What are the top 8 healthcare data and coding standards?
Data standards are the invisible backbone of modern healthcare, enabling seamless information flow between providers and accurate billing. As healthcare increasingly shares data, robust standards are paramount for interoperability and regulatory compliance. The Department of Health and Human Services (HHS) emphasizes data consistency across all sources for better insights. Though voluntary, HHS's data standards significantly [...]
Medical Coding Mistakes to Avoid
Audits by both government and private insurers frequently uncover instances of improper medical billing. While you rightfully deserve compensation for the healthcare services you render, it's crucial to adhere to proper billing practices to safeguard your reputation and ensure the continued success of your practice. Medical coding inaccuracies broadly fall under the classifications of "fraud" [...]
The Strategic Rise of CDI in the Age of Value-Based Care
As the healthcare industry continues its transition from fee-for-service to fee-for-value models, the importance of Clinical Documentation Integrity (CDI) has come to the forefront. This shift isn’t just administrative—it fundamentally redefines how care is delivered, documented, and reimbursed. Value-based reimbursement is becoming the new standard for Accountable Care Organizations (ACOs), independent physician practices, and even [...]
Revenue Cycle Management in 2025: Navigating What’s Next
The financial landscape for healthcare providers continues to shift, and often not in their favor. While Kaufman Hall’s November 2024 Flash Report suggests some financial stability across hospitals, the reality is more challenging. Costs are rising faster than reimbursements, and pressures from workforce shortages, payer scrutiny, and operational inefficiencies are only growing. Here’s a look [...]
Medical Billing Market Set to Reach USD 41.32 Billion by 2032, Driven by RCM and Digital Transformation
The global medical billing industry is undergoing a significant transformation in healthcare finance, fueled by automation, cloud adoption, and the increasing use of outsourced revenue cycle management services. Valued at USD 15.43 billion in 2023, the global medical billing market is projected to grow at a Compound Annual Growth Rate (CAGR) of 11.58% between 2024 [...]
Healthcare Revenue Cycle Management Market Set to Explode: USD 372.16 Billion by 2032!
Exciting developments are on the horizon in the healthcare industry! Recent analysis indicates a significant surge in the Healthcare Revenue Cycle Management (RCM) market. Projections show the market size is poised to reach a staggering USD 372.16 billion by 2032, demonstrating a robust compound annual growth rate (CAGR) of 11.72%. This impressive growth trajectory underscores [...]
RCM Insights: North America’s Healthcare Revenue Cycle Set for Major Growth Through 2033
Inside This Issue: North American RCM Market Poised for Significant Expansion Key Trends: Cloud, AI, and Efficiency Driving Growth Market Breakdown: Delivery Modes, End Users, and Geography Looking Ahead: Opportunities and Challenges to 2033 Navigating the Future: North America's RCM Market Growth (2024-2033) The financial health of healthcare providers across North America is increasingly tied [...]
Revenue Cycle Management Market: Emerging Innovations and Future Outlook (2025 – 2032)
SkyQuest Technology Group has released its latest comprehensive study on the Revenue Cycle Management (RCM) Market, offering an in-depth look into the evolving landscape of healthcare financial operations from 2025 to 2032. The report outlines market dynamics, regional performance, and forward-looking insights across segments, products, and players. The global RCM market, valued at USD 305.53 [...]
Upcoming Changes in DME Billing for Chronic Disease Management
Durable Medical Equipment (DME) plays a vital role in managing chronic diseases by providing essential medical devices that help patients monitor and maintain their health. As healthcare policies continue to evolve, the Centers for Medicare & Medicaid Services (CMS) has introduced significant revisions to DME billing procedures for 2025. These updates aim to align healthcare [...]
U.S. RCM Market to Hit $272.78B by 2030, Major Growth Ahead
The U.S. Revenue Cycle Management (RCM) market is experiencing robust growth, propelled by the escalating complexities in healthcare billing, continuously evolving regulatory requirements, and the growing prevalence of high-deductible health plans. Within this market, the post-cycle segment is emerging as a high-growth area, driven by rising insurance claim denials and persistent cash flow challenges faced [...]
