Hospitals are running on thin margins: costs are rising, reimbursement is tightening, and denials are getting harder to manage. Why are hospital margins shrinking even when volumes are stable? A big part of the answer is how revenue cycle is operating today: • Denials worked after they hit • Coding fixed on the back end • Revenue leakage identified too late That model is expensive, and it’s getting harder to sustain, while creating more work, higher costs, and inconsistent cash performance. What we’re seeing now is a shift upstream: • Catch issues before they become denials • Act while the claim is still in motion • Tie operations directly to financial outcomes This is where margins are won or lost. Our Healthrise experts broke it down here: https://lnkd.in/gHddQN4z
Healthrise
Financial Services
Farmington Hills, Michigan 6,882 followers
Powering Healthcare Excellence, One Partnership at a Time
About us
Hospital systems are not all created equal. So one-size-fits-all solutions don’t work. At Healthrise, we customize solutions to meet your needs. That way, you’re not paying for resources and programs that you don’t need like you would at other RCM consulting and global consulting firms. We stand behind bringing together the right expertise, strategy, approach, resources, and technology to deliver proven results for you.
- Website
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https://www.healthrise.com/
External link for Healthrise
- Industry
- Financial Services
- Company size
- 51-200 employees
- Headquarters
- Farmington Hills, Michigan
- Type
- Privately Held
- Founded
- 2012
- Specialties
- Consulting, Revenue Cycle, Project Management, and Analytics
Locations
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Primary
Get directions
31700 Middlebelt Rd
Suite 175
Farmington Hills, Michigan 48334, US
Employees at Healthrise
Updates
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The best conversations in healthcare often start with a simple question: What could we be doing differently? That’s one of the reasons we’re looking forward to connecting with healthcare finance leaders at The Millennium Alliance Transformational CFO Healthcare Providers Assembly. Today’s CFOs are being asked to balance more than the numbers. They’re navigating margin pressure, workforce challenges, technology investments, operational complexity and an increasingly urgent mandate to transform. Those challenges can’t be solved in silos. Events like this create an opportunity to step outside the day-to-day, compare notes with peers and have candid conversations about what’s working, what isn’t and where meaningful change can happen next. We are excited to be part of those conversations. If you’ll be there, we’d love to connect. And don't miss Jodie Hilliker's session - she's got actionable ideas to share!
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What if your biggest EHR problem is one you can’t see? After one large health system went live with a new EHR, more than 400,000 patient encounters were never closed. The result? Nearly $1 billion in revenue was sitting unbilled. It’s an extreme example of a problem at health systems of every size: the work doesn’t end at go-live. Often, that’s when the real financial risk begins. Documentation gaps. Unclosed encounters. Workflow breakdowns. Provider frustration. Coding issues. Each quietly creates revenue leakage and affects the patient experience. The answer isn’t just more training or adding AI to a workflow that isn’t working. It’s operational readiness, connecting clinical care with the revenue cycle and making sure providers have the support they need before, during, and after go-live. Our latest article explores the billion-dollar blind spot in EHR implementations and how health systems can prevent it. Read here: https://lnkd.in/gEGcYpQ6
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Healthcare finance is changing fast, and the conversations shaping what comes next are happening in Austin next week! We’re excited to share that Healthrise’s Jodie Hilliker will be speaking at The Millennium Alliance’s Transformational CFO Healthcare Providers Assembly, August 11–12 at the Four Seasons Austin. The event brings together hospital and health system finance leaders to tackle some of the biggest challenges facing healthcare today, from emerging financial models and regulatory shifts to technology, data, and long-term financial sustainability. Jodie will bring the Healthrise perspective to the conversation, drawing on her experience helping healthcare organizations navigate transformation at the intersection of strategy, technology, operations, and people. Heading to Austin? Be sure to connect with Jodie while you’re there.
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Too many organizations mistake consistency for strategy, even when the market, technology, or customer expectations have already shifted. The leaders who will outperform over the next decade will be the ones who recognize the inflection point early and have the confidence to change direction. Healthrise CEO David Farbman does a great job exploring why adaptability is becoming one of the most valuable competitive advantages in the age of AI. It's well worth the read!
