New research on RCM vendor consolidation found partnership quality, not features, predicts whether the vendor choice pays off. Same software, different results. Here is what actually matters.
New research on RCM vendor consolidation found partnership quality, not features, predicts whether the vendor choice pays off. Same software, different results. Here is what actually matters.
HSC has operated as a dedicated clearinghouse for 28+ years with 4,500+ payer connections, each built over decades of production work. That experience is exactly what makes integration with standalone PM and EHR systems smoother, not harder.
Practices hitting a 90% affirmation rate on covered services can earn exemption from Medicare prior authorization entirely under WISeR. Here is what that requires, and how to build for it.
OBBBA work requirements and biannual redeterminations start creating measurable coverage disruption in Q4 2026. Here is how to prepare your eligibility workflow before the disruption hits.
Medicare Advantage denial rates have reached 17%, more than double traditional Medicare. Here is what is driving the gap, and what practices with MA volume need to do about it.
RCM teams spend 51 to 75 hours a week working denials. The dollars are one measurement. The staff capacity you never get back is another. Here is the full labor math.
74% of provider executives now prioritize preventing denials over recovering them. Here is what actually changed, and what an operation built around prevention looks like.
Every PM and EHR vendor is being asked about AI. Before committing to an AI denial prevention roadmap, here are five questions that should shape the answer.
PM vendor churn is rarely about the software. It is about the outcomes the software drives. First-pass acceptance rate is one of the most visible outcome metrics on that list.
Every PM vendor that has built payer connectivity in-house has, at some point, calculated its true cost. Most calculate wrong. Here is the math, with the hidden costs surfaced.