RCM Complexity Isn’t the Problem. Fragmentation Is.
This is the question every CFO should ask: Are my revenue cycle management vendors optimizing their metrics or my revenue?
April 14, 2026
Published monthly on LinkedIn.
This is the question every CFO should ask: Are my revenue cycle management vendors optimizing their metrics or my revenue?
Clinical denials routinely put millions of dollars at risk annually for large health systems. EIQ® helps ease the burden by reading the medical record in seconds, identifying denial risk with clear rationale and actionable recommendations — right in existing workflows.
Sustainable denial prevention requires deep visibility into process-level variation in order to target behavior change + reduce revenue loss.
In this video, CEO Judson Ivy explains why its critical to build AI that operates as a system, not a stack. Using data from more than 80 million annual claims, Ensemble’s orchestrated AI layer learns, connects and delivers value across the entire rev cycle.
Explore why end-to-end RCM is on the rise, determine if it’s the best strategy for you and learn how to identify the right partner.
Understanding when to use an open reasoning model versus a deterministic or predictive system is the new systems-thinking challenge.
Payers are reshaping hospital reimbursement at the expense of compliance + cash flow. We dig into the data + offer tips to boost performance.
The Wasteful and Inappropriate Service Reduction (WISeR) Model introduces prior auths for select services at risk of fraud, waste and abuse.
Ensemble received the highest client satisfaction across all metrics and a top overall performance score of 95.1 on a 100-point scale.
Ensemble treats underinsurance as a perpetual, complex challenge, not a one-off crisis. Our end-to-end model easily scales to the OBBA era.
Dr. Khiet Trinh + Dr. Maria Johar explain the Medicare Two Midnight rule, demonstrating how to determine inpatient versus observation status.
Dr. Khiet Trinh and Dr. Maria Johar explain the role of physician advisors in supporting clinicians with billing, status and denial issues.