Revenue Cycle Optimized

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Join us as we explore the latest challenges, developments and innovations in the healthcare revenue cycle space. Don't forget to subscribe to get alerted when a new episode is uploaded.

Infinx Healthcare


    • Jul 30, 2025 LATEST EPISODE
    • weekdays NEW EPISODES
    • 20m AVG DURATION
    • 282 EPISODES


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    Latest episodes from Revenue Cycle Optimized

    RCMinutes - Why Prior Auth Isn't Getting Easier

    Play Episode Listen Later Jul 30, 2025 4:10


    Even with tech, the recent reform pledges and the latest Medicare rule aiming to improve electronic prior auth, the process remains one of the most burdensome in the revenue cycle. We unpack why the pain persists, and share how some organizations are adapting with smarter strategies, better tooling, and a mindset shift.

    Why Credentialing Breakdowns Are Costing Radiology Groups Millions

    Play Episode Listen Later Jul 29, 2025 36:04


    Credentialing is the first step to getting paid—and often the first thing to go wrong. In this episode, credentialing veterans Rebecca Bairnsfather and Peggy Kelly explain why radiology groups are struggling, what today's payers expect, and how better processes can help you avoid denials, delays, and lost revenue.Brought to you by www.infinx.com

    RCM Insights - AR and Denials Automation That Plays Well With Any PM or EHR

    Play Episode Listen Later Jul 28, 2025 22:17


    In this episode, we break down how Infinx's AR and Denials Management platform integrates with a variety of PM and EHR systems, and what successful implementation looks like from kickoff to go-live. Learn about data flows, client responsibilities, and how AI modeling is customized using historical claims data for optimal recovery predictions.

    RCMinutes - What AI Agents Can Actually Do in Patient Access

    Play Episode Listen Later Jul 23, 2025 4:04


    AI agents aren't magic, but they're not vaporware either. This fast episode breaks down how they're being used today to reduce manual touches and improve speed.

    Medicare Fee for Service Meets Prior Authorization

    Play Episode Listen Later Jul 22, 2025 17:13


    CMS is rolling out prior authorization for traditional Medicare. This Revenue Cycle Optimized panel breaks down what the WISeR model means for providers, how AI is involved, and what steps to take now—whether you're in a test state or watching for what's next.Brought to you by www.infinx.com

    RCM Insights - Preparing for Prior Authorization in Traditional Medicare

    Play Episode Listen Later Jul 21, 2025 13:05


    As CMS rolls out the WISeR model, prior authorization is expanding into traditional Medicare for the first time. In this internal Infinx discussion, we explore how providers are beginning to respond, where the opportunities lie, and why proactive preparation is key.

    RCMinutes - Avoiding Staff Burnout in Authorization Follow-Up

    Play Episode Listen Later Jul 16, 2025 5:42


    Too many teams are overextended chasing payer responses. Here's how smarter routing, automation, and batching can reduce burnout without sacrificing control.

    From Fax to Future in Radiology Prior Authorization Workflows

    Play Episode Listen Later Jul 15, 2025 26:54


    If your prior auths can't start until someone opens a fax, this episode is for you. Learn how automating document capture is streamlining radiology workflows and speeding up approvals from day one.Brought to you by www.infinx.com

    RCM Insights - Driving Profit With AI Agents and Human-AI Orchestration

    Play Episode Listen Later Jul 14, 2025 18:26


    In this special episode, Stuart Newsome shares his panel insights from the MGMA Summit on how AI agents and automation are helping practices increase profitability and streamline revenue operations. Focusing on the orchestration between technology and human expertise, Stuart highlights real-world strategies to reduce denials, protect revenue, and give overburdened billing teams a fighting chance.

    RCMinutes - Your Denial Report Needs This One Fix

    Play Episode Listen Later Jul 9, 2025 4:07


    Denial dashboards often fail to spark action. This episode spotlights a single critical fix: Root Cause Clarity—a decisive indicator of whether your denial data is driving improvement or just documenting failure.

    Prior Authorization Reform Pledge and What Comes Next

    Play Episode Listen Later Jul 8, 2025 18:39


    Major U.S. health insurers have pledged to reform prior authorization processes, aiming to reduce delays and administrative burdens. Join us as we explore the details of this announcement, its historical context, and what it means for providers and patients moving forward.Brought to you by www.infinx.com

    RCM Insights - The Hidden Hazards of Missed Charges

    Play Episode Listen Later Jul 7, 2025 29:37


    Willie Brown, MBA, MT(ASCP), CRCA, VP of Revenue Cycle at Sentara Health, and Taylor Searfoss, RCM Expert at Infinx's Ni2 Hospital Division, share real-world strategies to fix charge capture blind spots that quietly drain revenue. This conversation reveals how aligning clinical, IT, and rev cycle teams around root causes—not band-aids—can build lasting financial and operational resilience.

