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revenue cycle management information news and tips xtelligent rev cycle management search the techtarget network login register informa techtarget explore the network healthcare dive healthcare payers healthtech analytics an informa techtarget publication explore our brands xtelligent rev cycle management billing collections policy regulation reimbursement value based care other content news features webinars sponsored sites follow new notable before revenue cycle ai payers and providers need to get along a survey shows that most providers say disagreements with payers over claims prevent timely and full reimbursement ai arms race leading to prior auth problems reimbursement cuts early adoption of ai for prior authorizations and medical billing is inflating medical spending prompting payers to slash reimbursement rates judge dismisses no surprises act lawsuit against halomd a california federal court threw out elevance health s lawsuit against halomd alleging the organization has gamed the no surprises act s idr process for profit cms proposes 2 4 ipps bump joint replacement model expansion a proposed rule would increase inpatient reimbursement by 1 9b next year while expanding the comprehensive care for joint replacement model nationwide cedar goes beyond propensity to pay to bolster patient billing jefferson health sues aetna over medicare advantage downcoding policy healthcare dive waystar tackles 40b denials problem with new ai capability cms proposes medicare payment rules for snfs 3 others hospitals lost over 48b from claims denials uncollected bills view all the latest news sponsored sites cybersecurity commvault microsoft together commvault and microsoft are redefining cybersecurity and data resilience with a comprehensive integrated platform purpose built to secure defend and recover data wherever it lives with true cloud simplicity intelligence and scale learn more specialty drug management optum specialty fusion at optum we re evolving health care so everyone can have the opportunity to live their healthiest life it s why we put your unique needs at the heart of everything we do making it easy and affordable to manage health and well being together for better health learn more revenue cycle management greenway health improving healthcare through innovation is at the heart of greenway health s work we provide electronic health records ehr practice management and revenue cycle management solutions that help practices in multiple specialties grow profitably remain compliant work more efficiently and improve patient outcomes learn more healthcare strategies a podcast a podcast for healthcare professionals seeking solutions to today s and tomorrow s top challenges hosted by the editors of xtelligent healthcare media this podcast series focuses on real world use cases that are leading to tangible improvements in care quality outcomes and cost guests from leading provider payer government and other organizations share their approaches to transforming healthcare in a meaningful and lasting way view all episodes latest news before revenue cycle ai payers and providers need to get along a survey shows that most providers say disagreements with payers over claims prevent timely and full reimbursement ai arms race leading to prior auth problems reimbursement cuts early adoption of ai for prior authorizations and medical billing is inflating medical spending prompting payers to slash reimbursement rates judge dismisses no surprises act lawsuit against halomd a california federal court threw out elevance health s lawsuit against halomd alleging the organization has gamed the no surprises act s idr process for profit cms proposes 2 4 ipps bump joint replacement model expansion a proposed rule would increase inpatient reimbursement by 1 9b next year while expanding the comprehensive care for joint replacement model nationwide cedar goes beyond propensity to pay to bolster patient billing the healthcare financial engagement company is expanding ai capabilities to deliver more personalized patient billing experiences at scale waystar tackles 40b denials problem with new ai capability as part of creating an autonomous revenue cycle waystar is now using ai to identify silent denials from post payment adjustments view all the latest news features the u s finally bent the healthcare cost curve one economist says health economist david cutler s new analysis shows a deceleration in u s healthcare spending as technology advancements make care cheaper how ai scribes are shifting coding intensity reimbursement the proliferation of ai scribes for clinical documentation has started a shift in coding intensity raising concerns about reimbursement and affordability agentic ai evolution begins to pave way for autonomous revenue cycle a fully automated revenue cycle in which staff work hand in hand with ai is looming but success will require a mature ai strategy how nghs balances revenue cycle ai adoption roi northeast georgia health system is accelerating ai adoption especially in revenue cycle management but leaders have learned to balance speed of innovation with ongoing roi view all features latest techtarget resources healthcare payers healthtech analytics xtelligent healthcare payers mental health parity remains elusive in 43 states in network mental healthcare is harder to get in most states than physical healthcare potentially due to disparate provider payers face faster prior authorization approvals under cms proposal under the proposed rule affected payers would need to respond to urgent prior authorization requests for drugs within 24 hours digital member experience improves for health plans gaps remain a recent jd power survey showed that although the digital member experience is improving for health plans there s room to grow xtelligent healthtech analytics how a rural community hospital deploys ai to detect heart disease wayne general hospital has implemented an ai based platform to help detect heart issues early among its rural population and accenture global health lead on scaling ai in healthcare with governance and intent responsible stewards of ai in healthcare prioritize measurable outcomes robust governance and integration into existing rural providers eye ai remote care tech for rhtp investment resource strained providers are looking to rural health transformation funds to scale ai and remote care technology with proven about us editorial ethics policy meet the editors contact us privacy policy advertisers business partners media kit corporate site contributors reprints answers features news 2026 techtarget inc d b a informa techtarget all rights reserved privacy policy cookie preferences cookie preferences do not sell or share my personal information close