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Blog Category // Healthcare

Hidden Cost of Hype: Revenue Cycle Realities at HFMA Annual Conference
Every year, the HFMA Annual Conference surfaces the same tension in new packaging: healthcare organizations are being asked to achieve more with shrinking margins, thinning teams, and rising complexit...
No Surprises Act Open Negotiation Period (ONP): How Providers Avoid Missed Deadlines and Lost Revenue
When the No Surprises Act first took effect, it was designed to protect patients from unexpected medical bills. But for healthcare providers, it quickly introduced a mountain of administrative and fin...
Questions We're Hearing About the CMS IDR Operations Final Rule 
CMS recently released the long-awaited Operations Final Rule governing the No Surprises Act Independent Dispute Resolution process.
CMS Releases IDR Operations Final Rule: What You Need to Know
CMS has finally released the Operations Final Rule introducing significant updates to the Federal Independent Dispute Resolution (IDR) process established under the No Surprises Act (NSA). For provide...
Playing an Uneven Game: Critical Revenue Cycle Lessons from EDPMA 2026
The EDPMA Solutions Summit brings practice administrators, physician groups, and RCM professionals together to share what is working, what is not, and where the opportunities are. This year, beneath t...
The Strategic Evolution of NSA Arbitration: Moving from Reaction to Operational Excellence
The passing of the No Surprises Act (NSA) was a watershed moment for healthcare transparency and consumer protection. However, for many providers, the initial years of implementation of the Independen...
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...
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...
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...
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...