    RCMinutes - Does This Prior Auth Pledge Really Move the Needle

    Play Episode Listen Later Jul 2, 2025 4:03


    Major U.S. health insurers have pledged to streamline prior authorization processes after a new announcement from HHS and CMS. In this RCMinutes, we take a closer look at what was promised and whether it might finally deliver.

    Bridging Gaps with Data Across the Revenue Cycle

    Play Episode Listen Later Jul 1, 2025 13:34


    Stuart Newsome shares a multi-perspective approach to revenue cycle analytics, showing how smart data bridges gaps between operations, clients, and strategy.Brought to you by www.infinx.com

    RCM Insights - Elevating Charge Capture and Net Revenue for Hospitals

    Play Episode Listen Later Jun 30, 2025 25:59


    Taylor Searfoss and Jason Adams explain how Ni2, the acute care management consulting division within Infinx, helps hospitals maximize revenue through deep charge capture analysis, CDM optimization, and strategic pricing. The conversation covers why this team's hands-on, root-cause approach delivers measurable revenue lift and sustainable results where others fall short.

    RCM Insights - How End to End RCM Expertise Drives Neurology Success

    Play Episode Listen Later Jun 26, 2025 17:13


    This episode of RCM Insights features Bo Bowman, VP of Strategic Accounts at Infinx, in a conversation with a neurology practice leader. Bo shares practical insights on optimizing revenue cycle management with proven strategies in charge capture, coding, system integration, and analytics—delivering better outcomes for neurology practices of any size.

    RCMinutes - You're Still Not Getting the Full Picture from Your Eligibility Checks

    Play Episode Listen Later Jun 25, 2025 4:09


    Many providers think their eligibility verification process is airtight—but they're only getting a partial view. In this episode, we break down what your EVB process is missing and why that gap is driving denials, delays, and revenue loss.

    RCM Leadership That Gets Results in Coding Teams

    Play Episode Listen Later Jun 24, 2025 30:20


    Jessica Watson, Facility Coding Manager at Infinx, joins us to share how she leads high-performing remote coding teams without compromising on accuracy, culture, or speed. Learn practical tactics that make an RCM leader effective in today's complex coding environment.Brought to you by www.infinx.com

    RCM Insights - Mission Control Takes Flight in Patient Access Plus

    Play Episode Listen Later Jun 23, 2025 17:10


    Benj Kamm and Jonathan Aguiar introduce a major new feature in the Infinx Patient Access Plus platform called Mission Control. This dashboard gives supervisors real-time visibility and actionable insights to drive performance, improve process flow, and optimize automation.

    RCM Insights - AI Agents Transform Claim Status Checks

    Play Episode Listen Later Jun 19, 2025 8:54


    Explore how AI agents in ARDM automate claim status checks to reduce collector confusion, eliminate unnecessary touches, and boost revenue cycle efficiency. This segment breaks down real-world use cases—paid, pending, and denied claims—and explains how intelligent agents prioritize workflows and minimize productivity loss.

    RCMinutes - Chart Lag Slows Revenue Flow

    Play Episode Listen Later Jun 18, 2025 3:18


    Delayed provider documentation stalls coding, billing, and ultimately your cash flow. In this episode, we explore common causes of chart lag and practical ways to fix it so your revenue cycle keeps moving.

    The Hidden Hazards of Surgical Prior Auth

    Play Episode Listen Later Jun 17, 2025 26:24


    Explore the most common pitfalls in surgical prior authorizations, from medical necessity to coding and documentation, with insights from Bo Bowman and Stuart Newsome. Learn how teams—and the right tech—can avoid costly delays.Brought to you by www.infinx.com

    RCM Insights - AI Strategy Gaps and Growth Signals in Healthcare

    Play Episode Listen Later Jun 16, 2025 9:32


    In this follow-up episode, Lindsey Nelson shares the latest industry insights on AI adoption, barriers to scale, and how providers and payers are shaping their next moves. While awareness gaps persist, demand for AI-driven automation and clinical support tools is growing fast, with strategic clarity driving the pace of innovation.

    RCM Insights - How AI and Automation Are Shaping Healthcare's Strategic Response

    Play Episode Listen Later Jun 12, 2025 17:50


    Healthcare leaders are navigating market uncertainty not by stalling but by reshaping strategies, investing in automation, and seeking resilient partnerships. In this episode, Lindsey Nelson recaps key takeaways from the recent KLAS conference, highlighting how providers and payers are adapting to regulatory shifts, staffing shortages, and the complex road to AI adoption.

