In this episode of the Wilshire IT Revcast, Evan Martin sits down with Shari Boyer, Director of Enterprise Denial Management, WVU Medicine, and Scott Earich, Partner and Owner of The Wellington Group, LLC, to unpack how payers are industrializing denials and how providers can respond with AI-driven strategies.

This episode explores the 2025 CMS final rule changes with a deep dive into how new payment and coding policies—especially around skin substitutes—will impact Chargemaster design, revenue integrity, and reimbursement across hospitals, ASCs, and physician practices. The guests highlight the need for multidisciplinary collaboration, stronger standards, and more innovative use of automation and EHR tools (e.g., order sets, creative forms, charge edits) to ensure compliant billing, protect revenue, and align payer contracting strategies with the new regulatory landscape.

In this engaging episode of the Wilshire RevCast, host Evan Martin is joined by Kelly Samuel, the Executive Director at Annuity Health, to discuss the intricate patterns within revenue cycle management. With a summer full of changes and a transition into fall, they explore how identifying and understanding patterns can unlock significant improvements in revenue cycle processes and operations. This episode is packed with insights into empowering teams, leveraging data, and driving operational success through informed decision-making.

In this insightful episode, host Evan Martin, alongside guest co-host Patti Consolver, delves into the intricacies of patient loyalty and the pivotal role of patient experience in healthcare sustainability. Featuring Matt Lauer, a certified patient experience professional, the discussion highlights the intersection of revenue cycle management and patient satisfaction, emphasizing the need for healthcare systems to adapt and improve service interactions using data-driven insights and a holistic understanding of patient needs.

In this engaging episode, host Evan Martin In this engaging episode of the Wilshire IT broadcast, host Evan Martin converses with Rahul Agrawal, a visionary entrepreneur in healthcare technology. The discussion delves into the transformative capabilities of AI in streamlining medical documentation and revenue cycle management, highlighting how these innovations are poised to significantly reduce administrative burdens and enhance efficiency in healthcare operations. Rahul shares insights into his company’s development of AI tools that support healthcare professionals in improving coding accuracy and managing claims with reduced denials, emphasizing a long-term vision for integrating AI seamlessly into healthcare practices. Listen at https://blubrry.com/wilshireitrevcast/, or on your favorite podcast app!

In this episode of the Wilshire IT Revcast, host Evan Martin and guest Marcia Leighton dive into the pervasive role of AI in various sectors, with a focus on healthcare and revenue cycle management. They discuss the integration and impact of AI tools like ChatGPT and Google Gemini on productivity, decision-making, and organizational efficiency. The conversation highlights the importance of adopting AI proactively to enhance workplace processes and underscores the necessity for balancing innovation with security and personal readiness. 

In this episode of The Wilshire IT Revcast, host Evan Martin and guest Marcie Carleton explore the evolving landscape of recruitment, with a particular focus on trends in remote work and the application of AI in hiring processes. They explore the preference for remote work among candidates, the challenges in balancing in-office and flexible schedules, and the role of recruiters in personalizing candidate engagement. The conversation further emphasizes the importance of relationship-building and authentic communication in recruiting, underlining innovative strategies for maintaining community among remote teams.

In this engaging episode, host Evan Martin is joined by Justin Liu, the co-founder and CEO of Charta Health. Broadcasting from Alaska, Evan dives into the dynamic world of healthcare AI, exploring how language models are revolutionizing revenue cycle management. Justin shares fascinating insights into the backend intricacies of healthcare systems and the role AI plays in streamlining processes. Listen at https://blubrry.com/wilshireitrevcast/, our YouTube Channel https://www.youtube.com/@thewilshireitrevcast9585, or on your favorite podcast app!

Welcome to the latest episode of the Wilshire IT Revcast, where we dive into the vibrant world of the NAHAM Conference. Join us for a live recording as we speak with leading professionals about key topics in healthcare access management and the technological advancements shaping this critical field.

In this episode, host Evan Martin and guest Stuart Newsome of Infinx Health delve into the impact and evolution of AI agents within the healthcare revenue cycle management industry. They explore the roles and benefits of AI in enhancing efficiency and accuracy in tasks such as cybersecurity, denial management, and document processing. Their discussion highlights how AI agents augment human roles rather than replace them, emphasizing the importance of ethical considerations and strategic partnerships in harnessing these advanced technologies.