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Andrea Romero

Andrea Romero is the Chief Capability Officer. In her role, she leads the transformation of our Revenue Cycle Management ecosystem by focusing on technology-enabled capabilities across the enterprise. Her role bridges operations, technology, analytics, and talent to strengthen business capability and drive integrated performance outcomes. Andrea brings expensive global experience ...Read More
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  • Blogs

Why RCM Breaks Down Before the Patient Ever Arrives

When a denial lands on your desk, how often do you stop and ask where it really started? Not where it was found—but where it was created. For most teams, the instinct is to look downstream. Billing. Coding. AR. And sometimes that makes sense. But if you’ve ever tracked down ...Read More
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Where RCM Workflows Fail (And How AI Helps Fix Them)

Everything feels like it’s just barely holding together. You’re juggling backlogs, denials, and documentation gaps while trying to keep the whole machine moving. You feel the pressure. If one chart’s late or an audit flag pops up, suddenly you’re playing defense on two fronts. It’s enough to make you wonder ...Read More
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The 2026 Documentation Cliff: Why FQHCs, CHCs and Tribal Health Must Master the V28 Risk Adjustment Model Now

For Federally Qualified Health Centers (FQHCs), Community Health Centers (CHCs), and Tribal Health organizations, 2026 marks a transformative—and potentially volatile—inflection point in revenue cycle management. The three-year transition from the CMS-HCC Version 24 (V24) model to Version 28 (V28) has reached its final phase. As of January 1, 2026, 100% of ...Read More
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