A new Senate Subcommittee report has confirmed what many SNF operators already suspected: major Medicare Advantage (MA) plans are using AI to systematically deny post-acute care -regardless of patient need. UnitedHealth, CVS/Aetna, and Humana, which collectively cover nearly 60% of MA enrollees, have dramatically increased their denial rates for
Why even the best SNFs are bleeding revenue from missed diagnoses, delayed assessments, and outdated tools - and what leading operators are doing differently. Ask any MDS coordinator how their week’s going, and you’ll get the same answer: too many charts, not enough time. In 2025, it’s
The healthcare industry faces a financial paradox: despite cutting-edge clinical advances, revenue cycle operations remain trapped in workflows designed for a pre-digital era. While physicians deliver state-of-the-art treatment, their financial teams use manual processes that hemorrhage revenue and burn out staff. “Physicians have this inherent misconception that billing is just
Here's the brutal truth: while everyone obsesses over value-based care strategies and population health management, post-acute care providers are hemorrhaging money through archaic revenue cycle processes that belong in the 1990s. I've witnessed firsthand how manual RCM processes are killing post-acute facilities. These organizations spend more
Healthcare's financial bedrock is shifting. While clinical innovation captures headlines, revenue cycle automation has emerged as the dividing line between thriving providers and those facing financial distress. The data speaks volumes: organizations deploying comprehensive revenue cycle automation report 37% faster cash collection, 42% fewer denials, and $13.50
What Is Eligibility Verification and Why It Matters Now Eligibility verification confirms patients' insurance coverage status, benefits, and financial responsibility before service. This foundation of the revenue cycle determines whether services will be covered, at what percentage, and what patients will owe – information that directly impacts your bottom line.
The post-acute care landscape in 2025 looks nothing like it did even two years ago. Patient volumes are surging across all demographics, yet facilities face unprecedented scaling challenges, with nearly 70% reporting inability to meet demand due to prohibitive staffing costs and operational inefficiencies. The perfect storm hitting different post-acute
AI-powered revenue cycle automation meets practice management - to cut administrative costs by 90% and fast-track reimbursements. Nanonets Health and Healthie have announced a strategic partnership that will transform how healthcare providers manage their revenue cycle. This strategic alliance integrates Nanonets' AI-powered automation with Healthie's practice management
Let's be honest - if you're running a SNF in 2025, you're spending way too much time fighting for reimbursement that should've been straightforward in the first place. I was talking with a Nursing Director in Oregon last week who told me
According to the American Data Association’s Q1’25 data, 95% of dental practices currently accept new patients, yet a surprising 28% report being ‘not busy enough’. This disconnect reveals a critical inefficiency in how practices convert interested patients into scheduled appointments. Key findings from the report highlight three primary
