Denial Management Archives

Ep 29 – Medicaid Reform and the One Big Beautiful Bill – Darin Gordon

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What Hospitals Need to Know about the One Big Beautiful Bill and Medicaid Reform

Carol Howard interviews state Medicaid expert, Darin Gordon, on the impact to hospitals introduced by the One Big Beautiful Bill (OBBB).

Spencer HollemanAugust 11, 2025

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Prior Authorization Is Changing

Learn how upcoming prior authorization reforms—and CMS's WISeR pilot—will impact hospital UR and revenue cycle teams.

Spencer HollemanJuly 21, 2025

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Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

Key insights from industry experts on how hospitals should navigate MA challenges with financial pressures and complex policy changes.

Spencer HollemanNovember 19, 2024

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New Insights on Medicare Advantage Plans and The Two-Midnight Rule

We asked healthcare executives at HFMA ANI about trends they're seeing with new Medicare Advantage Plans and the CMS Two-Midnight Rule.

Spencer HollemanSeptember 4, 2024

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The CMS Two-Midnight Rule and Medical Necessity Criteria

Understand CMS' Two-Midnight Rule expectations and exceptions for medical necessity documentation criteria.

Spencer HollemanSeptember 14, 2023

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The Burden of Administrative Work on Physicians

Between EHR documentation, payer relations, and clerical tasks, physicians feel the burden of administrative work and are stretched thin with few resources to optimize their workflow and less time to…

Spencer HollemanSeptember 16, 2022

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Medical Necessity Documentation Solution | AdmissionCare Video

AdmissionCare is a medical necessity documentation solution that provides bed status criteria directly into the physician's EHR workflow.

Spencer HollemanJuly 6, 2022

Denial Management Revenue Cycle Utilization Management

Disruptive Trends in Utilization Management | Fireside Chat Series

UM leaders across top health systems offer their perspectives and insights on current disruptive trends in utilization management.

Spencer HollemanJune 17, 2022

Denial Management Starts in the ED (White Paper)

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Denial Management Starts in the Emergency Department

We recently published a research report on market forces impacting the revenue cycle, how admission decisions are increasing denials, and the importance of a clinically driven rev cycle.

Spencer HollemanMarch 7, 2022