As part of a financial audit, the auditor must assess the inherent risk associated with the revenue cycle and perform tests to determine it is relatively free of ...

Revenue cycle leaders at the University of Utah Health successfully established an automated and streamlined audit process that identifies potential errors at the point of coding. It's no secret that ...

Review hospital (or other healthcare facility) department medical record documentation for improvement opportunities as part of a scheduled periodic review process. A version of this article was first ...

The healthcare industry is experiencing change at a breakneck pace. As payor consolidation continues, ambulatory surgery center (ASC) reimbursement across the country is waning. With the recent ...

Healthcare providers are facing heightened demands from evolving payer rules, new coding standards, and advanced audit technologies. Effective revenue cycle management (RCM) and precise clinical ...

Revenue recognition, internal control over financial reporting, and professional skepticism are among the seven key areas for 2014 audit consideration, according to an alert sent Thursday by the ...

Today’s revenue cycle AI is built on statistical patterns, not clinical understanding. For CIOs and CFOs, this creates a hidden factory of rework, risk and revenue leakage. Here’s why a clinical-first ...

CHICAGO, Jan. 08, 2026 (GLOBE NEWSWIRE) -- R1 (“R1” or the “Company”), the leader in healthcare revenue management, today announced the launch of Phare Audit, the most comprehensive AI-native solution ...

Whether it’s a young, single-specialty ASC trying to get its financials in order; a large, multi-specialty center with years of success under its belt; or any other type of surgery center, all types ...

Dealing with the Internal Revenue Service (IRS) is sometimes a difficult and complicated process. Even more so now given the pandemic. Interactions with a Revenue Agent may not happen in person, but ...

High denial rates: U.S. providers face a 12% denial rate, with RAC auditors recovering hundreds of millions in improper payments. Costly hidden errors: Industry data shows 3.5–5% of net revenue lost ...