Decision Makers

Coding errors and overlooked underpayments can cost organizations thousands of dollars each month—especially as payers increase the complexity of claim edits, bundling rules, and diagnosis linkages. CareCodeAI , developed by CompleteCare Inc. , is changing that equation by using deep-thinking artificial intelligence models to streamline the coding process and  uncover hidden revenue opportunities through diagnosis and underpayment audits. Deep-Thinking AI: Going Beyond Coding

In healthcare revenue cycle management, denials remain one of the most persistent and costly challenges. Studies estimate that 10–15% of...

Revenue cycle executives have no shortage of dashboards and KPIs. The challenge isn’t tracking metrics —it’s using data in a way that...

Patient billing has long been one of the most frustrating aspects of healthcare—for patients and providers alike. Confusing language,...

In the intricate landscape of healthcare reimbursement, the terms of payor contracts serve as the foundation for a provider's financial...

As healthcare organizations face an increasingly dynamic environment, setting clear, achievable goals for revenue cycle teams is...

Effective early-out services are crucial to maintaining cash flow while reducing the administrative burden on your hospital’s internal...

In the evolving landscape of healthcare, effective payor contract management is critical for maintaining the financial health of any...

As we near the end of 2024, the landscape of healthcare revenue cycle management (RCM) continues to evolve at a rapid pace. The first...

One of the most critical yet misunderstood components is early-out self-pay patient collections. As patient responsibility for healthcare...

One of the most significant challenges is managing patient accounts receivable, particularly distinguishing between bad debt and charity...

The adoption of digital payment solutions like Google Pay, Apple Pay, Venmo, and PayPal is becoming increasingly significant in...

Client Background:  The client is a well-established multi-state clinic and surgical specialty group catering to a diverse range of...

The efficient management of revenue cycle teams is integral for the sustenance and growth of healthcare organizations. One significant...

The revenue cycle department serves as a critical hub responsible for managing the financial flow of a hospital's operations. From...

Managing accounts receivable efficiently is very important for the sustainability of healthcare organizations. As facilities navigate the...

Managing revenue cycles efficiently is paramount for the sustainability of healthcare organizations. Revenue cycle staff play a vital...

Patient satisfaction is a key metric that healthcare facilities strive to enhance. A significant aspect of this satisfaction lies in the...

In the ever-evolving realm of healthcare, the term "patient-centric" has become more than just a buzzword—it's a paradigm shift that...

Patient financial literacy is a critical yet often overlooked component of the overall well-being of individuals. Understanding...