State directed payments (SDPs) are an integral strategy for Medicaid programs to ensure accessible and high quality services for populations enrolled in managed care. The Centers for Medicare & Medicaid […]

Autonomous coding is a big buzzword these days, especially as coders are asked to do more with less time and fewer resources. What exactly is autonomous coding and how does […]

Most chief financial officers and revenue cycle leaders would agree that a solution is needed to contain costs around coding support, whether using internal full-time employees or an outsourced coding […]

In the ever-evolving landscape of healthcare finance, hospital executives face a myriad of challenges, chief among them being the efficient management of revenue streams. One critical aspect of this responsibility […]

Medical coding automation utilizing artificial intelligence (AI) has been happening for more than 10 years. When the industry was getting ready for the immense change that was moving from ICD-9 […]

I sat down with Jason Burke, vice president of revenue cycle solutions at Solventum, to talk about shifting the revenue cycle closer to the point of care, taking a layered […]

Social determinants, or drivers, of health (SDoH) are the non-medical factors that influence our health outcomes and play a vital role in shaping the well-being and quality of life for […]

Since 2020, clinical denials have increased by more than 20%. This shift reflects a strategic adjustment by payers that is driven by several factors impacting large health systems on multiple […]

I sat down with Dr. Sandeep Wadhwa, global chief medical officer for Solventum, formerly 3M Health Care, to explore evolving industry trends in healthcare technology. You recently attended the HIMSS24 […]