Cofactor AI

Healthcare has never found a way to grow without growing headcount. That's finally changing, but only for the organizations willing to transform, not just adopt another tool.

More health systems are pulling denial management back in-house. Here's what's driving the shift, what infrastructure it actually requires, and where most organizations underestimate the complexity.

HIM leaders bridge clinical, coding, and payer knowledge, making them essential to AI success. Learn how this cross-functional role drives ROI.

Discover how to effectively use the new Medicare Advantage Complaint Form. Learn when to file a Complaint Form and when to appeal a denial.

Move from pain points to confident vendor decisions. Learn how RCM executives prioritize initiatives, evaluate solutions against outcomes, and drive measurable ROI.

Cofactor partnered with Memorial to bring structure, speed, and visibility to their DRG workflows. What began as a solution for operational backlog quickly became a strategic driver across revenue cycle operations and documentation workflows.

Stop losing sepsis, respiratory failure, and MCC denials. This complete playbook reveals policy-first appeal strategies that win across major payers. Get condition-specific evidence checklists, two-column proof tables, ICD-10 guideline citations, and 48-h

A federal court blocked CMS statistical extrapolation in RADV audits, but provider documentation requirements remain unchanged. AI-powered fraud detection, payment suspensions, and multiple audit programs continue unaffected. Learn what the ruling actuall

Cofactor's founders share insights from DMEx, Open at Epic, and RIS 2025: why patient registration is every hospital's #1 denial problem, payer contract tactics, Epic integration challenges, and what revenue integrity leaders are doing about increasing de

Aetna's new Medicare Advantage policy will approve inpatient admissions but pay many at observation rates with no appeal rights. Revenue cycle leaders need immediate strategies.