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What Your Denial Rate Is Not Telling You
What Your Denial Rate Is Not Telling You

Aug 11, 2021 |

Let’s talk about denials, a frequent and often unpleasant topic in Utilization Management (UM). One of the core beliefs of most UM teams is that denials are bad, and most of UM teams’ efforts are spent trying to prevent or reduce denials. You may have even purchased...

Bulletin 12 – OPPS

Aug 6, 2021 |

 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Proposed Rule Overview On July 19, 2021, CMS released the anticipated CY 2022 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical...

Medical Savant acquisition | CorroHealth coding automation pilot
Medical Savant acquisition | CorroHealth coding automation pilot

Jul 20, 2021 |

DALLAS—July 20, 2021 — CorroHealth has acquired Medical Savant after a successful year-long pilot of fully autonomous coding and charge capture. Automation exceeding 95% of encounters proved the benefits of combining Medical Savant Autonomous Coding with the CorroHealth Advanced Coding Solution (ACS).

Do More Denials Mean More Revenue?
Do More Denials Mean More Revenue?

Mar 25, 2021 |

By Joseph Zebrowitz, MD Denials Are Bad…Maybe Not One of the central tenets of utilization management is that “denials are bad.” Our hospitals have developed a myriad of Key Performance Indicators (KPIs) that reflect this: we track denial rate and total number of...

What Your Denial Rate Is Not Telling You
What Your Denial Rate Is Not Telling You

Let’s talk about denials, a frequent and often unpleasant topic in Utilization Management (UM). One of the core beliefs of most UM teams is that denials are bad, and most of UM teams’ efforts are spent trying to prevent or reduce denials. You may have even purchased...

Bulletin 12 – OPPS

 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Proposed Rule Overview On July 19, 2021, CMS released the anticipated CY 2022 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical...

Medical Savant acquisition | CorroHealth coding automation pilot
Medical Savant acquisition | CorroHealth coding automation pilot

DALLAS—July 20, 2021 — CorroHealth has acquired Medical Savant after a successful year-long pilot of fully autonomous coding and charge capture. Automation exceeding 95% of encounters proved the benefits of combining Medical Savant Autonomous Coding with the CorroHealth Advanced Coding Solution (ACS).

Bulletin 11 – April 2021 Livanta New Contract Announcement

 BFCC-QIO National Claim Review Contract Awarded for Short Stay and Higher-Weighted Diagnosis Related Group (HWDRG) Claims Overview Livanta, a Centers for Medicare & Medicaid Services’ (CMS) Beneficiary and Family Centered Care – Quality Improvement Organization...

Do More Denials Mean More Revenue?
Do More Denials Mean More Revenue?

By Joseph Zebrowitz, MD Denials Are Bad…Maybe Not One of the central tenets of utilization management is that “denials are bad.” Our hospitals have developed a myriad of Key Performance Indicators (KPIs) that reflect this: we track denial rate and total number of...

Bulletin 09 – 2020-12-04_CMS CY 2021 OPPS Final Rule Bulletin

  CY 2021 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS-1736-FC) Executive Summary of Final Rule On December 2, 2020, the Centers for Medicare & Medicaid Services (CMS) released the...

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How AI is Improving Healthcare: An Expert Perspective
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Oct 15, 2025

AI in Action: How Hospitals Are Transforming the Workforce with Artificial Intelligence How AI is Improving Healthcare: An Expert PerspectiveWith artificial intelligence surging in the workforce, we asked Tami Knobbe for her perspective on how it really affects...

Why Cutting Costs Alone Won’t Save Hospitals
Why Cutting Costs Alone Won’t Save Hospitals

Sep 23, 2025

Why Cutting Costs Alone Won’t Save Hospitals Budget season can put health system leaders in a difficult spot. Costs must come down and every dollar has to be justified. But with denials rising, payer demands intensifying, and patient needs growing more complex, no...