SHARE THIS
by Sam Dominik, Senior Vice President
Traditional hospital performance metrics like denial rates, CMI, LOS, and readmission rates hinder progress. Itās time to shift your perspective on KPIs.Ā Ā
Traditionally, a higher CMI indicates a more complex and resource-intensive caseload. However, fluctuations can occur due to DRG weights, in-patient-only lists, and changes in patient acuity, which may not fully reflect the true acuity of your hospitalās patient mix.Ā
By understanding true KPIs, hospital leaders can drive real and lasting improvements in hospital performance.Ā
Listen to Senior Vice President Sam Dominik as he explains how shifting your perspective on CMI can give you more meaning.Ā
LetāsĀ discuss andĀ dive deeper into this topic.
Root Cause to Revenue: Winning the Battle Against DRG DowngradesĀ 07.29.2026 11:00 AM PTĀ Executive Vice PresidentĀ Vice President, Denials Management ServicesHospitals and health systems face mounting revenue challenges from denialsĀ toĀ evolving payer tactics, making...
Hospitals Race to Keep Pace as Payers and AI Reshape DenialsĀ Hospitals Race to Keep Pace as Payers and AI Reshape DenialsĀ DenialsĀ have become one of the defining pressure points in healthcare finance. Across hospitals and health systems, claims teams are balancing...
Medical Codingās AI Moment Has ArrivedĀ Medical Codingās AI Moment Has ArrivedĀ Despite the attention surrounding AI in healthcare,Ā much ofĀ medical coding still relies on highly manual workflows. Coders continue to work through charts line by line, managing growing...
HospitalsĀ CanātĀ Afford to TreatĀ Self-Pay as an AfterthoughtĀ Where a patient chooses to seekĀ careĀ isĀ noĀ longer shaped by clinical reputation alone. Financial experience, from the firstĀ priceĀ estimate to the final statement, now factors intoĀ that decision. For...
How Hospital Leaders Can Turn DataĀ into Stronger ContractsĀ Data analytics now playĀ a central roleĀ in healthcare contract negotiations,Ā shaping not just how contracts are structured but how well they hold up once they are in practice.Ā Ā There is little margin for...
Payers Are Not Making Mistakes. Is Your Strategy Keeping Up?Ā Hospitals and health systems are losing money on claims they believed were billed correctly. A claim comes back lower. The case lands on a downgraded DRG. The gap disappears into a pattern that continues to...
Why Clinical Intelligence Sets AI Apart in HealthcareĀ Why are DRG downgrades still rising even as AI adoption grows?Ā The answer points to a deeper problem than most AI vendorsĀ acknowledge:Ā technology alone does not produce clinical accuracy. Denials keep climbing,...
Whatās Draining Your Revenue Beyond Payer Denialsāand How to Stop It Wednesday May 6,Ā 2026Ā at 11:00Ā AMĀ PSTĀ PresidentCorroHealthVice President Revenue Cycle ManagementUHSSr. Director of Clinical Revenue Operations and Care ManagementUHSMargins are shrinking. Medicare...
Everyone Has AI. Few Systems Show Clinical Intelligence. Ā Thursday,Ā April 2, 2026, 11:00am PTĀ Senior Vice President of Product ManagementClinical Performance SpecialistAI is everywhere in clinical documentation integrity (CDI), but outcomesĀ havenātĀ alwaysĀ kept pace...
Integrated Teams for Improved Outcomes in Hospital OperationsAligning clinical and financial teams in hospitals is now central to effective revenue cycle management. Documentation, coding, and financial outcomes no longer sit in separate operational lanes. Each...
Hospitals Race to Keep Pace as Payers and AI Reshape DenialsĀ Hospitals Race to Keep Pace as Payers and AI Reshape DenialsĀ DenialsĀ have become one of the defining pressure points in healthcare finance. Across hospitals and health systems, claims teams are balancing...
Medical Codingās AI Moment Has ArrivedĀ Medical Codingās AI Moment Has ArrivedĀ Despite the attention surrounding AI in healthcare,Ā much ofĀ medical coding still relies on highly manual workflows. Coders continue to work through charts line by line, managing growing...
HospitalsĀ CanātĀ Afford to TreatĀ Self-Pay as an AfterthoughtĀ Where a patient chooses to seekĀ careĀ isĀ noĀ longer shaped by clinical reputation alone. Financial experience, from the firstĀ priceĀ estimate to the final statement, now factors intoĀ that decision. For...
