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RCM News
CMS Unveils 614 New ICD-10 Codes for 2026
Healthcare leaders are facing another major transition this fall as the Centers for Medicare and Medicaid Services (CMS) rolls out the 2026 ICD-10 updates. Beginning October 1, 2025, organizations will need to implement 614 new codes.
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RCM News
AMA Issues New AI Governance Framework
The American Medical Association has released an eight-step playbook to help health systems adopt and govern augmented intelligence (AI) responsibly. AMA survey data shows that nearly 70% of physicians used AI in 2024.
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RCM News
CMS Pilots WISER Model To Modernize Medicare Prior Authorization
CMS has announced the Wasteful and Inappropriate Service Reduction (WISER) model, a six-year pilot launching January 1, 2026. The program targets low-value services in Original Medicare by pairing advanced technology with clinical review.
RCM News
Epic Goes All In on AI With New Assistants, Microsoft Partnership, and Cosmos Models
Epic Systems, the nation’s largest EHR provider, is making a sweeping push into generative AI with nearly 200 new features. At its annual Users Group Meeting, CEO Judy Faulkner said AI is being built into “all features” of the EHR
AI & Healthcare
Introducing AI Agent ARIA for Accounts Receivable
Today, we’re announcing ARIA, our newest AI Agent designed to transform accounts receivable for healthcare providers. After months of development and real-world testing, ARIA is ready to help you recover outstanding payments and improve cash flow.
AI & Healthcare
Master AI Fundamentals to Accelerate Revenue Cycle Performance
Healthcare organizations can now use AI to automate repetitive revenue cycle tasks, predict denials, and optimize workflows. This technology reduces administrative burden while improving cash flow through faster processing and fewer errors.
RCM Strategies
Cloud vs On-Premise RCM Systems: Which Fits Your Practice?
Healthcare organizations must choose between cloud-based RCM systems offering automatic updates and remote access, or on-premise solutions providing full control but requiring internal management and higher upfront costs.
RCM Strategies
How Intelligent Document Processing Transforms RCM Data Management
Intelligent Document Processing technology transforms healthcare revenue management by using AI to automatically read, extract, and organize data from various documents, reducing processing time from 8 hours to 45 minutes while improving accuracy and cash flow.
RCM Strategies
How Top Health Systems Achieve 15-Minute Prior Authorization
Leading healthcare systems are transforming prior authorization from a days-long burden into a 15-minute process by implementing AI-powered automation, EHR integration, and real-time decision tools.
RCM Strategies
Charge Capture Strategies: Preventing Revenue Leakage in Modern Healthcare
Healthcare organizations lose 1-2% of net revenue due to charge capture errors, but implementing standardized documentation, regular staff training, and automated tracking systems can prevent missed charges and ensure accurate billing for medical services.
RCM Strategies
Modern Solutions for Dermatology Revenue Cycle Management
Dermatology practices face unique revenue management challenges due to their mix of medical and cosmetic services. Modern AI-driven solutions automate insurance verification, coding, and claims processing, helping practices collect payments.
RCM Strategies
Dental Revenue Cycle Management: A Complete Guide for Modern Practices
Dental revenue cycle management connects clinical care with financial tasks, tracking patient payments from scheduling through final collection. This system helps practices maintain financial stability while ensuring accurate billing payments for services.
RCM Strategies
Behavioral Health RCM Automation: The Complete Roadmap
Artificial intelligence and digital automation are revolutionizing behavioral health revenue management by streamlining insurance verification, coding, and claims processing, reducing errors and delays while allowing staff to focus more on patient care.
RCM Strategies
Interoperability Success Stories: Breaking Down Data Silos in Healthcare
This blog presents case study of successful interoperability initiative, showcasing how healthcare organizations integrated diverse systems, improved data exchange, and leveraged AI-driven solutions to enhance care coordination, and patient outcomes.