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Wednesday, October 7, 2026 · Updated 12:08 PM MT · 50 stories today
Wed, Oct 7 · 50 stories todayPRO
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IndustryOctober 7, 2026

Becker's: Revenue Cycle Automation Alone Won't Cut Denials

In a Becker's Hospital Review commentary, the author argues that hospital revenue cycle automation is failing to reduce claims leakage because organizations are automating individual tasks without redesigning how work flows between them. The piece cites HFMA data showing 11.65% of healthcare claims were denied on first pass in 2025, and notes executives from Mayo Clinic and Jefferson Health are shifting focus from individual technologies toward enterprise operating-model redesign. The author points to a rural Midwest hospital that paired EHR integration with standardized billing, cash, and denials procedures, cutting unbilled claims 30% and billing time from 16 to 12 days. The argument concludes that leaders should measure turnaround time, cost to collect, and denial rates rather than automation adoption percentages.

Why it mattersHealth systems and the Medicaid managed care plans that depend on clean claims submission both bear financial exposure when automation fails to close handoff gaps that drive first-pass denial rates near 12%.

Finance

Read the full article at beckershospitalreview.com →
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