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Healthcare RCM Insights

The DataRovers Blog

Practical insights on denial management, healthcare AI, and revenue cycle optimization. Written by RCM professionals, for RCM professionals.

Latest Articles

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Updated
PA Changes
LCD Policy
Jan 2026
Payer Policy Digest

Payer Policy Digest (Dec 2025)

Critical policy updates from Medicare, BCBS, Cigna, Medicaid and more to help RCM teams prevent denials and optimize revenue.

REVENUE CYCLE DASHBOARD ! AVG HOSPITAL LOSS TO DENIALS $5M Per year (AHIMA) 2026 MARGIN 2.7% Median 4.8% Revenue Lost 65% Never Appealed 54-70% Appeal Win Rate Automated appeals = Recovered margins ⚠ 2026 ALERT Margin Pressure 86% CFOs Concerned ✓ APPEALS ROI Recoverable 54-70% Overturn Rate $25-181 Cost per Manual Appeal 2.7% 2026 Median Margin 2026 CFO Revenue Guide
CFO Insights

The Hidden Cost of Write-Offs

WHITE PAPER • 2026 CPT® 2026 Strategic Guide for Revenue Cycle Leaders 288 New Codes 84 Deleted 46 Revised KEY SECTIONS AFFECTED E&M Surgery Radiology Pathology Medicine Category III
Industry News Revenue Cycle

CPT® 2026 Code Set

418 editorial changes. Major structural updates. Here's what revenue cycle, coding, and compliance teams need to know—and how to prepare.

OpenAI ChatGPT Healthcare Report AI + Healthcare 40M+ Americans Daily 1.9M Weekly Insurance Queries 66% US Physicians Using AI 70% After-Hours Queries $25.7B Spent on Denial Appeals
Industry News

How Americans Are Using AI for Healthcare

OpenAI's landmark January 2026 report reveals how US patients and providers are embracing AI for healthcare navigation, insurance questions, and winning claim denial appeals.

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Payer Policy Digest

Payer Policy Digest (Nov-Dec 2025)

Critical policy updates from Aetna, Cigna, and UnitedHealthcare to help RCM teams prevent denials and optimize revenue.

+84%
Appeals

Healthcare Appeal Software for Telehealth Claim Denials

Telehealth-related denials rose 84% in 2025. Learn how AI-powered appeal software helps providers recover revenue faster and more consistently.

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