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Exactrx Dispatch
Athena Doshi
Athena Doshi
Tuesday Brief: The $57 appeal, Payer-Owned ASCs, and AI-race in healthcare

Oct 6, 2026

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3 min read

Tuesday Brief: The $57 appeal, Payer-Owned ASCs, and AI-race in healthcare

What it really costs to contest a claim, why a Blue Cross plan now co-owns surgery centers, and how AI review is landing on both sides of the claim.

Athena Doshi
Athena Doshi
Monday Brief: Uncompensated care surges, DOJ's half-billion dollar coding case, and ambulatory RCM consolidates

Aug 31, 2026

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5 min read

Monday Brief: Uncompensated care surges, DOJ's half-billion dollar coding case, and ambulatory RCM consolidates

Uncompensated care is up 17% this year across 1,300+ hospitals, and the teams that catch it at check-in will read that number very differently. Plus the $541.5M diagnosis code settlement, and Savista's move into ambulatory RCM.

Athena Doshi
Athena Doshi
Monday Brief: The first real denial benchmarks, ghost rates struck down, and $50M for MSK billing

Aug 17, 2026

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5 min read

Monday Brief: The first real denial benchmarks, ghost rates struck down, and $50M for MSK billing

For the first time you can benchmark your payer against a published number. The Fifth Circuit just threw out ghost rates. And a $3.9M lesson in what happens when the op note argues against itself.

Athena Doshi
Athena Doshi
Monday Brief: Q2 earnings, the Solventum breakup, and 21 days to comment on the ASC rule

Aug 10, 2026

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4 min read

Monday Brief: Q2 earnings, the Solventum breakup, and 21 days to comment on the ASC rule

The quarter hospitals lost and ASCs won, the modifier that just cost one practice $3.9M, and the $1.4B coding business now up for sale.

Athena Doshi
Athena Doshi
Surgery Center EHRs, Billing M&A, and No Surprises Act Reform

Jul 27, 2026

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2 min read

Surgery Center EHRs, Billing M&A, and No Surprises Act Reform

UnitedHealth named its villain, HCA lost $400M, and somebody paid $12B for a billing company.

Athena Doshi
Athena Doshi

RCM

+1

Your Monday Brief: The $15 IDR Fee, Denial Prevention, the Outpatient Shift

Jul 13, 2026

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3 min read

Your Monday Brief: The $15 IDR Fee, Denial Prevention, the Outpatient Shift

The arbitration math changed, denial defense is moving upstream, and a new bundled-payment model is pushing surgical volume outpatient.

Athena Doshi
Athena Doshi

RCM

+1

Your Monday Brief: CMS Shifts Payments, a Loophole Pays Big, Denials Fall

Jul 6, 2026

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3 min read

Your Monday Brief: CMS Shifts Payments, a Loophole Pays Big, Denials Fall

New CMS rules pushing volume to ASCs, a $22K-an-hour billing loophole, and the checklist that stops most denials. Plus, Janet Carlson on getting revenue cycle right.

Athena Doshi
Athena Doshi
Vanishing Patients, Billion-Dollar Cuts, and the PE Question Everyone's Dodging

Jul 1, 2026

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3 min read

Vanishing Patients, Billion-Dollar Cuts, and the PE Question Everyone's Dodging

Issue #16: Medicaid work requirements, a $19.6B skin substitute cut, and the PE question splitting physician groups. Plus: an ASC insider on winning the margin war.

Athena Doshi
Athena Doshi

RCM

+1

The AI split-screen, RCM's boardroom moment, and an ASC insider on the margin war

Jun 15, 2026

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2 min read

The AI split-screen, RCM's boardroom moment, and an ASC insider on the margin war

Issue #15: Merritt's Danilo D'Aprile on succession and the margin war, plus the AI split-screen pitting provider revenue gains against a rising wave of payer denials.

Athena Doshi
Athena Doshi
Exactrx Dispatch

Apr 20, 2026

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3 min read

Exactrx Dispatch

Issue #8: What your budget is not tracking and what your payer contracts are not paying

Athena Doshi
Athena Doshi
Debunking the Myths: Why Denials Aren’t Just a Billing Issue

Apr 2, 2026

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6 min read

Debunking the Myths: Why Denials Aren’t Just a Billing Issue

Weekly insights on revenue cycle operations, payer trends and practice operations.

Athena Doshi
Athena Doshi
What Prior Authorization Automation Isn’t Telling You

Mar 24, 2026

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5 min read

What Prior Authorization Automation Isn’t Telling You

Weekly insights on revenue cycle operations, payer trends and practice operations.

Athena Doshi
Athena Doshi
The Hidden Cost of Same-Day Surgery Cancellations

Mar 6, 2026

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5 min read

The Hidden Cost of Same-Day Surgery Cancellations

Weekly insights on revenue cycle operations, payer trends and practice operations.

Athena Doshi
Athena Doshi

Exactrx Dispatch

The insider brief for healthcare operators and executives navigating revenue cycle, payer trends, and the business of care.


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