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Insights

Perspectives on healthcare revenue and operations.

Revenue CycleMedical CodingHealthcare OperationsAI & AutomationPatient AccessIndustry Insights
Revenue Cycle

Where revenue cycles quietly lose money

The most costly leaks in a revenue cycle rarely happen at the obvious points — they happen at the handoffs.

UnitedHealthcare
AI & Automation

What AI should — and shouldn't — decide in RCM

A practical framework for deciding which revenue cycle decisions belong to automation and which belong to people.

Cigna
Medical Coding

Documentation gaps that create coding risk

A look at the most common documentation patterns that lead to denials after the fact.

Humana
Patient Access

Moving financial clearance earlier in the visit

Why eligibility and authorization work done before the appointment changes downstream denial rates.

Kaiser Permanente
Healthcare Operations

Building a denial taxonomy that actually helps

Categorizing denials by root cause, not just by code, changes how teams prioritize recovery.

Molina Healthcare
Industry Insights

The operational cost of disconnected systems

How fragmented handoffs between departments compound into revenue cycle friction.

Anthem