Blog
Revenue cycle
29 articles on revenue cycle on the Rivio blog.
-
Surgical tier classification: clinical vs. CBHPM
There are two surgical tier classifications: the clinical one, used in care planning, and the CBHPM one, used for billing. See the criteria for each and why confusing them creates a risk of error in hospital billing
-
Long hospital billing times: how to reduce them
The average time to payment for Brazilian hospitals was 77.35 days in 2024, according to the Anahp Observatory 2025. Understand why this number is so high and which levers reduce the time between discharge and payment
-
Medical auditing: regulations and how to work in the field
CFM (Federal Council of Medicine) Resolution No. 2,448/2025 updated the rules for medical auditing in Brazil, prohibiting denials of pre-authorized procedures and reinforcing the attending physician’s autonomy. Understand what has changed
-
Revenue cycle: financial impact and how to avoid losses
R$ 5.8 billion withheld in denials, an average time to payment of 78 days and a falling EBITDA margin: understand where the hospital revenue cycle fails, how much each bottleneck costs and what efficient management changes in the bottom line
-
Billing for enteral nutrition: rules, TUSS and how to prevent denials
Enteral nutrition has specific classification rules in TUSS, requires multiprofessional documentation and can generate preventable denials. Understand how to structure billing correctly and protect the hospital’s revenue cycle
-
Multiple procedures in the same surgery: how to calculate
Billing for two or more procedures in the same surgical act follows specific CBHPM rules. Understanding the percentages by access route prevents denials, ensures correct billing and protects the hospital’s revenue.
-
Stages of the hospital revenue cycle: how to follow them to the letter
Carrying out the stages of the revenue cycle is not enough. They need to be structured with defined protocols, owners and indicators. See what each stage requires to run efficiently and how to measure the cycle’s performance
-
What the hospital revenue cycle is: a complete guide
From scheduling to payment, the hospital revenue cycle determines how much the hospital actually receives for what it produces. Understand each stage, the main points of loss and how good management transforms the institution’s financial results
-
Hospital billing specialist: who they are and what they do
From the medical record to payment: the hospital billing specialist is the person who makes sure every service provided turns into revenue for the hospital. Understand their duties, the profile required and how to build a career in the field
-
How to optimize hospital RCM: practical strategies
From pre-admission to denial appeals, learn how to structure each stage of the hospital revenue cycle to identify invisible losses, reduce denials and increase financial predictability in hospital management
-
Catheter flushing in hospitals: when to charge and how to avoid denials
Peripheral venous catheter flushing is performed several times a day but rarely charged rigorously. Learn when the procedure can be billed, what must be in the medical record and how correct documentation prevents denials
-
Revenue Cycle Management: why does this concept matter?
Learn how this governance model helps organize the hospital revenue cycle, reduces denials, improves cash flow and protects financial margins in a regulated and highly complex environment
-
How anesthesiologist fees are calculated
Understand how the CBHPM anesthesia tier scale works, how it corresponds to procedure tiers and how to correctly calculate the anesthesiologist’s fee in hospital billing
-
Hospital revenue cycle management: the complete guide
From pre-admission to payment: learn the stages of the hospital revenue cycle, the indicators that matter and how to structure a process that protects revenue and reduces denials
-
10 points of attention in hospital financial management
Discover the factors that most affect hospitals’ financial results and how to avoid losses, improve processes and increase efficiency with data-driven decisions and strict control of costs and revenue
-
Stockouts: how to avoid this mistake in healthcare management
Understand how failures in supply planning compromise patient safety and cause financial losses. Discover practical strategies to optimize the supply chain and ensure operational predictability at your facility
-
Zero inventory in hospitals: can the concept be applied?
Discover how hospital management and data technology resolve the dilemma between patient safety and financial efficiency, turning supply control into a strategic advantage for billing
-
Healthcare management indicators: which matter most?
Learn how to select and interpret the key metrics that connect clinical efficiency to the institution’s financial success and learn how artificial intelligence can make processes more efficient
-
Materials and Sterilization Center: management best practices
Learn how efficient materials processing prevents surgery cancellations, extends the useful life of surgical instruments and ensures compliance with Anvisa RDC 15, turning the department into a financial pillar of the hospital
-
Surgical suite: a major challenge for hospital management
Understand how hospital management should run the surgical center with a focus on patient safety, strict OPME control, maintenance of critical equipment and optimized room turnover for high performance
-
The ANS DUT: a key requirement for using a health plan
Understand how the Utilization Guideline (DUT) defines coverage of tests and therapies in private healthcare, why clinical documentation is the key to avoiding refusals and how to ensure your hospital’s regulatory compliance.
-
Hospital Admission Authorization (AIH): know the rules
Learn the rules, authorization steps, mandatory fields and impact on hospital billing. Understand how filling in this documentation correctly helps reduce denials, strengthen auditing and protect the revenue cycle.
-
Test management: how to avoid wasting resources
Learn how ordering, managing and controlling clinical tests can be strengthened through data integration, value-based protocols and artificial intelligence.
-
Outpatient management: how to organize care outside the hospital
Outpatient management involves organizing people, processes and data outside the hospital. See how to gain efficiency, cut costs and improve care.
-
Value-Based Healthcare: how do you measure success in healthcare?
Understand what Value-Based Healthcare is, how Michael Porter formulated the concept and why value in healthcare came to be measured by outcomes and costs.
-
Turnaround time: why time matters in healthcare
Understand what turnaround time is, why it is so important, how it affects patients and managers and how it can be reduced with processes and technology.
-
What is the urgent or emergency surcharge?
Learn when to apply the 30% surcharge on physician fees under the CBHPM. This article explains the rules for night hours, weekends and holidays, as well as how to fill in the TISS standard correctly to avoid denials
-
Endoscopy and colonoscopy on the same day: are two fees paid?
Understand how equipment fees are charged when an endoscopy and a colonoscopy are performed on the same day, according to CBHPM rules.
-
How to fill in the reduction or surcharge factor
Learn how to correctly fill in the TISS fields that apply rates to the value of procedures. This article explains how to use decimals and avoid common errors that lead to denials in settlements with health plans
No articles match that term.
