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Author name: Natasha Schlinkert

RCM Automation ROI Calculator

RCM Automation ROI Calculator: What CFOs Need to Know Before Investing

RCM, Automation / / / , ,

For hospital and physician group CFOs, every dollar committed to new technology faces the same question: what is the measurable return? In revenue cycle management (RCM), the answer has never been more urgent. With initial denial rates climbing to nearly 12 percent according to Kodiak Solutions data reported by HFMA, and the average cost to […]

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RCM, Automation, ,
How to Choose an RCM Automation Vendor

How to Choose an RCM Automation Vendor in 2026: The Executive Decision Framework

RCM, Automation / / / ,

Executive Summary: Choosing the right revenue cycle management (RCM) automation vendor is one of the highest impact decisions a healthcare executive can make in 2026. With initial denial rates climbing to nearly 12%, administrative rework costs exceeding $47 per Medicare Advantage claim, and the U.S. healthcare industry now avoiding an estimated $258 billion in administrative

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RCM, Automation,
Build vs. Buy: Should Your Health System Develop RCM Automation In House?

Build vs. Buy: Should Your Health System Develop RCM Automation In House?

Automation / / / ,

Your revenue cycle is leaking money. Denial rates are climbing, administrative costs are consuming resources that should go to patient care, and your team is stretched thin. You know automation is the answer. The real question is: should you build it yourself or buy it from a specialized vendor? It is a question every CIO

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Automation,
Automated-Insurance-Verification-Systems for Healthcare

Automated Insurance Verification Healthcare Systems: Boosting Accuracy and Efficiency

Eligibility / / / ,

Every morning at hospitals across the country, patient access teams start a familiar race against the clock. Hundreds of scheduled patients need insurance eligibility confirmed before they arrive. Staff members toggle between payer portals, wait on hold with insurance carriers, and manually key coverage details into EHR systems. By the time the first patient checks

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Eligibility,
8318

Revenue Cycle Management Automation: The Future of Healthcare Finance

RCM, Automation / / / , ,

Healthcare organizations across the United States are under more financial pressure than at any point in the last two decades. Margins continue to shrink. Denial rates keep climbing. And the staff you need to manage it all are increasingly hard to find and expensive to retain. Meanwhile, the revenue cycle management market is growing at

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RCM, Automation, ,
prior-authorization-software-vendors

Choosing the Right Prior Authorization Software Vendor for Your Practice

Prior Authorization / / /

Prior authorization has become one of the most painful blockers in healthcare revenue cycle operations. It’s the work that looks invisible on a spreadsheet, no one’s measuring it until it’s broken, but it’s costing you thousands of hours and millions of dollars in delayed reimbursement. The frustrating part? It’s not a new problem. Your practice

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Prior Authorization
Electronic-Prior-Auth-Software

Electronic Prior Authorization Software: Stop Drowning in Manual Reviews

Prior Authorization / / /

Prior authorization is one of the most time consuming and financially damaging bottlenecks in healthcare operations today. Every manual PA request means another phone call, another fax, another hour lost to payer portal logins. According to the AMA 2024 Prior Authorization Physician Survey, physicians spend an average of 13 hours per week navigating prior authorization

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Prior Authorization
Claim-Scrubber-in-Healthcare

How a Claim Scrubber in Healthcare Reduces Revenue Leakage

Claims, Healthcare / / / ,

Executive Summary: Revenue leakage from claim errors costs the average healthcare organization between 3% and 5% of net patient revenue, and traditional rules based claim scrubbing misses up to 40% of the errors that cause denials. In an environment where denial rates continue to climb and payers deploy increasingly sophisticated AI to reject claims, providers

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Claims, Healthcare,
Claim-Scrubber-software

Claim Scrubbing Software: The Key to Accurate Healthcare Claims 

Claims, Healthcare / / / ,

Every denied claim started as a preventable error. A missing modifier, a bundling violation, an outdated payer rule that slipped through manual review. These small oversights add up fast. According to the 2025 CAQH Index, the healthcare industry spent an estimated $53.8 billion on administrative transactions in 2024, with claim submission and follow up representing

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Claims, Healthcare,
denial-management-services

Denial Management Services: Stop Letting Payers Keep Your Money

RCM, Denials / / / ,

Every denied claim is revenue walking out the door. For hospitals and healthcare organizations, the denial crisis is no longer a minor administrative annoyance. It is a strategic financial threat that erodes margins, burns out staff, and delays patient care. According to the HFMA Navigating the Rising Tide of Denials report, the total annual administrative

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RCM, Denials,
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