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Denied claims are often treated as a series of isolated issues. However, this $20 billion problem stems from deeper causes: fragmented data flows, inconsistent documentation practices, outdated integrations, and a lack of real-time validation. Understanding why denials happen and how to prevent them systematically is critical.

Integrating RCM into a modern SaaS platform may look simple on paper. However, engineers quickly run into endless quirks of payers, clearinghouses, EHRs, clinical workflows, privacy rules, and data standards. The result is brittle integrations and revenue leakage that undermine your product’s growth.

If you build for healthcare, your product touches money and compliance long before it touches patients. 2026 and 2027 deadlines figure in many regulations that affect revenue cycle management (RCM) requirements. With a push for interoperability, products with RCM functionality must expand the managed data, accelerate decision-making, and take privacy more seriously.

Customers won’t churn because of ugly UI. They’ll churn because your software can’t get them paid. MedTech products are now expected to handle not just clinical, but also financial workflows. Poor revenue cycle functionality leads to billing errors, compliance risks, and poor customer satisfaction.

Less than two years remain for healthcare payors to fully comply with CMS-0057-F (CMS Interoperability and Prior Authorization Final Rule). Impressive title aside, this requires the development or improvement of Patient Access APIs. This guide covers everything you need to know about the topic.

Healthcare startups face an uphill battle. How do they succeed in a highly regulated market and win the trust of doctors, nurses, and patients? Everything counts—features, security, marketing, and, of course, AI. Yet, many companies still overlook the hidden costs of healthcare UX design.

CMS-0057-F brings massive changes to the US healthcare. Our team has looked at the new CMS Interoperability and Prior Authorization Final Rule published on January 17, 2024. The regulation aims to make health information more accessible, and easier to exchange.

Why would you want to import existing cloud resources into Terraform? Well, there are many reasons. I once joined as a Lead DevOps Engineer on a healthcare project developed outside the US. Since 2018, multiple teams have supported the project, fueled by coffee and bad decisions. Eventually, the founders sold the startup to a new owner and drove their Tesla Roadsters off into the sunset. 

HIPAA compliance often takes a backseat for medical startups. Competition is high, funding scarce, and deadlines merciless. When resources are limited, upfront costs seem like a huge burden. Such thinking is pervasive among business stakeholders.

HIPAA is a complex topic. Technical implementation has many nuances, which hackers exploit and regulators punish. In February 2024, hackers broke into the United Healthcare CHC server, compromising the data of 110 million Americans. The alarming part isn’t the human cost, the sheer scale of the breech or eye-watering $2.45B of losses for United Healthcare.

Concerned about user privacy? Well, you should if you want to avoid fines of up to €20 million. GDPR compliance is a must for pretty much every software company that handles EU residents’ data. To make the task easier, we created an in-depth guide to GDPR compliance for SaaS platform owners and software developers.