    RCMinutes - How Provider Documentation Impacts Revenue Cycle Performance

    Play Episode Listen Later Jun 11, 2025 3:29


    Incomplete or delayed provider documentation can stall coding, create charge lag, and reduce revenue cycle performance. In this episode, learn how improving clinical documentation at the point of care leads to faster claims, fewer denials, and better financial outcomes.

    Six Shifts Shaping RCM Influenced by AI Agents

    Play Episode Listen Later Jun 10, 2025 30:23


    Revenue cycle leaders are navigating six transformative shifts in 2025 — all accelerated by automation and AI agents. This session breaks down how these changes are impacting denials, workforce models, platform strategy, and financial clearance, and offers practical insights on building smarter, agent-enabled RCM operations.Brought to you by www.infinx.com

    RCM Insights - Building Smarter Prior Auth with a Tech Plus Strategy

    Play Episode Listen Later Jun 9, 2025 9:39


    Jason Lewis, Head of Sales at Glidian, shares insight into the evolving landscape of prior authorization technology following Glidian's acquisition by Infinx. In this excerpt from a prospect discussion, he highlights automation, integration strategies, and the powerful convergence of two best-in-class platforms.

    RCM Insights – Tech-Enabled Credentialing Built for Confidence

    Play Episode Listen Later Jun 5, 2025 14:52


    Credentialing and provider enrollment require more than data entry—they demand precision, consistency, and adaptability. In this episode, Denise Braddy and Bo Bowman walk through Infinx's hands-on, tech-enabled process to ensure every provider is tracked, enrolled, and compliant.

    RCMinutes - The RCM Check-Up You Didn't Know You Needed

    Play Episode Listen Later Jun 4, 2025 3:37


    Most providers don't realize their revenue cycle is quietly underperforming—until denied claims and delayed payments begin to pile up. In this episode, we walk through what an RCM Health Assessment really is, why it matters, and how to tell if your practice is overdue for one.

    Staying Ahead in the AI Arms Race with Payors

    Play Episode Listen Later Jun 3, 2025 29:46


    AI is helping payors deny claims faster than ever—are your compliance practices keeping up? Join Stuart Newsome for a concise, high-impact session covering key takeaways from his HEALTHCON talk and HFMA appearance, focused on staying compliant and competitive in the era of AI-driven RCM.Brought to you by www.infinx.com

    RCM Insights - AI, Automation, and the Human Touch in GLP-1 and E&M Prior Auth

    Play Episode Listen Later Jun 2, 2025 8:59


    GLP-1 medications and Evaluation & Management (E&M) services present two very different prior authorization challenges—one is high-volume and fast-moving, the other is nuanced and frequently blocked by PBM red tape. In this episode, Infinx's Jonathan Aguiar and Jennifer Glockzin break down how their team uses AI, automation, and hands-on intervention to streamline both, improving speed and accuracy while reducing provider burden. 

    RCM Insights - Turning Data Into Dollars With an RCM Health Assessment

    Play Episode Listen Later May 29, 2025 20:07


    Discover how a revenue cycle health check can uncover hidden opportunities in your RCM operation. Using the Infinx A/R and Denials Management Platform, this episode explores how data-driven analysis reveals coding issues, denial patterns, and workflow gaps—ultimately driving smarter, more strategic revenue performance.

    RCMinutes - Working Smarter in RCM with AI Agents

    Play Episode Listen Later May 28, 2025 4:00


    We've been talking about automation in healthcare for years, but a recent Forbes article by Navaneeth Nair, Chief Product Officer at Infinx, reframes the conversation entirely—what if the future isn't about tools, but teammates? In this RCMinutes, we explore how AI agents are shifting from static systems to adaptive coworkers, and what that means for your revenue cycle. Fewer denials, faster resolutions, and less burnout aren't pipe dreams—they're what happens when you start working smarter.To read Navaneeth's article, search “Work Smarter Not Harder The Future of AI Agents Forbes Navaneeth Nair” or visit the Forbes Tech Council section dated May 19, 2025.

    Lab Revolution in the Age of AI and Access

    Play Episode Listen Later May 27, 2025 19:23


    Labs are evolving. Join Ashish Dua of Glidian to explore how AI and automation are transforming lab operations—enabling scale, improving access, and reframing diagnostics as a revenue center, not a cost sink.Brought to you by www.infinx.com

    RCM Insights - Risk and Remedies of Compliance in AI

    Play Episode Listen Later May 26, 2025 23:28


    In this second segment from a live presentation at AAPC HEALTHCON in Orlando, Stuart Newsome explores the compliance risks and remedies that come with implementing AI in the revenue cycle. From black box algorithms and PHI exposure to false positives and audit failures, discover what providers must do to avoid costly missteps and ensure responsible adoption.

