Preparing for Audits Without Burning Out Your RCM Team
Healthcare audits are part of the job. Whether they come from government payers, private insurers, or internal compliance reviews, audits are designed to ensure accuracy, fairness, and accountability. But for many healthcare providers, audit season feels overwhelming. Deadlines tighten. Documentation requests pile up. Your revenue cycle management team works longer hours. Stress rises. Mistakes become […]
Why Consistency Is the Foundation of RCM Compliance
In healthcare, few things are more frustrating than delivering excellent care but not getting paid accurately or on time. Many providers blame regulations or payer rules, especially when trying to maintain strong revenue cycle management compliance. While those factors matter, inconsistency often causes deeper, long-term damage. In 2024, 11.81% of medical claims were denied on first submission, according to Kodiak […]
What a Compliance-Ready Revenue Cycle Actually Looks Like
Healthcare providers hear the word compliance so often that it can start to feel abstract. Policies live in binders. Training videos get clicked through. Audits happen once in a while. But when it comes to the day-to-day reality of billing, coding, and getting paid, many organizations still ask the same question: What does a compliance-ready revenue cycle actually look like […]
Why AI Alone Won’t Fix Denials, Backlogs, or AR Delays
Healthcare organizations everywhere are under pressure, and many are turning to healthcare AI for relief. Claims are piling up, denials keep returning, and accounts receivable continue to stretch. As a result, 59% of healthcare organizations report near-term plans to invest in denial reduction technology, reflecting the urgency to address rising denials and revenue delays, according to Experian Health’s The State […]
AI Is Speeding Up RCM, But Only for Teams Built to Use It
Revenue cycle management (RCM) has always been one of the most challenging parts of running a healthcare organization. It’s detailed, repetitive, and deeply tied to both patient care and financial stability. Today, artificial intelligence is changing how RCM works, but not always in the way teams expect. In fact, an AKASA and HFMA Pulse Survey found that about 46% of […]
How Rural Hospitals Are Stabilizing RCM Without Local Hiring
Rural hospitals are the backbone of their communities. They deliver essential care, often with limited staff, smaller budgets, and fewer nearby resources. Yet financial pressure continues to mount. An analysis by Chartis found that 46% of rural hospitals are operating with negative margins, making it increasingly difficult for facilities to keep their revenue cycle stable without the ability to […]
5 RCM Warning Signs We See in Rural Hospitals Every Week
Rural hospitals are the backbone of healthcare in many American communities, serving entire counties with limited resources and lean teams. Yet behind the scenes, many struggle with revenue cycle management (RCM) challenges and billing errors in healthcare that directly affect financial stability. The pressure is real. The Center for Healthcare Quality and Payment Reform reports […]
The Challenge of RCM for Rural Hospitals
Rural hospitals play a critical role in the US healthcare system and are often the only source of care for entire communities, from emergency services to chronic disease management. Yet many rural hospitals are struggling financially. According to the Center for Healthcare Quality and Payment Reform (CHQPR), more than 700 rural hospitals, about one-third nationwide, are […]
High RCM Costs? Go Remote
Healthcare providers today are under immense pressure. Patient volumes are rising, reimbursements feel tighter, and expectations for accuracy and speed keep increasing. In the middle of all this, one challenge continues to grow quietly but consistently: RCM costs. Revenue cycle management touches every part of a healthcare organization, from patient intake and insurance verification to billing, coding, […]
Cut Coding Risk with Skilled Remote Medical Coders
Medical coding errors don’t usually happen because people don’t care. They happen because teams are stretched thin, rules change constantly, and documentation demands keep growing. But even small coding mistakes can lead to denied claims, delayed payments, compliance risks, and frustrated staff. For healthcare providers, coding risk isn’t just a back-office issue. It affects revenue, audit exposure, and the overall stability of […]