Insights & Resources
Blog posts, white papers, newsletters, and technical resources on AI in healthcare revenue cycle management.
HFMA asked three revenue cycle leaders for the one AI question their peers should be asking. Their answers are the right ones for a health system to ask of itself, but they aren't tough enough to ask of a vendor. Drawing on years of…
Most health systems have gotten good at working denials, but payer recoupments get past those workflows: they show up months or years later as offsets and adjustments on the remit, which a new Becker's whitepaper with SCA Health and Cleveland Clinic leaders calls a hidden margin threat. Having built AI for insurers, the PromptWrx team explains how payers recover…
Twenty-two revenue cycle leaders told Becker's the most dangerous trend in their world, and HCA's CFO put it bluntly two days later: "We're behind the payers." Payers now review 100% of claims with AI and quietly downcode what they don't deny outright, while most providers still read…
Payers change coverage criteria and coding rules continuously and without notice, and the lag before your organization operates under the new rule quietly generates denials that were never clinical. What almost no one works…
Most denials aren't errors to correct — they're the designed output of payer logic doing its job. The only…
The Payer advantage is now an algorithmic one. Download the white paper to learn how to combat AI driven denials using AI designed to think like a payer.