$16M Investment Signals a New Era in AI Denial Management Solutions
Explore how a $16M investment is transforming AI denial management solutions, enhancing efficiency and accuracy in revenue cycle management practices.
The RCM Developer Problem Is Over
AI coding agents just closed the gap between knowing what to build and being able to build it. Here's what that means for revenue cycle teams that have been waiting on IT for years.
Prior Authorization is Breaking Trust—Time for a 21st Century Fix
Outdated prior authorization processes are undermining trust in healthcare. Here's what the CMS is saying and what it means for your revenue cycle.
Carlyle Bets Big on AI-Native RCM: What the Knack + EqualizeRCM Deal Means for Your Practice
Carlyle acquires majority stakes in Knack RCM and EqualizeRCM to build an AI-native, global, multi-specialty RCM platform. When PE at this scale bets explicitly on AI-native delivery, the bar for every RCM vendor just moved.
AI Enters the Fray: Can It Solve Our Denial and Underpayment Crisis?
Explore how AI can tackle denial and underpayment issues in revenue cycle management, offering innovative solutions for healthcare practitioners.
Ensemble + Cohere Are Building an RCM-Native LLM. Here's Why That's Different.
Not a GPT wrapper. Not prompt engineering. A fine-tuned model trained on real RCM operational data from 30+ health systems. The AI RCM arms race just shifted from model access to domain-specific training data.
AI Is Coming for Your Revenue Cycle. Here's What That Actually Means.
EY's new report on AI-driven RCM gets the framing right. But the transformation they're describing doesn't require a consulting engagement - it requires targeted automation against specific denial codes.
CMS Phases Out Fax Machines - What the Claims Attachments Rule Actually Means for RCM
$782 million in annual savings. Electronic claims attachments mandated by 2028. The fax era is officially ending.
Experian Health: The Credit Bureau's RCM Play - Data Moat, Patient Access, and What It Can't Do
Bureau-grade identity verification, credit-data propensity scoring, and Patient Access Curator AI. Best front-end platform for high-volume systems - but not end-to-end.
Is Your EHR Holding Back RCM Automation's True Potential?
Explore how your EHR system may be limiting RCM automation and discover strategies to unlock its full potential for improved revenue cycle management.
Denial Rates Surge as Prior Auth Rejections Plummet-What's Next?
The denial rate is climbing while prior auth rejection counts drop. What's driving the divergence and what it means for your AR.
What Fierce Healthcare's Fierce 15 of 2026 Signals for Revenue Cycle
The 2026 class is dominated by operational AI - not diagnostics, not therapeutics. Escher Health, Hyro, and Artisight have direct RCM implications. Here's what to watch.
Turquoise Health Raises $40M to Turn Healthcare Contracts Into Live Infrastructure
$40M Series C led by Oak HC/FT. Turquoise is evolving from MRF data vendor to full contract intelligence platform - and the RCM implications are significant.
The RCM intelligence toolkit that pays for itself on one recovered claim.
Built by people who've worked the denials, coded the claims, and sat across from underwriters. Not theory - operational tools for the revenue cycle floor.
Also developing
Unlocking Revenue: How AI Transforms Hospital Document Chaos
Discover how AI streamlines hospital document management, enhancing revenue cycles and improving efficiency for healthcare practitioners. Unlock potential now!
DSO Mergers Are Changing the Game—Are You Keeping Up?
Explore how DSO mergers are reshaping the landscape of dental practices. Stay ahead of the trends and adapt your strategies for success.
More intelligence
Is UHC's Prior Auth Cut a Step Toward Streamlined Care?
Explore how UHC's prior authorization cuts may simplify processes for providers, enhance patient care, and reduce administrative burdens in healthcare.
The RCM Developer Problem Is Over
AI coding agents just eliminated one of RCM's biggest blockers: the gap between knowing what to build and being able to build it.
RapidClaims Vendor Deep Dive: The Complete RCM Platform Review (2026)
RapidClaims uses autonomous AI agents to automate medical coding and prevent claim denials. Accel-backed, $11M raised. Here's an honest look at where it fits in the RCM stack.