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Charging with Confidence: Get Paid for What You’ve Done
Charging with confidence in healthcare means every service gets billed; accurately, completely, and without delay.
Lindsay Gross, Founder and CEO, Claims Theory
6 days ago2 min read


Contract Clarity: Taking Control of Reimbursement
When was the last time you reviewed your payer contracts? Take control of your reimbursement with contract clarity.
Lindsay Gross, Founder and CEO, Claims Theory
Mar 312 min read


Building the Ultimate RCM Machine: Powered by People, Fueled by Tech, Grounded in Process
Building the ultimate RCM machine that is powered by people, fueled by tech and grounded in process is the only way to stay in the game.
Lindsay Gross, Founder and CEO, Claims Theory
Mar 242 min read


RCM Recruiting Pain Points: Finding (and Keeping) the Right Talent
Struggling to fill key roles in revenue cycle management? Finding and keeping top RCM talent can feel impossible without the right strategy.
Lindsay Gross, Founder and CEO, Claims Theory
Mar 174 min read


Talent & Tech: Transforming Revenue Cycle Management
In today’s evolving healthcare landscape, revenue cycle management (RCM) success isn’t just about having the right technology or the...
Lindsay Gross, Founder and CEO, Claims Theory
Mar 102 min read


Embracing Innovation Without Disrupting What Already Works
Innovation is essential for growth, efficiency, and staying competitive in revenue cycle management (RCM), but it doesn’t have to mean...
Lindsay Gross, Founder and CEO, Claims Theory
Mar 33 min read


Bridging Generations: How Fresh Perspectives and Experience Can Elevate RCM
The revenue cycle management (RCM) industry has been shaped by decades of expertise, dedication, and innovation by some of the most...
Lindsay Gross, Founder and CEO, Claims Theory
Feb 172 min read


Control the Controllables: A Winning Super Bowl Mindset for Revenue Cycle Management
In both sports and business, success isn’t about controlling everything—it’s about mastering what you can control. A philosophy deeply...
Lindsay Gross, Founder and CEO, Claims Theory
Feb 102 min read


How to Identify and Resolve Underpaid Claims: A Guide for Revenue Cycle Management Teams
Underpaid claims can quietly drain revenue from healthcare organizations if not identified and addressed promptly. While denials often...
Lindsay Gross, Founder and CEO, Claims Theory
Jan 274 min read


Is It Time to Upgrade Your Healthcare Technology? Here’s How to Decide
“ The future doesn’t just happen—it’s built. ” — Jensen Huang In the rapidly evolving world of healthcare technology, staying competitive...
Lindsay Gross, Founder and CEO, Claims Theory
Jan 202 min read


The 10,000-Hour Rule in Revenue Cycle Management: Does Expertise Require Time, or Something More?
The 10,000-hour rule, popularized by Malcolm Gladwell in Outliers , suggests that mastering a skill requires 10,000 hours of deliberate...
Lindsay Gross, Founder and CEO, Claims Theory
Jan 132 min read


Claims Theory: Applying the 80/20 Rule to Revenue Cycle Management
The 80/20 Rule, or Pareto’s Principle, is a simple yet profound observation: 80% of outcomes often stem from 20% of inputs. While...
Lindsay Gross, Founder and CEO, Claims Theory
Jan 63 min read


Keeping It Simple: The Key to Success in Revenue Cycle Management
In the world of Revenue Cycle Management (RCM), complexity is inevitable. Regulations, payer requirements, and shifting industry...
Lindsay Gross, Founder and CEO, Claims Theory
Jan 23 min read


A $3 Billion Settlement: What It Means for Revenue Cycle Management Leaders
The recent $2.8 billion settlement involving Blue Cross Blue Shield (BCBS) and healthcare providers is making waves in the industry. This...
Lindsay Gross, Founder and CEO, Claims Theory
Dec 30, 20242 min read


Theories on Payer Denials: Is the Battle Unwinnable?
For providers and Revenue Cycle Management (RCM) teams, payer denials are often the ultimate frustration. Every denial represents delayed...
Lindsay Gross, Founder and CEO, Claims Theory
Dec 26, 20243 min read


The Human Side of Revenue Cycle: Reducing Burnout and Building Strength
As we approach the end of the year, many healthcare organizations turn their focus to financial performance, annual reporting, and...
Lindsay Gross, Founder and CEO, Claims Theory
Dec 19, 20243 min read


Creating and Implementing the Right KPIs in Revenue Cycle Management
Revenue cycle management (RCM) is the backbone of a financially healthy healthcare organization. Whether you are leading an RCM team,...
Lindsay Gross, Founder and CEO, Claims Theory
Dec 11, 20243 min read


Gearing Up for End-of-Year Financials in Revenue Cycle Management
As the calendar flips to December, the holiday season brings a mix of excitement and challenges in the world of healthcare revenue cycle...
Lindsay Gross, Founder and CEO, Claims Theory
Dec 5, 20243 min read


Giving Thanks to the Heart of Healthcare
On this Thanksgiving Day, as we gather with loved ones to reflect on the blessings in our lives, it’s important to extend our gratitude...
Lindsay Gross, Founder and CEO, Claims Theory
Nov 27, 20242 min read


Decoding the Impact of Payer Trends: Why Physicians and Healthcare Organizations Must Prioritize Payer Policies and Contracts
The healthcare landscape is shifting under the weight of evolving payer policies and reimbursement models. For physicians and healthcare...
Lindsay Gross, Founder and CEO, Claims Theory
Nov 21, 20244 min read
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