. By comprehending these steps: patient pre-arrival, arrival, charge capture and entry, claim submission, remittance processing, and collections, healthcare providers can focus on capturing earned revenue while prioritizing quality and compliance.
What Are The 6 Stages of The Revenue Cycle in Healthcare? Read More
Healthcare revenue cycle management is a process that encompasses all the administrative and…
What is Healthcare Revenue Cycle Management? Read More
