<?xml version="1.0" encoding="UTF-8"?><rss xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:atom="http://www.w3.org/2005/Atom" version="2.0"><channel><title><![CDATA[RevCure Consultants]]></title><description><![CDATA[A Revenue Cycle Management firm committed to providing high-quality revenue cycle management services to hospitals and physician groups. Our firm is led by physicians who understand the unique challenges facing healthcare providers today, particularly in the acute care community hospital setting. Working with affordable partners allows more resources for patient care, which is essential for healthcare providers. We are committed to delivering high-quality, affordable services that enable our clients to focus on delivering exceptional patient care to their communities. At RevCure, we work closely with our clients to understand their unique needs and develop customized solutions that meet their specific revenue cycle management services requirements. Our services include coding, clinical documentation improvement, denials management, and DRG optimization. If you're looking for a reliable and experienced partner to help you optimize your revenue cycle management processes, look no further]]></description><link>https://www.revcureconsultants.com/blog</link><generator>RSS for Node</generator><lastBuildDate>Fri, 03 Jul 2026 21:06:05 GMT</lastBuildDate><atom:link href="https://www.revcureconsultants.com/blog-feed.xml" rel="self" type="application/rss+xml"/><item><title><![CDATA[The Transfer DRG Underpayment Hiding in Your Discharges: Post-Acute Care Transfer Policy]]></title><description><![CDATA[Most hospital revenue cycle leaders know exactly what a transfer DRG overpayment looks like. It looks like an OIG audit. It looks like a takeback. It looks like a recoupment letter from the MAC. CMS has built decades of edits, audits, and oversight processes designed to catch hospitals that miscode a transfer as a routine discharge and collect a full MS-DRG payment they weren't entitled to. Here's what most teams don't see as clearly: the policy is asymmetric. CMS has edits to catch...]]></description><link>https://www.revcureconsultants.com/post/the-transfer-drg-underpayment-hiding-in-your-discharges</link><guid isPermaLink="false">6a46923f7b6f361b1f322fb8</guid><category><![CDATA[CDI & Coding]]></category><pubDate>Mon, 22 Jun 2026 05:00:00 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/df84ad_10ff0f3b1d194a99b3d9139b2b10b779~mv2.png/v1/fit/w_1000,h_720,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Alexandra Colley</dc:creator></item><item><title><![CDATA[The Two-Midnight Rule in 2026: A Quiet Revenue Leak ]]></title><description><![CDATA[The Two-Midnight Rule was supposed to be settled. It was finalized more than a decade ago. CMS extended it to Medicare Advantage plans starting January 1, 2024. On November 25, 2025, CMS issued further clarifying updates in the CY 2026 OPPS Final Rule. By every reasonable measure, this should be a closed chapter. It isn't. Status determination errors — the wrong choice between inpatient and observation, the downgrade after the fact, the denial that should never have been issued — remain one...]]></description><link>https://www.revcureconsultants.com/post/the-two-midnight-rule-in-2026-a-quiet-revenue-leak</link><guid isPermaLink="false">6a469198b176a354da80dd6f</guid><category><![CDATA[Prior Authorization & Compliance]]></category><pubDate>Mon, 08 Jun 2026 05:00:00 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/df84ad_b7dedce13bb648f3929541ec4e8af624~mv2.png/v1/fit/w_1000,h_720,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Alexandra Colley</dc:creator></item><item><title><![CDATA[Can't Hire Coders? How to Protect Revenue Integrity]]></title><description><![CDATA[When an experienced inpatient coder or CDI specialist resigns, the job posting goes up the same week. What doesn't get replaced that quickly is everything that left with them: the payer-specific quirks they'd memorized, the documentation patterns that got claims paid the first time, the instinct for when a chart needs a query and when it doesn't. A req can be filled. Institutional knowledge can't be reposted. That gap is widening. The AAPC has reported a roughly 12% nationwide shortage of...]]