3Gen Consulting

09/03/2026

Risk adjustment is no longer just a coding exercise.

It's a governance discipline - connecting clinical documentation, RAF accuracy, payer compliance, and audit resilience into one operational strategy.

That's the conversation we're here to have at RISE West.

Come find the 3Gen Consulting team at Booth # 409. We'd love to connect.

📞 (888) 886-3436
🌐 https://www.3genconsulting.com/risk-adjustment-hedis/

09/01/2026

Small habits compound into large financial outcomes.

A monthly AR aging review isn't glamorous. But it's the difference between catching a problem in September and explaining it to a CFO in December.

At 3Gen Consulting, we help healthcare organizations build the habit of proactive revenue management - not reactive damage control.

📞 (888) 886-3436
🌐 https://www.3genconsulting.com/outsourcing-accounts-receivable/

08/31/2026

Cash flow improved in 2025. Revenue leakage still jumped 25% to $48.4B.

Efficiency and recovery are not the same thing.

Three questions healthcare CEOs should be asking about RCM:

Cash flow improved in 2025 – but $48.4B went uncollected. Three questions healthcare CEOs should ask about revenue cycle management and leakage exposure.

08/30/2026

Turns out, even claims need a little context.

A procedure code explains what happened. A modifier explains how it happened.

Leave that context out, and the service may be interpreted very differently - leading to denials, underpayments, or unnecessary rework.

At 3Gen Consulting, we help healthcare organizations make every claim tell the complete story.

📞 (888) 886-3436
🌐 https://www.3genconsulting.com/medical-coding-services/

08/29/2026

As patient financial responsibility continues to grow, providers can no longer treat patient payments as an afterthought.

A successful revenue cycle strategy requires equal focus on clear financial communication, accurate upfront estimates, convenient payment options, and timely follow-up.

Organizations that optimize both payer reimbursements and patient payments are better positioned to improve cash flow and reduce bad debt.

📞 (888) 886-3436
🌐 https://www.3genconsulting.com/revenue-patient-access/

08/28/2026

RISE West 2026 is almost here, and we’re ready to connect.

If Risk Adjustment and HEDIS are on your agenda, come meet the 3Gen Consulting team for meaningful conversations, fresh perspectives, and practical insights.

📍 Booth #409 | RISE West, San Diego
📅 September 2–4, 2026

We’ll see you there!

08/27/2026

Eight CMS and industry updates healthcare revenue cycle teams need to track this month:

→ FY 2027 hospital inpatient rates finalized at +2.3%
→ LTCH payment rates also +2.3% - $54M aggregate increase
→ CJR-X joint replacement model: mandatory nationwide expansion
→ OIG Spring 2026 Semiannual Report to Congress published
→ 68% of healthcare leaders cite payer policy gaps as revenue leakage risk
→ Nebraska Medicaid work requirements – coverage losses beginning
→ Rural hospital add-on payments expiring December 21, 2026
→ Rural Health Transformation annual reports due August 30

Full breakdown – including what each update means for your billing and AR teams – in our August 2026 newsletter.

🌐 https://bit.ly/4yaUOwV
📞 Questions? Call (888) 886-3436

FY 2027 hospital rates finalized, CJR-X expands nationwide, payer policy gaps driving revenue leakage. Key CMS and OIG updates for healthcare revenue cycle leaders.

08/26/2026

The countdown is on—and RISE West 2026 is almost here.

We're looking forward to connecting with healthcare leaders, exchanging perspectives, and exploring what’s next for Risk Adjustment and HEDIS.

📅 September 2–4, 2026
📍 San Diego

See you at RISE West!

08/25/2026

A recurring denial isn't always one recurring problem.

It could stem from patient registration, payer-specific requirements, eligibility, or another breakdown in the revenue cycle.

When every claim with the same denial code gets treated the same way, the real cause goes unresolved - leading to repeat denials, unnecessary rework, and delayed reimbursement.

📞 (888) 886-3436
🌐 https://www.3genconsulting.com/outsourcing-accounts-receivable/

08/24/2026

Claims tell you what happened. Payers tell you why it happened.

Leading organizations aren't asking 'Will this claim be denied?' They're asking 'How does this payer usually respond to claims like this?'

That's where recurring patterns in downcoding, payment reductions, and documentation requests begin to surface.

At 3Gen Consulting, we believe the next generation of RCM will be built on understanding payer behavior - not just reacting to it.

📞 (888) 886-3436
🌐 https://www.3genconsulting.com/