Revenue cycle thinking, from people who run it.

Denial Prevention vs. Denial Management: Why the Distinction Matters

Most revenue cycle teams are excellent at appealing denials and mediocre at preventing them. Here's why closing that gap is worth more than any single appeal win rate.

Where HCC Recapture Programs Quietly Lose Accuracy

Prospective risk adjustment programs often look complete on paper. Here are the three places recapture accuracy tends to erode without anyone noticing.

Protecting Cash Flow Through an EHR Migration

An EHR transition is one of the highest-risk events in a revenue cycle's lifecycle. Here's what actually determines whether cash flow survives it intact.

The Real Cost of a Prior Authorization Denial Isn't the Denial

Authorization-related denials get counted as a billing problem. The bigger cost usually shows up somewhere else entirely — the schedule.