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How to Turn AI Promise into Real Progress in Healthcare AI adoption in healthcare has accelerated, but the gap between enthusiasm and practical results is still wide. As health systems move into 2026, leaders are shifting their attention from theoretical potential to...
CY 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Final Rule (CMS-1834-FC) December 2025 Overview On November 21, 2025, CMS issued sweeping reforms in the CY 2026 Hospital Outpatient Prospective Payment System (OPPS)...
Rethinking Healthcare Documentation and Denials for a Better Future Healthcare organizations are moving through one of the most difficult administrative periods the industry has ever seen. Denials are rising, documentation requirements keep expanding, and...
Build a Stronger Bottom Line with our Hospital Budgeting Toolkit 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...
From Defense to Offense: Strengthen Your Denials Management Strategy December 3, 2025, 11:00 AM PSTDenials are on the rise, but not all denials are created equal. With mounting payer obstacles, regulatory complexity and staffing constraints, hospitals need smarter...
Level the Playing Field: How Payers Keep Denial Rates High, and What to Do About itMore than 25 years ago, on a day like any other, when Dr. Jerilyn Morrissey (now Chief Medical Officer at CorroHealth) was just a new physician and documentation was a pen-to-paper...
WISeR (Wasteful and Inappropriate Service Reduction) Model November 2025 Overview CMS has the responsibility to protect the Medicare Trust Funds, and routinely analyzes data associated with all facets of the Medicare program. A 2020 analysis of claims submitted by...
How AI Is Helping Hospitals Work Faster, Smarter, and with Greater PrecisionWhen health systems talk about clinical documentation improvement (CDI), one challenge consistently rises to the top: there simply aren’t enough people to keep up. Understaffed CDI teams...
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...
Budget season can put health system leaders in a difficult spot. Costs must come down and every dollar has to be justified. Yet as denials rise, payer demands intensify, and patient needs grow more complex, no option feels like the right one.  This is where a robust...
How to Turn AI Promise into Real Progress in Healthcare AI adoption in healthcare has accelerated, but the gap between enthusiasm and practical results is still wide. As health systems move into 2026, leaders are shifting their attention from theoretical potential to...
CY 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Final Rule (CMS-1834-FC) December 2025 Overview On November 21, 2025, CMS issued sweeping reforms in the CY 2026 Hospital Outpatient Prospective Payment System (OPPS)...
Rethinking Healthcare Documentation and Denials for a Better Future Healthcare organizations are moving through one of the most difficult administrative periods the industry has ever seen. Denials are rising, documentation requirements keep expanding, and...
Build a Stronger Bottom Line with our Hospital Budgeting Toolkit 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...
From Defense to Offense: Strengthen Your Denials Management Strategy December 3, 2025, 11:00 AM PSTDenials are on the rise, but not all denials are created equal. With mounting payer obstacles, regulatory complexity and staffing constraints, hospitals need smarter...
Level the Playing Field: How Payers Keep Denial Rates High, and What to Do About itMore than 25 years ago, on a day like any other, when Dr. Jerilyn Morrissey (now Chief Medical Officer at CorroHealth) was just a new physician and documentation was a pen-to-paper...
WISeR (Wasteful and Inappropriate Service Reduction) Model November 2025 Overview CMS has the responsibility to protect the Medicare Trust Funds, and routinely analyzes data associated with all facets of the Medicare program. A 2020 analysis of claims submitted by...
How AI Is Helping Hospitals Work Faster, Smarter, and with Greater PrecisionWhen health systems talk about clinical documentation improvement (CDI), one challenge consistently rises to the top: there simply aren’t enough people to keep up. Understaffed CDI teams...
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...
Budget season can put health system leaders in a difficult spot. Costs must come down and every dollar has to be justified. Yet as denials rise, payer demands intensify, and patient needs grow more complex, no option feels like the right one.  This is where a robust...
Root Cause to Revenue: Winning the Battle Against DRG Downgrades 07.29.2026 11:00 AM PT Executive Vice President Vice President, Denials Management ServicesHospitals and health systems face mounting revenue challenges from denials to evolving payer tactics, making...
Hidden Denials: The Revenue Loss Your 835 Will Never Show You Most health system revenue cycle leaders believe they have a handle on their denials problem. They track denials rates. They report on overturn percentages. They run monthly dashboards that show the total...
CMS Contract Year 2027 Medicare Advantage Final Rule Updates (CMS-4208-F3/CMS-4212-F) Overview On April 2, 2026, CMS released the Contract Year 2027 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare...