></description><link>https://www.revcureconsultants.com/post/can-t-hire-coders-how-to-protect-revenue-integrity</link><guid isPermaLink="false">6a46905d950901ce7a6b6e7e</guid><category><![CDATA[CDI & Coding]]></category><category><![CDATA[Revenue Cycle Strategy]]></category><pubDate>Mon, 25 May 2026 05:00:00 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/df84ad_d5618e7b9cc84a23a0fd6ca53293c35d~mv2.png/v1/fit/w_1000,h_720,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Alexandra Colley</dc:creator></item><item><title><![CDATA[First Public Prior Auth Reports: What CFOs Should Do Now]]></title><description><![CDATA[What the First Public Prior Auth Denial Reports Reveal — and How to Use Them at the Negotiation Table For the first time in history, hospitals can pull up a payer's website and see — in black and white — how often that payer denies prior authorization requests, how long they take to decide, and how many of those denials get overturned on appeal. The data is public. The accountability is new. And most hospital finance teams haven't done a thing with it. Under the CMS Interoperability and Prior...]]></description><link>https://www.revcureconsultants.com/post/first-public-prior-auth-reports-what-cfos-should-do-now</link><guid isPermaLink="false">6a0e2a399209fbd4f4f2b9b6</guid><category><![CDATA[Prior Authorization & Compliance]]></category><pubDate>Mon, 11 May 2026 05:00:00 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/df84ad_d0dc8bcf0f5e4dda878e5a385df246f7~mv2.png/v1/fit/w_1000,h_941,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Alexandra Colley</dc:creator></item><item><title><![CDATA[Protecting Hospital Margins During the $68 Billion OBBBA Crisis]]></title><description><![CDATA[The One Big Beautiful Bill Act (OBBBA) isn't just another policy shift — it's a financial earthquake reshaping healthcare revenue cycles across America. With $68.5 billion in projected hospital revenue losses over 2026-2027 and an average impact of $16.1 million per facility, healthcare CFOs face their most challenging margin environment in decades. But while most organizations scramble to react, forward-thinking hospitals are discovering that physician-led revenue cycle management offers a...]]></description><link>https://www.revcureconsultants.com/post/protecting-hospital-margins-during-the-68-billion-obbba-crisis</link><guid isPermaLink="false">6a0e2896dd66a932defa2ab2</guid><category><![CDATA[Hospital & Health System Finance]]></category><pubDate>Mon, 20 Apr 2026 05:00:00 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/df84ad_e97c57f4076f4619a93a8b03666edf43~mv2.webp/v1/fit/w_1000,h_853,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Alexandra Colley</dc:creator></item><item><title><![CDATA[How to Fix the Root Causes of Clinical Denials]]></title><description><![CDATA[Clinical denials—claims rejected for medical necessity, lack of documentation, or service appropriateness—cost healthcare organizations millions annually. Yet most revenue cycle teams spend their energy appealing denials rather than preventing them. The result: the same denial types recur month after month, staff burnout increases, and revenue leaks continue. The solution isn't better appeals. It's fixing the root causes that create clinical denials in the first place. Key Takeaways 1....]]></description><link>https://www.revcureconsultants.com/post/how-to-fix-the-root-causes-of-clinical-denials</link><guid isPermaLink="false">6a0e26b3cb0791383ec392ca</guid><category><![CDATA[Denials & Appeals]]></category><pubDate>Wed, 08 Apr 2026 05:00:00 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/df84ad_4ef39db2dad84f788ef6eab2eca78971~mv2.png/v1/fit/w_1000,h_1000,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Alexandra Colley</dc:creator></item><item><title><![CDATA[Mastering the 2026 CMS Physician Fee Schedule: Your Essential Guide to the Lookup Tool]]></title><description><![CDATA[Key Takeaways 1. The CMS Physician Fee Schedule Lookup Tool Is Your Authoritative Payment Rate Source The official CMS tool (https://www.cms.gov/medicare/physician-fee-schedule/search) provides accurate, current payment information for over 10,000 services. Use it regularly for budgeting, coding verification, and contract negotiation. It offers three search methods: by specific code (fastest), by keyword (helpful when you know the service but not the code), or by code range (for reviewing...]]