Revenue Cycle Optimized

Learn how to adapt to changing managed care rates and avoid common pathology coding errors that impact your bottom line with David Smith, COO, MedReceivables Advisor. Understand the steps needed to ensure your practice gets paid accurately and on time.

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In this episode of RCM Insights, we explore what AI agents actually are and how they’re changing the way revenue cycle teams work. Taken from an in-depth conversation on the Willshire IT RevCast hosted by Evan Martin, Stuart Newsome breaks down the difference between bots and agents, where automation breaks down, and how smart organizations are using agents to improve document capture, prior authorization, and denial prevention.

In this special segment recorded live at the recent HLTH conference, we explore how combining AI and human expertise is driving measurable ROI across the revenue cycle. John Lynn of Healthcare IT Today sits down with Navaneeth Nair and Lora Pada from Infinx to discuss real-world strategies that balance automation with human oversight.

Referrals are supposed to drive patient volume, but without clear workflows and automation, they often fall into a black hole where nothing happens. In this episode, we explore how missing prior auths, unclear responsibility, and lack of follow-up cause patients—and revenue—to quietly disappear.

Learn how AI-driven automation reduces manual entry, enhances referral processing, and improves scheduling accuracy. Featuring Stuart Newsome and Lindsey Nelson.

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Automation is a powerful driver of efficiency in prior authorizations—but not every payer plays by the same rules. In this internal conversation excerpt with Jennifer Glockzin, Senior Manager Patient Access , we explore how Medicaid and regional plans create challenges that require both smart technology and a skilled team to ensure nothing falls through the cracks.

In this RCM Insights episode, Stuart Newsome, VP of RCM Insights, breaks down the fundamentals of benchmarking in revenue cycle management, including key metrics like net days in A/R and clean claim rates. Learn how AI and automation tools can help healthcare organizations go beyond analytics to drive performance, identify gaps, and enable continuous improvement.

Many healthcare teams think speeding up document intake will fix their prior authorization delays — but without intelligent automation, faxes still fall through the cracks. In this episode, we explore how AI agents and document capture tools transform outdated workflows into fast, reliable triggers for prior auth and referral follow-up.

AI is reshaping healthcare revenue cycle roles, not replacing them. Lavonne Hamby, Client Services Manager at Infinx, joins us to discuss AI’s impact on job structures, workforce adaptation, and accountability—helping RCM professionals navigate change while staying in control.

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In this episode, Christina Harkins breaks down how AI-powered automation and analytics are reshaping revenue cycle workflows. From identifying coding errors and denial trends to prioritizing high-impact claims, she explains how ARDM helps teams work smarter, not harder.