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Insights That Move Healthcare

Expert perspectives on revenue cycle, risk adjustment, compliance, and healthcare strategy – designed to help providers, plans, and leaders make smarter operational and financial decisions.

Which Tools Will CMS Use to Combat Lab Fraud?...

The conversation around fraud in laboratory billing, especially in genetic and molecular diagnostics, is no longer theoretical.

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risk adjustment coding companies
May 05, 2026

Risk Adjustment & HEDIS in 2026: Why ...

In 2026, health plans, Medicare Advantage organizations, and risk adjustment coding companies across the US face growing...

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laboratory revenue cycle management
May 01, 2026

Growing Policy Limitations on IHC Sta...

In today’s US healthcare market, laboratory revenue cycle management (lab RCM) is no longer just about clean billing – i...

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Medical Coding
April 20, 2026

Why Generic AI Solutions Are a Risk f...

The healthcare revenue cycle has recently seen a flurry of coding solutions from some of the most recognized names in AI...

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Medical Billing
April 07, 2026

The CRUSH Healthcare Initiative Alrea...

Fraud detection has taken center stage with this administration, and the latest effort is the Comprehensive Regulations ...

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Accounts Receivable Management
March 26, 2026

How Artificial Intelligence Is Transf...

Revenue cycle management in medical billing has always been driven by expertise, disciplined workflows, and compliance-f...

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March 18, 2026

The Next Maturity Curve of AI in Reve...

Artificial intelligence has become a defining force in healthcare operations, and revenue cycle management (RCM) is no e...

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pathology billing
March 10, 2026

The Future of Artificial Intelligence...

Artificial Intelligence (AI) is steadily reshaping digital pathology – but not through sudden disruption or autonomous d...

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Healthcare Revenue Cycle Management
March 04, 2026

Claim Submission Best Practices for 2...

In 2026’s complex reimbursement landscape, clean claims are the foundation of sustainable revenue and optimized cash flo...

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Accounts Receivable
February 19, 2026

Why 2026 Is the Year Practices Must R...

For U.S. healthcare providers, 2026 represents a genuine inflection point for accounts receivable (AR) – driven by sever...

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