></description><link>https://www.revcureconsultants.com/post/mastering-the-2026-cms-physician-fee-schedule-your-essential-guide-to-the-lookup-tool</link><guid isPermaLink="false">6a0e24d996905735bfe77622</guid><category><![CDATA[Prior Authorization & Compliance]]></category><pubDate>Wed, 18 Mar 2026 05:00:00 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/df84ad_df906dbf4c17467db7892fbaf0dec2c8~mv2.png/v1/fit/w_1000,h_941,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Alexandra Colley</dc:creator></item><item><title><![CDATA[The Direct Link Between Coding Accuracy and Your Bottom Line]]></title><description><![CDATA[Key Takeaways 1. Coding Errors Directly Cause Preventable Denials and Revenue Loss Coding inaccuracies rank among the top denial reasons across all payers, creating a cascade of financial problems. When codes don't match documentation, lack required specificity, violate bundling rules, or fail to support medical necessity, claims are denied. Common coding-related denials include incorrect code assignment, missing or incorrect modifiers, unbundling edit violations, and codes not reflecting...]]></description><link>https://www.revcureconsultants.com/post/the-direct-link-between-coding-accuracy-and-your-bottom-line</link><guid isPermaLink="false">6a0e21cc96905735bfe7709c</guid><category><![CDATA[CDI & Coding]]></category><pubDate>Fri, 06 Mar 2026 06:00:00 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/df84ad_d8a5849b7e644279872a5b810470684b~mv2.png/v1/fit/w_1000,h_1000,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Alexandra Colley</dc:creator></item><item><title><![CDATA[The Proven Power of Physician-Led Revenue Cycle Management]]></title><description><![CDATA[In 2026, healthcare organizations face unprecedented revenue cycle challenges. The shift to value-based care demands exceptional clinical documentation and risk adjustment. AI-powered prior authorization creates new workflow complexities. Federal funding volatility threatens margins. Denial rates persist despite sophisticated appeal programs. Meanwhile, physician resistance remains the single biggest barrier to revenue cycle improvement initiatives. Traditional revenue cycle consulting—led by...]]></description><link>https://www.revcureconsultants.com/post/the-proven-power-of-physician-led-revenue-cycle-management</link><guid isPermaLink="false">6a0e1e089209fbd4f4f2a34f</guid><category><![CDATA[Revenue Cycle Strategy]]></category><pubDate>Wed, 11 Feb 2026 06:00:00 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/df84ad_a6f3f18099c04e0fa3d2a5ef6561c1e4~mv2.png/v1/fit/w_1000,h_1000,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Alexandra Colley</dc:creator></item><item><title><![CDATA[Denial Management 2026: Strategies Beyond Basic Appeals]]></title><description><![CDATA[Healthcare organizations collectively lose billions annually to claim denials—yet the vast majority are preventable. While most revenue cycle teams have mastered basic appeals, the game has changed. In 2026, successful denial management requires moving beyond reactive appeals to strategic, data-driven prevention that addresses root causes before claims ever leave your organization. This guide walks through advanced denial management strategies that high-performing organizations use to reduce...]]></description><link>https://www.revcureconsultants.com/post/denial-management-2026-strategies-beyond-basic-appeals</link><guid isPermaLink="false">6a0e0f25cb0791383ec36638</guid><category><![CDATA[Denials & Appeals]]></category><pubDate>Mon, 09 Feb 2026 06:00:00 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/df84ad_80411960a0b849b9812d0aa1fccfab4f~mv2.png/v1/fit/w_1000,h_1000,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Alexandra Colley</dc:creator></item><item><title><![CDATA[How the LEAD Model Will Replace the Current ACO REACH]]></title><description><![CDATA[What Healthcare Organizations Need to Know About CMS's 10-Year Value-Based Care Commitment Key Takeaways: ACO REACH to LEAD Model Transition  The Strategic Shift Ten-Year Commitment Replaces Short-Term Pilots - The LEAD Model represents CMS's move from 3-5 year experiments to a decade-long permanent commitment, providing stability for long-term strategic planning and infrastructure investment. Evidence Supports Extended Participation - Research shows ACOs participating 5+ years significantly...]]