Blogs

Our latest thoughts on current RCM trends and topics

What Is Revenue Cycle Management?

Revenue cycle management (RCM) is the process of tracking a patient encounter from insurance verification through final payment.

CFO Principles for Revenue Cycle Metrics

A typical RCM report tracks almost everything that can be measured. In isolation, much of it is valid. But taken together, it rarely produces insight. It produces fatigue.

Old AR: The Case for Taking on “High-Hanging Fruit”

Old AR is often treated as the hardest part of revenue cycle. But it is also one of the most mischaracterized opportunities.

‘Groundhog Day’ for RCM?

Every revenue cycle leader has had the same quiet realization. A denial comes back that looks familiar. Someone remembers dealing with this before.

Changes to Prior Authorization: Risks and Opportunities in 2026

CMS prior authorization reforms in 2026 bring faster decisions and transparency, pushing providers toward data-driven workflows.

Offshore RCM is a Governance Problem, Not a Geography Problem

It’s not uncommon to hear this from providers across healthcare disciplines. If you can’t see performance in real time, distance amplifies risk.

January Audit Season: 5 Non-Obvious Ways to Save Time and Avoid Surprises

It’s the start of audit season—a convergence of financial audits, payer program integrity reviews, and Medicaid documentation checks.

The January Reset: A Checklist for the Front Desk

Every January, CFOs brace for a familiar pattern: cash slows, denials spike, AR balloons, and schedules wobble.

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