edge cases Archives - HIT Leaders and News https://us.hitleaders.news/tag/edge-cases/ Healthcare Innovations and technology news and views Tue, 01 Jul 2025 19:09:57 +0000 en-US hourly 1 https://wordpress.org/?v=7.1.3 The Margin Killers You’re Not Measuring https://us.hitleaders.news/core-categories/revenue-cycle-management-and-finance/48901/the-margin-killers-youre-not-measuring/?utm_source=rss&utm_medium=rss&utm_campaign=the-margin-killers-youre-not-measuring Tue, 10 Jun 2025 11:07:27 +0000 https://us.hitleaders.news/?p=48901 Hospitals have digitized. They have automated. They have consolidated. But despite more than a decade of transformation in revenue cycle operations, most health systems are still losing efficiency in one costly corner: the complex claims that do not fit inside commercial or Medicare billing templates. These edge cases such as Veterans Affairs encounters, workers’ compensation claims, TRICARE submissions, and motor vehicle accidents, consume disproportionate resources and often delay payment for months.

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