AI has made it easier than ever to execute. The real challenge now isn't moving faster; it's knowing when to pivot. Read here: https://lnkd.in/gdkiX_KC
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Healthcare organizations can't afford to treat denials as an unavoidable cost of doing business. The real opportunity isn't getting better at appealing denied claims; it's preventing them from happening in the first place. In this article, our CEO David Farbman explores why health systems need to shift from reactive denial management to proactive prevention, and how purpose-built AI can help identify upstream issues before they become costly downstream problems. The future of revenue cycle performance won't be measured by how many denials you recover. It will be measured by how many you prevent. Read the full article below and let us know: Where do you see the biggest opportunity for AI to reduce administrative friction?
One of the biggest mistakes I see health systems make is treating denials as the problem. They're not. A denial is simply evidence that something went wrong earlier in the revenue cycle. For years, we've invested enormous amounts of time and money making appeals faster, hiring more people to work queues, and measuring recovery rates. But if we never address the upstream issues creating those denials in the first place, we're simply getting better at cleaning up the mess. As margins continue to tighten, that approach isn't sustainable. In this article, I share why I believe the next chapter of revenue cycle transformation won't be defined by how efficiently we recover revenue; it will be defined by how effectively we prevent revenue from leaking in the first place. I also discuss where purpose-built AI can make the biggest impact: not replacing people, but giving them the intelligence to identify issues before they become expensive problems. I'd love to hear your perspective. Is your organization still focused primarily on denial management, or are you beginning to shift toward denial prevention?
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Premium labor isn't just a staffing problem. It's a margin problem. A recent Healthcare Financial Management Association (HFMA) article argues that the answer to rising premium labor isn't tighter budgets; it's better operations: smarter scheduling, real data transparency, and filling open shifts with internal staff before defaulting to an agency. We built Demand Workforce to do exactly that. Our platform notifies credentialed staff of open shifts in real time and lets them claim them in a few taps, so health systems can reduce agency spend, curb overtime, and improve retention all at once. For revenue cycle leaders, that's a healthier labor line. For staffing managers, it's fewer open shifts and less last-minute scramble. See how it works! Request a demo: https://lnkd.in/dHahxdYh Read the article: https://lnkd.in/gt9-aXTd
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Growth happens by investing in the right people, building the right relationships, and staying relentlessly focused on helping clients solve their biggest challenges. That's why we're excited to announce the expansion of our commercial team with the addition of Michele A. Iuliucci, CRPSC, as Vice President of Commercial Growth & Strategy. With decades of experience helping healthcare organizations improve financial performance and navigate complex operational challenges, Michele will lead our outside sales organization and help bring Healthrise's expertise to even more health systems across the country. As healthcare organizations continue to face mounting financial and operational pressures, the need for experienced, strategic partners has never been greater. We're investing in growth so we can continue delivering the operational excellence, revenue cycle expertise, and innovative solutions our clients depend on. Welcome to the team, Michele! We're excited for what's ahead. Read the full announcement here: https://lnkd.in/gRdZxDBM
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Audits should do more than score work; they should improve it. Healthrise turns quality insight into coaching, accountability, and measurable performance gains with our Quality Audit + Productivity Module. Schedule a demo and explore the impact: https://lnkd.in/dHahxdYh #QualityAuditProductivity #HealthcareTech #RevenueCycleManagement #Healthrise
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Go-live success doesn’t start on day one; it’s the result of everything that happens before it. The organizations that stabilize faster and avoid performance dips are the ones that treat go-live as an operational process, not just a milestone. That means: • Personalizing workflows before activation, not after • Aligning clinical, revenue cycle, and IT teams early • Training in real-world scenarios, not just system navigation • Establishing governance and support models ahead of time When these elements are in place, go-live doesn’t have to be a disruption. How is your organization preparing before day one? #HealthcareIT #EHR #GoLive #HealthSystems #Healthrise
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