Dispatch

Insights for revenue cycle leaders

RCM trends, denial analysis, and operational strategy from the Exactrx team.

ArticleJune 15, 2026
Stuck Collecting 2022 Rates? An ASC Insider on Winning the Margin War

Merritt Healthcare's Danilo D'Aprile on succession, margin, and why the smartest people in healthcare run surgery centers, and no one's listening.

ArticleJune 9, 2026
Hospital Claim Denial Costs 2026: How to Stop Funding the Appeals Economy

CMS is expanding prior authorization while pulling back transparency rules. Here's what revenue cycle leaders must do before denials compound.

ArticleJune 5, 2026
Hospital Denial Rate 2026: Why 41% of Providers Are Writing Off $5M a Year and What to Do About It

41% of providers absorb $5M+ in annual denial write-offs. Here's what RCM leaders must do before the losses compound further.

ArticleJune 2, 2026
CVS-340B Hospital Dispute: What the $250M Underpayment Allegations Mean for Your Revenue Cycle

CVS faces $250M in underpayment claims from hospitals over 340B contract pharmacy disputes affecting revenue cycles nationwide.

ArticleMay 26, 2026
Optum’s CEO Just Named the Real Problem in Healthcare AI

The highest-value applications of AI in healthcare will be measured by when they intervene, not whether they automate.

ArticleMay 18, 2026
Field Notes from ASCA 2026: An Operator's Wishlist, How to Negotiate Payer Contracts, and What CMS Is Signaling for 2027

ASCA + SAMBA 2026 had one question running through every panel: how does a center get paid the first time?

ArticleMay 11, 2026
The Sleeping Giant Won't Wake by Hiring Better Middlemen

Self-insured employers control the largest unmanaged purchasing block in American healthcare. The next decade will be defined by who runs the plumbing.

ArticleMay 11, 2026
Healthcare Cyber Attack Revenue Loss: The Downtime Cost Nobody Calculates

Most CFOs plan for system upgrades but not ransomware. Here's how to protect revenue when cybercriminals strike your practice.

GuideMay 11, 2026
Medicaid Work Requirements Return: Revenue Cycle Preparation Checklist for ASCs and Outpatient Facilities

State Medicaid work requirements create new eligibility verification burdens for outpatient facilities. Preparation checklist inside.

ArticleMay 1, 2026
PAMA Lab Payment Changes: How Medicare's New Requirements Will Impact Your Revenue Cycle

Medicare's PAMA lab pricing overhaul creates unexpected revenue cycle complexity for surgery centers and hospital outpatient departments.

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