Ventra Health Appoints David Sides as Chief Executive Officer and Board Member
Healthcare IT veteran joins Ventra to deepen client partnerships, accelerate its AI strategy and support Ventra’s next chapter of growth Dallas, TX – May 15, … Read more
Uncategorized
Infographic: Managed Medicaid Provider Enrollment — The Revenue Lever You Can’t Ignore
Enrollment delays can create far-reaching financial and operational challenges—from denied payments and delayed reimbursement to hidden revenue leakage. As Managed Medicaid continues to grow, organizations … Read more
PRCs in Radiology: Modifier Selection and the Mandate Ahead
Value-based care has raised the bar for how providers demonstrate their role in a patient’s episode of care. The Centers for Medicare & Medicaid Services … Read more
Sepsis Across Care Settings: Urgent Care, Emergency Medicine, and Hospital Medicine
Sepsis remains one of the most challenging conditions across the continuum of acute care. Its presentation can be subtle, its progression rapid, and its management highly dependent … Read more
Becker’s Hospital Review: Managing RCM Disruption with a Strong Patient Payments Strategy
As revenue cycle pressures intensify, healthcare organizations are being forced to rethink how they approach patient payments and overall financial strategy. In this Becker’s Hospital … Read more
Infographic: Patient Responsibility in the Post-ACA Subsidy Era
A revenue cycle reality check for 2026 As healthcare policy shifts reshape coverage and costs, patient responsibility is quickly becoming one of the most critical … Read more
Emergency Medicine Documentation Excellence: Treating Hospice Patients in the ED
Hospice patients who present to the emergency department often require urgent evaluation for conditions that may or may not be related to their terminal illness. … Read more
Leaders Recap: What We Heard at RBMA Paradigm 2026
Strategy, AI, and the New Economics of Radiology RBMA Paradigm 2026 brought radiology leaders together at a moment when the industry is facing rapid acceleration—of … Read more
CMS Medicare Advantage Proposed Increase
The Centers for Medicare & Medicaid Services (CMS) has proposed a 0.09% increase in Medicare Advantage (MA) payments for 2027, amounting to over $700 million … Read more
Radiology Documentation Excellence: Upper Extremity MRI Pre-Auth & Coding Guidance
Managing joint vs. non‑joint uncertainty at the time of ordering Accurate MRI authorization starts with a clear understanding of what is being imaged. For upper … Read more
Hospital Medicine Documentation Excellence: Maximizing the value of prolonged telemedicine visits with deeper documentation
Continuing from last month’s Telemedicine Tips, which included guidance and resources, this month’s focus shifts toward the appropriate documentation for prolonged telemedicine visits. While telemedicine … Read more
Doc-to-Doc Series: Leveraging AI to Defend Just Reimbursement and Strengthen RCM Performance
By Jamie Shoemaker, MD, FACEP When deployed thoughtfully in revenue cycle management (RCM), AI is not about replacing clinicians or coders—it’s about defending the care … Read more
Managed Medicaid Provider Enrollment: The Revenue Lever You Can’t Ignore
By Jessica Carden, PESC Senior Director, Provider Enrollment One of the most important trends in Medicaid today is the continued growth of Managed Medicaid enrollment. In … Read more
Anesthesia Billing Services Designed for Complex, High-Volume Environments
Anesthesia practices operate in some of the most operationally complex billing environments in healthcare. They face high patient volumes, time-based billing requirements, detailed documentation standards, … Read more
Hospital Medicine Documentation Excellence: CY 2026 Telehealth Tips, Guidance and resources
Congress passes spending bill, extended Telehealth Flexibilities Congress has extended the expiration dates for certain telehealth flexibilities from Jan 30, 2026, to Dec 31, 2027 (unless otherwise stated), as follows: … Read more
Documentation Excellence in the ED: Balancing AI-Generated Notes with Whole‑Patient Thinking
By Nettie McFarland, RHIT, CCS-P, CHC Director, Provider Education Support Artificial intelligence (AI) is reshaping documentation in emergency medicine. Voice-to-text, ambient scribing, and predictive charting … Read more
Radiology Documentation Excellence: Medical Necessity Documentation Standards
Comprehensive documentation is essential to demonstrating medical necessity in today’s evolving regulatory environment. Incomplete or nonspecific clinical detail can lead to denials, rework, delayed payments, … Read more
Solving Real-World Revenue Challenges with Actionable AI
From client presentations to RFPs, we’re asked on a near-daily basis if Ventra Health is using AI technology. I believe they are asking the wrong … Read more
Webinar: Myth Busters- Independent Dispute Resolution Edition
Watch the EDPMA Webinar+ “Myth Busters: Independent Dispute Resolution (IDR) Edition — Unpacking the Realities of the No Surprises Act,” presented by Ventra Health. Independent … Read more
Webinar: 2026 RCM Trend Report
Watch the Becker’s Hospital Review webinar “RCM Trend Report: How Leaders Can Protect Revenue + Adapt to Disruption”. In 2026, practices face growing pressure on … Read more
The Importance of Well Documented Comorbidities in Hospital Medicine
Hospital Medicine Documentation Excellence Series Welcome back to the Hospital Medicine Documentation Excellence Series. In this installment, discover how thorough comorbidity documentation impacts patient safety, care … Read more
Ventra Health Achieves HITRUST r2 Certification Demonstrating Commitment to Cybersecurity and Information Protection
HITRUST Certification validates that Ventra is meeting rigorous cybersecurity and data protection standards through independent assessment and assurance Dallas, Texas, [February 12, 2026] – Ventra … Read more
Billing and Coding Tips: Assistant Surgeon
Although the principal surgeon oversees the patient’s case, assistant surgeons may be necessary when the procedure or patient’s condition is complex. The assistant surgeon performs … Read more
When Payers Own the Data: What CAQH’s New Structure Means for Provider Revenue & Credentialing
By Rachel McVey, MBA, CPMSM, CPCO, CHCSenior Director, Provider Enrollment In January 2026, the Council for Affordable Quality Healthcare (CAQH), the central provider data platform … Read more
