Workforce Shortages Threaten the Revenue Cycle
Your revenue cycle process should be a finely tuned machine, relying on levers such as expert billing staff, patient engagement strategies and data analytics to guarantee a profitable practice. If any one of the components isn’t aligned, you risk losing revenue. Let’s consider the impact of workforce shortages. Even five years-plus past the COVID pandemic, […]
How to Prepare for CMS WISeR: A New Era of Pre-Service Review
Medicare is entering a new era of oversight. With the launch of the Wasteful and Inappropriate Service Reduction (WISeR) model on Jan. 1, 2026, CMS will shift from post-payment audits to technology-driven pre-service review and prior authorization — a move that mirrors commercial payer processes. Initially focused on select services in six states (Arizona, New […]
Why Front-End RCM is the Unsung Hero of a Healthy Revenue Cycle
When it comes to revenue cycle management (RCM), most conversations revolve around billing, coding and collections. Yet the most preventable problems — and the biggest opportunities for improvement — lie at the very start. Front-end RCM processes such as insurance verification, accurate patient registration and point-of-service collections are essential to a healthy revenue cycle. In […]