Cofactor partnered with Memorial to bring structure, speed, and visibility to their DRG workflows. What began as a solution for operational backlog quickly became a strategic driver across revenue cycle operations and documentation workflows.

Clinical Documentation Improvement teams have mastered denial prevention through real-time collaboration and concurrent review. Discover how to transform your denial management program using CDI best practices: pre-submission audits, physician query protocols, cross-functional teams, and predictive analytics. Get actionable strategies to prevent documentation-driven denials, improve appeal overturn rates, and reduce administrative costs.

Newly promoted VP of Patient Financial Services? This complete guide shows how to lead revenue cycle transformation in Epic-based health systems. Learn to standardize multi-site workflows, optimize Epic modules, build high-performance teams, and improve patient financial experience. Includes 90-day action plan, essential KPIs, cross-functional collaboration strategies, and proven examples from leading health systems.

HFMA 2025 revealed that even leading health systems like UC San Diego Health are missing 47% of mission-critical RCM technologies. Learn what actually works in autonomous coding, denial management, and AI implementation, beyond vendor hype. Discover why development partnerships outperform product purchases, realistic timelines for technology adoption, and actionable strategies for academic, community, and rural hospitals.

Payer AI systems are processing audits 24/7, targeting high-value DRGs like sepsis and respiratory failure. Learn how revenue cycle leaders are fighting back with AI-powered appeal workflows that reduce processing time by 80-90%, increase appeal volume 3-4x, and turn audits into competitive advantages. Discover implementation strategies, key metrics, and ROI frameworks to modernize your denial management program.

Stop losing revenue to inpatient vs. observation status denials. AI-powered utilization review helps hospitals correctly classify patients, reduce claim denials, and cut appeal time from hours to minutes. Learn implementation strategies, key performance metrics, and how leading healthcare organizations use AI to strengthen UR processes, improve documentation, and recover more revenue through successful appeals.

Patient age significantly impacts medical billing, with older adults often incurring higher charges due to complex care needs and insurance