RACMonitor: Why Too Much News is a Good Thing

Dr. Ronald HirschOctober 18, 2022

It is time for another multi-topic update. Some weeks produce just too much news to limit my reporting to one topic.

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Communication and Shared Goals: Creating Successful RCM Partnerships

R1 RCMOctober 14, 2022

What do marriages, friendships and even revenue cycle partnerships all have in common? They are powered by communication, shared goals, commitment and adaptability – things that are key to any successful and long-term relationship.


Becker’s Healthcare sat down with Nola Wyatt, recently retired vice president of revenue cycle at ...

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Healthcare Trends and Data Show Clinical Shortage 'Tip of the Iceberg'

R1 RCMOctober 6, 2022

As the country is emerging from the worst of the pandemic, restaurants, local shops and national chains are constrained by staffing shortages. It’s an inconvenience to say the least, but this is just the tip of the iceberg as other sectors of the labor market are tightening in more crucial ways.

A healthcare labor shortage – one that ...

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R1 RCM Releases Two Reports Focused on Improving Financial Outcomes and Driving Efficiency in Revenue Cycle Management

R1 RCMSeptember 29, 2022

Independent reports highlight today’s top challenges and best practices during challenging financial times 

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RACMonitor: AMA Misses Opportunity to Simplify Hospital E&M Coding

Dr. Ronald HirschSeptember 25, 2022

AMA scores a hit with new guidelines; misses simplification of one subset of hospital E&M codes.

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Early Insights on Independent Dispute Resolution Under No Surprises Act

R1 Regulatory Affairs & Regulatory Compliance TeamSeptember 23, 2022

On August 19, 2022, the Departments of Health and Human Services (“HHS”), Labor, and the Treasury (“the Departments”) issued a Federal Independent Dispute Resolution Process Status Update.1 In the statement, the Departments reported that between April 15th and August 11th, 2022, providers initiated ...

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How Entri Pay Disrupts the Patient Payment Model

Nikolaus TrottaSeptember 21, 2022

The unprecedented challenges health systems face today are well publicized – from rising costs to scarce labor to shrinking margins – each of which is compounded by the ever-increasing portion of revenue that falls under patient responsibility. Patients can’t keep up. Even insured patients now represent

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RACMonitor: Medicare Advantage -- No Apparent Advantage for Some

Dr. Ronald HirschSeptember 16, 2022

Complaints are abundant from beneficiaries.

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RACMonitor: Patient Truly Ill? Why Random Audits Could Prevent Recoupment

Dr. Ronald HirschSeptember 9, 2022

Recently, the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS) released an interesting audit. They audited billing of critical care visits by physicians who are employed by Lahey Clinic in Massachusetts. As usual, they planned to audit 100 admissions but then, as they describe, because of the ...

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R1 Announces RCM Partnership with Emergency Physicians Professional Association

R1 RCMAugust 31, 2022

MURRAY, Utah, August 31, 2022 – R1 RCM Inc. (NASDAQ: RCM) (“R1”), a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers, ...

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