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September 30, 2025

How propensity-to-pay ​​models help healthcare providers improve collections

Key takeaways: Healthcare organizations are facing growing levels of bad debt and a sharp decline in collections. Propensity-to-pay models that…

September 29, 2025

Q&A: How AI innovation is transforming healthcare revenue cycle management

Healthcare organizations are facing a perfect storm: rising claim denials, evolving payer rules, and patients expecting providers to reduce error…

September 23, 2025

State of Claims 2025: The denial problem (and is AI the answer?)

Key takeaways: Experian Health’s State of Claims 2025 report is out now, detailing providers’ views on claims management and how…

September 8, 2025

Leveraging artificial intelligence for claims management

Key takeaways: Manual work and disconnected claims management systems are often error-prone, resulting in delayed and denied claims. Technology, like…

September 4, 2025

How OhioHealth cut denials by 42% with Patient Access Curator and solved claim errors at the source

TABLE OF CONTENTS Challenge: OhioHealth faced rising denials Solution: AI + machine learning to check eligibility Outcome: Patient Access Curator…

August 21, 2025

A New Chapter in Improving Sepsis Programs and Optimizing Patient Care Nationwide

Since 2017, CDC has been committed to protecting patients and addressing sepsis, a life-threatening medical emergency that affects at least…

August 5, 2025

Healthcare EHRs at a Crossroads: Innovate or risk being left behind?

The healthcare technology landscape is constantly evolving, and a crucial question emerges: are established EHR systems, like EPIC, at risk…

March 24, 2025

Q4 2024 Medical Review Denial Trends in Hospice Care

Palmetto GBA has also released the latest data for Q4 2024 on the most common hospice claim denial codes. These…

March 24, 2025

Q4 2024 Medical Review Denial Trends in Home Health

Palmetto GBA has published its quarterly summary of the top denial reason codes for home health agencies (HHAs) for Q4…

March 14, 2025

HIPAA Rule Changes Set to Reshape Compliance Landscape in 2025

As 2025 unfolds, significant updates to HIPAA regulations are on the horizon, with sweeping changes aimed at increasing patient access…

February 25, 2025

CMS Pauses Hospice Special Focus Program for Further Evaluation

On February 14, 2025, the Centers for Medicare and Medicaid Services (CMS) stopped introducing the Hospice Special Focus Program (SFP)…

December 4, 2024

URGENT: New Regulation Requiring Notice of Medicare Non-Coverage to Include BFCC-QIO Information

A new regulation has been released regarding Medicare Advantage plans. If you are providing home health services to a patient enrolled…

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