Dispatch

Insights for revenue cycle leaders

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

ArticleJuly 10, 2026
A CFO's guide to denial prevention, AR days, and payer contract strategy

Hospitals spent $18B fighting denials in 2025. AR days rose 5.2% anyway. Here's what the data says about why, and what to do.

ArticleJuly 7, 2026
No Surprises Act IDR Final Rule 2026: What the $15 Fee and New Batching Rules Mean for Your Dispute Strategy

The IDR admin fee drops 85% to $15 in August 2026. Here's how batching rules and a new registry reshape your dispute economics.

ArticleJuly 3, 2026
Medicare Advantage Denial Rates 2026: The Appeals Economy Reshaping Revenue Cycle Strategy

When 97% of appealed denials get overturned, the initial denial stops being clinical. Here's what that means for your RCM strategy.

ArticleJuly 2, 2026
The Checklist Top ASCs Use to Prevent 86% of Claim Denials

Denial management is now one of the costliest jobs in the revenue cycle. The groups pulling ahead score claims for denial risk before they ever reach the payer.

GuideJuly 2, 2026
The Ultimate Guide to Building an Ambulatory Surgery Center

A veteran ASC operator shares hard-won lessons on RCM timing, credentialing pitfalls, and where AI actually helps in ambulatory surgery centers.

ArticleJune 30, 2026
2.3 Million Patients Are About to Vanish From Your Books (Here's What Nobody's Telling ASCs)

CMS projects 2.3M Medicaid enrollees lost by FY2027. Here's what that shift means for ASC and outpatient payer mix.

ArticleJune 23, 2026
The $19.6 Billion Skin Substitute Reclassification: What CMS's Incident-To Reimbursement Shift Means for Surgical and Wound Care Practices

CMS's 2026 skin substitute reclassification cuts $19.6B in Medicare spending. Here's what wound care and surgical leaders must do now.

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.

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