></description><link>https://www.revcureconsultants.com/post/how-the-lead-model-will-replace-the-current-aco-reach</link><guid isPermaLink="false">6a0e096a8e0cce8d79c92639</guid><category><![CDATA[Value-Based Care]]></category><pubDate>Wed, 21 Jan 2026 06:00:00 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/df84ad_ef8dd581741b47c383efb74d24a48509~mv2.png/v1/fit/w_1000,h_1000,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Alexandra Colley</dc:creator></item><item><title><![CDATA[2026 Healthcare Revenue Cycle: 10 Critical Changes Every Provider Must Know]]></title><description><![CDATA[Key Takeaways: 2026 Healthcare Revenue Cycle Changes Policy &#38; Payment Model Transformations Telehealth Flexibility Extended Through 2026 - DEA extends controlled substance prescribing flexibility for a fourth time, requiring organizations to maintain updated coding knowledge, payer-specific policies, and proper telehealth documentation standards. 340B Program Protected from $400M Loss - Federal court injunction halts rebate model pilot, providing temporary relief while underscoring the need...]]></description><link>https://www.revcureconsultants.com/post/2026-healthcare-revenue-cycle-10-critical-changes-every-provider-must-know</link><guid isPermaLink="false">6a0e00db8e0cce8d79c9146c</guid><category><![CDATA[Revenue Cycle Strategy]]></category><pubDate>Tue, 06 Jan 2026 20:14:34 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/df84ad_377c19e8105443cbb9052f8d3f9cc1f1~mv2.png/v1/fit/w_1000,h_1000,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Alexandra Colley</dc:creator></item><item><title><![CDATA[The 13 Steps of Revenue Cycle Management]]></title><description><![CDATA[From Patient Registration to Final Payment The healthcare revenue cycle is a complex process that spans from the moment a patient schedules an appointment to the final payment collection. Understanding each step is critical for healthcare organizations seeking to optimize cash flow, reduce denials, and improve financial performance. With claim denials costing U.S. healthcare providers billions annually—and more than 80% of these denials being preventable—mastering the revenue cycle has never...]]></description><link>https://www.revcureconsultants.com/post/the-13-steps-of-revenue-cycle-management</link><guid isPermaLink="false">6a0dfb2ab2731dece750c657</guid><category><![CDATA[Revenue Cycle Strategy]]></category><pubDate>Wed, 10 Dec 2025 06:00:00 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/df84ad_1b5334b6f89541648ed30abbb8248e7e~mv2.png/v1/fit/w_1000,h_836,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Alexandra Colley</dc:creator></item><item><title><![CDATA[Specialty-Specific Strategies to Prevent Denials]]></title><description><![CDATA[Not all denials are created equal. Different clinical specialties face unique challenges that require targeted prevention strategies. Understanding these specialty-specific risks and implementing customized solutions can dramatically reduce denial rates in your highest-volume and highest-risk service lines. Why One Size Doesn't Fit All While general denial prevention principles apply across the board, each specialty encounters distinct payer requirements, documentation challenges, and coding...]]