Most healthcare organizations track aging receivables, but fewer recognize what those trends may be revealing. Growing aging balances often signal operational challenges developing much earlier in the revenue cycle, from authorization delays and payer slowdowns to coding issues and unresolved denials. Learn why aging receivables are more than a financial metric and what they may be warning you about.

The biggest OB coding change in decades is coming January 1, 2027.

The shift away from the traditional global maternity package isn't simply a coding update. It's a fundamental change that will impact documentation, charge capture, labor management reporting, reimbursement workflows, and revenue cycle operations.

Organizations that begin preparing now will be better positioned to navigate the transition, reduce operational disruption, and strengthen revenue integrity before implementation begins.

Read our latest analysis on what healthcare leaders should be watching and how to prepare.

Revenue cycle data doesn’t live in one place, and when it stays disconnected, so do the insights.

Billing sees one piece.
Audit sees another.
Finance sees the result.

The challenge isn’t a lack of data. It’s a lack of connection.

When those pieces aren’t aligned, trends are missed, issues repeat, and revenue is impacted before anyone sees it clearly.

This article breaks down the hidden cost of siloed data and why more organizations are shifting toward a more connected view.

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Denial rates are one of the most tracked metrics in revenue cycle, but they only tell part of the story.

A denial shows that something went wrong. It doesn’t show when it started, how often it’s happening, or what the broader financial impact looks like.

Focusing only on denial rates can create a false sense of visibility, where issues appear managed but underlying patterns continue.

This article explores why looking beyond denials leads to a clearer understanding of revenue performance.

Across multiple organizations, we’re seeing:

• Increased use of medical necessity denials

• More frequent payment reversals

• Greater variance between expected vs actual reimbursement

This is where traditional reporting falls short.

By the time these trends are visible in AR reports, the revenue impact has already occurred.

Denials aren’t just increasing. They’re evolving.

What used to be isolated claim issues are now often signals of broader payer behavior shifts. And by the time those patterns show up in reports, the financial impact is already in motion.

The advantage today isn’t in reacting faster.
It’s in recognizing the pattern earlier.

Revenue cycle teams generate more data than ever before.
But more data doesn’t always mean more clarity.

When insights from coding, billing, payer behavior, and financial performance remain disconnected, critical patterns stay hidden until revenue is already impacted.

The risk isn’t a lack of information.
It’s the inability to see how it all connects.

Revenue disruption rarely starts in billing. As CMS and payers rely more heavily on pattern-based review, documentation and coding alignment are directly influencing financial performance.

This article explores why compliance insight and revenue visibility can no longer operate in silos.

CMS has extended most Medicare telehealth flexibilities through December 31, 2027 — but 2028 introduces meaningful structural changes. From practitioner eligibility to hospital remote billing and behavioral health requirements, revenue and compliance leaders should be planning now. Here’s what stays, what sunsets, and where your organization may be exposed.

CMS telehealth findings are expected later this month, and scrutiny is increasing.

While Medicare telehealth flexibilities remain in effect through January 30, 2026, CMS is taking a closer look at how services are documented, billed, and audited, particularly for audio-only visits and rural providers.

Now is the time to review telehealth utilization, audit documentation, and understand revenue tied to temporary flexibilities.

Preparation now creates options later.

Claim denials are rising across hospitals and provider organizations, driven by expanding prior authorization requirements, stricter medical necessity standards, and evolving CMS and payer policies. As 2026 approaches, denial prevention is becoming a critical component of financial stability. Organizations that strengthen documentation, improve workflow alignment, and monitor payer behavior proactively will be better positioned to protect revenue.

CMS is expanding its audit and program integrity efforts in 2026, and hospitals should expect increased scrutiny across outpatient services, price transparency, and documentation accuracy. These audits go beyond the OPPS and ASC Final Rule and reflect CMS’s broader focus on data integrity, billing alignment, and financial stewardship. Understanding where CMS is concentrating its attention now allows organizations to reduce audit risk and protect reimbursement.

CMS is raising the bar on hospital price transparency, and the 2026 OPPS and ASC Final Rule makes it clear that compliance is no longer just about posting files. Hospitals must now deliver complete, consumer-ready pricing that patients can understand and CMS can validate. As enforcement increases, revenue integrity, billing, and compliance teams will need stronger internal alignment to avoid penalties and protect trust.

Excerpt for Blog

The CY 2026 Physician Fee Schedule brings some of the most significant shifts billing teams have seen in years.

Share insights on the most frequent coding errors and how to avoid them.

Discuss workforce shortages in medical coding and how your services can fill the gap.

The Staffing Crisis in Medical Coding: How MRS Provides Stability

Here's why regular audits are critical for compliance and revenue integrity.

Discover the top medical coding mistakes costing hospitals thousands monthly. Learn how to prevent E/M errors, modifier misuse, and ICD-10 coding mistakes.