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
Specialty: Hospital Medicine
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
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
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
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
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
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: 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
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
Ventra Health Launches vCision™ Revenue Intelligence Platform, Turning Revenue Cycle Data into Competitive Advantage for Providers
Platform enables providers to improve first-pass payment rates by 19%, reduce initial denial rates by 26%, and accelerate millions in delayed reimbursement through nine AI-powered … Read more
The Quiet Erosion: How Insurers Use Downcoding to Undermine Physician Reimbursement and Patient Care
Co-Authored By: As an emergency physician, healthcare revenue experts, and a team deeply engaged in the world of reimbursement and physician advocacy, we’ve seen firsthand … Read more
Doc-to-Doc Series: Why Anthem’s New Facility Policy Raises Red Flags Under the No Surprises Act
By Jamie Shoemaker, MD, FACEP Anthem Blue Cross Blue Shield (part of Elevance Health) has finalized a Facility Administrative Policy: Use of a Nonparticipating Care Provider, … Read more
Becker’s Webinar: 2026 RCM Trend Report
Register now to attend the Becker’s Hospital Review webinar: “RCM trend report: How leaders can protect revenue + adapt to disruption” on February 19 at 11:00am Central.
2026 CMS Final Rule: Impacts on Hospital Medicine
The Centers for Medicare and Medicaid Services (CMS) recently released the CY 2026 Physician Fee Schedule (PFS) Final Rule, which includes updates to the Quality … Read more
Webinar: 2026 CMS Final Rule and MIPS Overview
The 2026 CMS Final Rule is out, bringing confirmed updates that will shape reimbursement, compliance expectations, and MIPS performance requirements in the year ahead. Ventra … Read more
Becker’s Hospital Review: 2026 RCM Trend Report
As providers head into 2026, shifting regulations, disruptive payer tactics, rising patient financial strain, and rapidly evolving AI tools are reshaping the revenue cycle. Independent … Read more
Overview of the 2026 CMS Final Rule
On October 31, 2025, CMS released the CY 2026 Physician Fee Schedule (PFS) Final Rule. Below is a summary of the most relevant updates impacting … Read more
Webinar: 2026 CMS Final Rule and MIPS Overview
Register now to attend the webinar “2026 CMS Final Rule and MIPS Overview” on December 10 at 2:00pm CT.
