Articles

Hospitals Can’t Afford to Treat Self-Pay as an Afterthought
Hospitals Can’t Afford to Treat Self-Pay as an Afterthought

Hospitals Can’t Afford to Treat Self-Pay as an Afterthought Where a patient chooses to seek care is no longer shaped by clinical reputation alone. Financial experience, from the first price estimate to the final statement, now factors into that decision. For...

How Hospital Leaders Can Turn Data into Stronger Contracts
How Hospital Leaders Can Turn Data into Stronger Contracts

How Hospital Leaders Can Turn Data into Stronger Contracts Data analytics now play a central role in healthcare contract negotiations, shaping not just how contracts are structured but how well they hold up once they are in practice.   There is little margin for...

Payers Are Not Making Mistakes. Is Your Strategy Keeping Up?
Payers Are Not Making Mistakes. Is Your Strategy Keeping Up?

Payers Are Not Making Mistakes. Is Your Strategy Keeping Up? 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...

Case Studies

3 Large Midwest Health Systems – Case Study
3 Large Midwest Health Systems – Case Study

Overcoming Payer Denials in the Midwest: How Three Large Midwest Health Systems Reclaimed $66 Million AnnuallyThe Challenge: Three large health systems in the Midwest were trapped in a counterproductive cycle. Efforts to minimize payer denials by adopting payer...

News & Media

Webinars

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Navigating CMS Price Transparency: What Hospitals Need to Know in 2025
Navigating CMS Price Transparency: What Hospitals Need to Know in 2025

Price Transparency in 2025: What’s Required, What’s Coming, What to Do Now  July 16, 2025, 11:00 AM PST Hospitals are facing mounting expectations around price transparency. But shifting regulations, incomplete guidance, and technical complexity make compliance a...

Strategies to Strengthen Hospital Financial Health Amid Payer Pressures
Strategies to Strengthen Hospital Financial Health Amid Payer Pressures

Webinar: Combating Payer Denials Systematically Strategies to Strengthen Hospital Financial Health Amid Payer Pressures Medicare Advantage payers use a range of aggressive and evolving tactics to avoid paying providers. Your hospital’s revenue integrity strategy must...

Podcasts

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Regulatory Resources

Regulatory Insights

CMS Doubles Down on Their Expectation for Price Transparency
CMS Doubles Down on Their Expectation for Price Transparency

On November 2, 2021, CMS released the anticipated CY 2022 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule (CMS-1753-FC), finalizing this year’s Medicare payment rates for hospital outpatient and ASC as well including regulatory guidance regarding several high profile policies for hospitals providing outpatient services. CMS evaluated industry feedback to the proposed modifications, including halting the elimination of the Inpatient Only list (IPO), broadening the impact of the Hospital Price Transparency Rule, and other updates.

COVID-19 Provider Relief Fund Updates
COVID-19 Provider Relief Fund Updates

Additional Funds, Delay in Reporting Requirements, and Audits The Provider Relief Fund (PRF) was established when Congress passed the Coronavirus Aid, Relief, and Economic Security (CARES) Act to support American families, workers, and healthcare providers in the...

Regulatory Bulletins

Bulletin 13 – OPPS

Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule Overview On November 2, 2021, CMS released the anticipated CY 2022 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center...

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...

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...

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...

Mentions

Dr. Jerilyn Morrissey Named Top 25 Healthcare Software Executives of 2024

The Healthcare Technology Report is pleased to announce the Top 25 Healthcare Software Executives of 2024…

How is the transition to value-based care (VBC) going and what changes do you recommend to improve its adoption?

“The journey to VBC is an evolving process, heavily influenced by geographic factors. However, a key issue we’ve consistently noticed is a profound lack of awareness about engaging in and succeeding with these types of contracts.” – Pat Leonard, CEO, CorroHealth

354+ healthcare revenue cycle management companies to know | 2024

Becker’s has compiled a list of 354+ companies with revenue cycle management solutions in the healthcare space.

CorroHealth in the News

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