Picture a radiology revenue cycle where prior authorization issues get caught before claims go out, documentation gaps get flagged in real time and denial trends actually inform the next intake conversation. That’s the operating model the strongest radiology RCM teams…
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Spine and orthopedic practices that use the federal Independent Dispute Resolution process to challenge out-of-network underpayments are about to see a significant fee reduction. HHS, CMS, the Department of Labor and the Department of the Treasury finalized a rule May…
Patient trust in healthcare has fallen sharply — only 24% of Americans now believe providers prioritize care over profits, down from 77% in December 2021. For a growing share of patients, that judgment is forming online, before they ever schedule…
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Imagine a revenue cycle where likely denials are flagged and corrected before the claim ever leaves the building — where downstream issues are resolved without landing in a manual work queue, and where every transaction processed makes the system smarter…
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As care delivery for rare cardiac diseases evolves, many health systems are working to establish more programmatic, systemwide approaches to recognition, diagnosis and management. But fragmentation across clinical decision pathways remains a persistent challenge. A December 2025 Becker’s Healthcare survey,…
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Children’s Hospital Los Angeles uses an enhanced recovery protocol for pediatric patients undergoing spinal fusion surgery that aims to reduce pain, shorten hospital stays and speed recovery. The protocol is used for conditions including adolescent idiopathic scoliosis and combines preoperative…
Operations leaders see the promise of AI in credentialing — faster onboarding, lower administrative burden, accelerated time to revenue. They also see the risk: AI doesn’t absorb liability. Healthcare organizations do. NCQA standards still require human oversight for committee review,…
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Baltimore-based Johns Hopkins Medicine is among a small number of U.S. health systems offering a newer hip replacement technique designed to reduce soft tissue trauma and accelerate recovery. The superior transverse atraumatic reconstruction approach, known as STAR, was developed in…
Running a solo practice is a major step for any orthopedic surgeon, and Travis Doering, MD, is also hoping to leverage AI in a unique way with his endeavor. Dr. Doering, a hand and upper extremity surgeon in Austin, Texas,…
Roger Härtl, MD, earned the Ellis Island Medal of Honor, he said in a May 27 LinkedIn post. The honor recognizes immigrants who “have shown an outstanding commitment to serving our nation either professionally, culturally or civically, among other criteria,”…