></description><link>https://www.revcureconsultants.com/post/specialty-specific-strategies-to-prevent-denials</link><guid isPermaLink="false">6a0df4c5cb0791383ec32e3b</guid><category><![CDATA[Denials & Appeals]]></category><pubDate>Mon, 17 Nov 2025 06:00:00 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/df84ad_2eab3029911e45928913f82e1828029d~mv2.png/v1/fit/w_1000,h_1000,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Alexandra Colley</dc:creator></item><item><title><![CDATA[Mastering Documentation for Value-Based Care Success]]></title><description><![CDATA[Accurate documentation is the cornerstone of revenue integrity in value-based care, yet many organizations struggle to capture the true complexity of their patient populations. Unlike fee-for-service models where documentation supports individual procedure billing, value-based care requires documentation that accurately reflects patient acuity, chronic conditions, and risk factors influencing both reimbursement and quality reporting. Key Takeaways:  Accurate documentation drives revenue...]]></description><link>https://www.revcureconsultants.com/post/mastering-documentation-for-value-based-care-success</link><guid isPermaLink="false">6a0deddfce2b5b4a4d6d6b40</guid><category><![CDATA[Value-Based Care]]></category><pubDate>Thu, 09 Oct 2025 17:32:24 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/df84ad_9a528defb62c49038cd80f8506913dad~mv2.png/v1/fit/w_1000,h_941,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Alexandra Colley</dc:creator></item><item><title><![CDATA[Why Executive Leadership Is Key to Reducing Denials]]></title><description><![CDATA[Claim denials cost U.S. healthcare providers billions of dollars annually, yet more than 80% are preventable. For healthcare executives, this represents both a critical challenge and a significant opportunity. Denial management is no longer just a billing function—it's a strategic imperative that requires executive-level attention and cross-departmental alignment. Understanding the True Cost of Denials The financial impact of denials extends far beyond immediate revenue loss. Consider a...]]></description><link>https://www.revcureconsultants.com/post/why-executive-leadership-is-key-to-reducing-denials</link><guid isPermaLink="false">6a0ddd188e0cce8d79c8c970</guid><category><![CDATA[Denials & Appeals]]></category><pubDate>Fri, 03 Oct 2025 05:00:00 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/df84ad_af1ff4793f574933b27445205a34d4c9~mv2.png/v1/fit/w_1000,h_941,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Alexandra Colley</dc:creator></item><item><title><![CDATA[Leading Revenue Integrity in Value-Based Care]]></title><description><![CDATA[As healthcare continues its transformation from fee-for-service to value-based care, revenue integrity has evolved from a back-office function to a strategic imperative requiring C-suite attention. Organizations that succeed in this new landscape share one common trait: strong executive leadership committed to cultural change and cross-functional alignment. The Changing Definition of Revenue Integrity In fee-for-service models, revenue integrity focused primarily on accurate charge capture...]]></description><link>https://www.revcureconsultants.com/post/revenue-integrity-in-value-based-care</link><guid isPermaLink="false">6a04c1f748aeb3fcb2432310</guid><category><![CDATA[Value-Based Care]]></category><pubDate>Tue, 30 Sep 2025 05:00:00 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/df84ad_0332d0bc428048dfbdf86abffcd15a84~mv2.png/v1/fit/w_1000,h_941,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Alexandra Colley</dc:creator></item><item><title><![CDATA[Understanding HCC Coding in Value-Based Care]]></title><description><![CDATA[As healthcare continues its shift toward value-based payment models, Hierarchical Condition Categories (HCC) coding has emerged as a critical competency for financial sustainability. Yet many healthcare organizations struggle to capture the true complexity of their patient populations, leaving millions of dollars on the table while appearing to serve healthier patients than they actually do. Understanding and mastering HCC coding isn't just about compliance or revenue optimization—it's about...]]></description><link>https://www.revcureconsultants.com/post/understanding-hcc-coding-in-value-based-care</link><guid isPermaLink="false">6a04b85a7848442a572f8d22</guid><category><![CDATA[Value-Based Care]]></category><pubDate>Thu, 18 Sep 2025 05:00:00 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/df84ad_f9a65986bed24f8ab68b59c3091f2fde~mv2.jpg/v1/fit/w_1000,h_1000,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Alexandra Colley</dc:creator></item></channel></rss>