SHARE THIS
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...
What AI Really Means for Clinical Documentation Integrity Clinical documentation has long been one of the most demanding and consequential tasks in healthcare. But recently, artificial intelligence (AI) has begun to change that reality. What once required arduous...
CMS Fiscal Year 2026 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule CMS-1833-F Overview On July 31, 2025 CMS released the Fiscal Year 2026 Hospital Inpatient Prospective Payment System...
CMS Transitions Short Stay Inpatient Reviews From the QIO to the TPE MACs September 1, 2025 Overview On May 22, 2025, CMS announced that the short stay inpatient hospital medical reviews will be transitioning from The Beneficiary and Family Centered Care (BFCC)...
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...
What AI Really Means for Clinical Documentation Integrity Clinical documentation has long been one of the most demanding and consequential tasks in healthcare. But recently, artificial intelligence (AI) has begun to change that reality. What once required arduous...
CMS Fiscal Year 2026 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule CMS-1833-F Overview On July 31, 2025 CMS released the Fiscal Year 2026 Hospital Inpatient Prospective Payment System...
CMS Transitions Short Stay Inpatient Reviews From the QIO to the TPE MACs September 1, 2025 Overview On May 22, 2025, CMS announced that the short stay inpatient hospital medical reviews will be transitioning from The Beneficiary and Family Centered Care (BFCC)...
CMS Fiscal Year 2027 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule   CMS-1849-F August 10, 2026  Overview On July 31, 2026, CMS released the Fiscal Year 2027 Hospital Inpatient...
Sepsis is one of the most complex, resource-intensive conditions a hospital treats. It is also, consistently, the top source of DRG downgrade activity across health systems nationally. That is not a coincidence. Payer clinical review teams know something that many...
Why Is AI Adoption Outpacing Hospital AI Readiness? As artificial intelligence moves deeper into healthcare, many hospital leaders find themselves facing a new kind of pressure. AI has quickly become a marker of innovation and a proxy for overall hospital AI...
