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Blog Category // Healthcare

HFMA RCC 2026: AI is the Multiplier, but the Process is the Solution
HFMA Revenue Cycle Conference 2026had no shortage of AI conversation, but what stood out was not just the technology. It was how often speakers came back to the same idea: the system itself needs to c...
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2026 Predictions based on February 10 CRS Report on Federal IDR
Last week I analyzed a few consecutive quarters of CMS Federal IDR Public Use Files and the data told a pretty clear story: dispute volumes were continuing to accelerate, facilities were scaling filin...
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Federal IDR at Scale: Where NSA is Headed, Based on 3 Quarters of CMS Data
Each quarter, CMS publishes Federal IDR Public Use Files that provide a retrospective view into how the No Surprises Act dispute process is functioning. These datasets are released with a lag. For con...
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Key Takeaways from the 2025 EDPMA RCM Workshop
Mounting regulatory pressures, payer-driven automation, and a widening operation gap were featured topics at the 2025 EDPMA RCM Workshop (December 3 - 4). This year's Emergency Department Practice Man...
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AMTC25: Clinical Excellence and Workflow Clarity
The 2025 Air Medical Transport Conference (AMTC25) has a distinct character compared to many healthcare gatherings. The industry is close-knit, with organizations that (despite being competitors!) sha...
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No Surprises Act - Outsourcing Versus Software
The No Surprises Act has cumbersome requirements with tight timelines - and the cost of handling it manually is steep. Healthcare Provider executives like you often end up weighing the pros and cons o...
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HFMA 2025 Recap, Part 3: Holistic Transformation in Healthcare Finance & Revenue Operations
A common theme across each day and session of the HFMA 2025 Annual Conference was bringing attention to long-term sustainability through integrated financial and operational transformation. The messag...
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HFMA 2025 Recap, Part 2: Rethinking Payer Strategy & Price Transparency
Days two and three of the HFMA 2025 Annual Conference shifted focus toward how revenue professionals can best handle payer relationships. Specifically, how providers can use data, negotiation strategy...
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HFMA 2025 Conference Recap, Part 1: Tackling Denials and Embracing AI
For revenue professionals, the HFMA 2025 Annual Conference in Denver offered a clear message: the pressure on revenue cycle teams from rising denial rates and staffing challenges is real—and growing.
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Navigating Volume, Complexity, and Opportunity: Why Automation Matters in the No Surprises Act Era
Macedon’s award-winning No Surprises Act (NSA) software solution leverages AI Automation to automate 85% of the No Surprises Act's claim processing. Since the No Surprises Act took effect in 2022, it’...
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