Welcome to the 7th edition of the MRC Insider Newsletter!

Happy Holidays from the MRC Team at e4health! As we close out another year, we want to wish all our readers a joyful holiday season and a happy, prosperous New Year! May you enjoy continued health, happiness, and success — both in life and in your revenue cycle.

Thank you for being part of our community. Enjoy this month’s edition of the MRC Newsletter!

Warm regards,

Team Spotlight

Tara, HR Analyst

"I have been involved in the healthcare industry for over 20 years, with experience in pharmaceuticals and medical device prior to joining e4health. I currently live in the Philadelphia suburbs with my husband and two teenage sons - one in college and one in high school. Most weekends you'll find me at an ice rink cheering on my youngest as he plays ice hockey. When I'm not at the rink, I enjoy spending time with family and friends, along with our French Bulldog. I also find that exercise, reading, and traveling help me recharge and maintain balance."

"What I enjoy most about my role at e4health is supporting people, helping teams succeed, creating organization, and serving as a reliable resource. I'm truly grateful to be part of such a supportive and collaborative community."

New MRC Article

💡 In her latest article, Gina Stewart shares a modern playbook for HIM leaders navigating today’s high-pressure audit environment. As payer scrutiny intensifies and clinical validation becomes the focal point, reactive approaches are no longer enough.

🔎 To read, please click here.

Check out our latest Coding Tip!

🧠 Our Education Team wants to make sure you're "In The Know" with our Coding Corner tip series. This tip comes from e4health Director of Education, Kim Felix, RHIA, CCS.

🔎 Click here to read this valuable Coding Tip!

Did you miss it?

🩺 e4health’s Vice President of Solution Design, Julianne Seaman, hosted an in-depth webinar, “CPT 2026 Unveiled: Insights, Impact, and Implementation Strategies.” Julie broke down key CPT 2026 code updates, explored their operational and financial implications, and shared practical strategies to help organizations prepare for a smooth transition. This session was ideal for coding professionals, revenue cycle leaders, and compliance teams looking to stay ahead of upcoming changes.

▶️ To watch, please click here.

Employee Engagement Tip!

🎄 Remote Ornament Exchange - Simple & Fun 🎄

Purpose: A low-pressure way for remote teams to connect and celebrate.

How It Works

• Budget: $10–$15 (DIY or free welcome)
• Theme: Represents you • Something joyful • Team spirit
• Timeline: ~2–3 weeks (sign-up → send → reveal)

Matching & Sending

• Random match (Secret Santa or randomizer)
• Mail or e-gift option
• Include a short note + one fun clue about yourself

Reveal Options

• Live (15–30 min): Show ornament → guess sender → reveal story
• Async: Post photo + 1–2 sentences in Slack/Teams
• ⏱ Keep sharing to ~60 seconds per person

Wrap-Up

• Fun callouts (Most Creative, Best Story, Crowd Favorite)
• Share a photo collage afterward

Tip: Emphasize thoughtfulness over price — participation is optional and meant to be fun.

📰 Industry News: Coding & Auditing Updates

🧾 Denials to Dollars: How Health Systems Can Fight Back and Protect Revenue

A timely piece from Becker’s Hospital Review covering how health systems are adapting to rising denial rates and payer complexity in the mid-revenue cycle. It highlights practical tactics — from reducing coding and plan code errors to strengthening clinical appeal teams and governance structures — to improve revenue capture and protect financial performance. 🔗 Source

🧾 The Top Mid-Revenue Cycle Pain Points

A new Becker’s Hospital Review article highlights the leading mid-revenue cycle challenges identified by healthcare finance leaders — including documentation gaps, coding denials, staffing shortages, and technology limitations. The piece explores how fragmented systems and siloed teams create inefficiencies that slow billing throughput, increase denials, and strain coder/CDI workflows. 🔗 Source

🧾 2025 Report: Denials, Coding Errors, and Audit Risk Rise

This Healthcare Business Today article summarizes the 2025 MDaudit Benchmark Report, which reveals a sharp rise in payer audits, coding-related denial increases — especially outpatient coding issues — and greater dollars at risk due to audit activity. The piece underscores the need for integrated coding integrity, denial prevention, and compliance workflows across mid-revenue cycle functions to safeguard revenue and streamline operations. 🔗 Source

Coding Humor

Looking to enhance operational efficiency, maximize reimbursement, and reduce denials? Schedule a brief discovery call by clicking here to fill out a short form, and our team will reach out to assist you!

Check out some of our latest blog posts and articles from our other services:

HIT: AI in Healthcare IT: Balancing Innovation and Security

HIM: The Hidden $20B Threat: The True Staggering Cost of Patient Data Quality Issues

CDI: Case Study: Southern New Jersey Hospital Leverages e4health Guided Clinical Mentorship to Launch CDI Program

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