    RCM Insights - Payors Are Using AI Are You?

    Play Episode Listen Later May 22, 2025 11:09


    Payors have quietly entered the AI arms race—streamlining denials, accelerating audits, and recovering overpayments with unprecedented speed. In this episode, we explore what that means for providers and how they can respond before they're left behind.

    RCMinutes - AI, Private Equity, and the RCM Wake-Up Call

    Play Episode Listen Later May 21, 2025 3:52


    Private equity and venture capital are rapidly reshaping healthcare—and revenue cycle leaders are feeling the impact first. In this episode, we unpack why these acquisitions are happening, what to expect when capital comes in, and how RCM teams can lead through the transition instead of being left behind.

    From Paper to Patient-Ready - How Chesapeake Medical Imaging Cut Processing Time from Days to Hours

    Play Episode Listen Later May 20, 2025 36:26


    Join us for a panel discussion with Chesapeake Medical Imaging on how they modernized order intake and prior authorization workflows—going from fax-based delays to real-time scheduling, automation, and scalable growth without adding staff.Brought to you by www.infinx.com

    RCM Insights - Inside Glidian's Push to Modernize Prior Authorization

    Play Episode Listen Later May 19, 2025 11:30


    Glidian, now part of the Infinx family, brings cutting-edge automation to the prior authorization process, helping providers significantly reduce denials and improve cash flow. In this episode, co-founder Ashish Dua shares how Glidian's technology simplifies payer interactions, boosts staff efficiency, and expands patient access across labs, radiology, and emerging care verticals.

    RCM Insights - Automating Prior Auth from Fax to Approval with AI Agents

    Play Episode Listen Later May 15, 2025 11:01


    This segment features insights from Stuart Newsome and Linsey Nelson on how AI-powered document capture integrates with Patient Access Plus to create a seamless, touchless prior authorization workflow. Learn how unstructured inputs like faxes and emails can now be ingested, interpreted, and acted upon—with minimum human intervention—thanks to automation and intelligent agents.

    RCMinutes - How AI Agents Are Automating Workforce Management in Denial Operations

    Play Episode Listen Later May 14, 2025 3:34


    Managing AR teams efficiently is no longer just about headcount — it's about using AI-driven automation to intelligently assign and balance work. In this episode, we explore how AI Agents are transforming denial operations through smarter workforce management, reducing burnout, and driving faster recovery without adding staff.

    What's Next for Orthopedics? Lessons from the AAOE 2025 Conference

    Play Episode Listen Later May 13, 2025 20:48


    Hear fresh insights from the AAOE 2025 Conference as David Byrd, Lora Pada, and Danelle Newman break down the top trends shaping orthopedic practices today. Learn what's working, what's changing, and how ortho leaders like OSS Health are turning conference takeaways into real-world results.Brought to you by www.infinx.com

    RCM Insights - Optimizing the Workforce with AI-Driven AR Management

    Play Episode Listen Later May 12, 2025 18:07


    In this episode of RCM Insights, we explore how AI powers Infinx's Workforce Management module to intelligently allocate work, enforce SOPs, and drive staff productivity. Bimal Sahoo and Navaneeth Nair break down how automation, denial prioritization, and real-time analytics work together to maximize recoveries and streamline AR operations.

    RCM Insights - Predicting Revenue Recovery and Prioritizing Denials with AI

    Play Episode Listen Later May 8, 2025 18:17


    In this episode of RCM Insights, we explore how Infinx uses AI to predict recoverability from denials and prioritize accounts receivable worklists accordingly. Bimal Sahoo and Navaneeth Nair unpack how this intelligent prioritization model helps revenue cycle teams focus on the most collectible claims, avoid missed deadlines, and unlock dollars previously deemed unrecoverable.

    RCMinutes - How Smart Agents Help You Work Denials That Actually Pay

    Play Episode Listen Later May 7, 2025 3:26


    Most denial management strategies focus on timely filing and high-dollar claims — which sounds smart, but can often lead teams to waste time on low-yield work. In this episode, we explore how AI Agents are being used to predict recoverability, prioritize denials based on expected outcomes, and help teams focus their energy where it matters most.

    Protecting Revenue with Safety Nets for Timely Filing

    Play Episode Listen Later May 6, 2025 26:08


    Revenue cycle disruptions during EHR installs can lead to massive timely filing losses. In this episode, Tadd Miller shares how his team built practical safety nets to stop revenue leakage before it started.Brought to you by www.infinx.com

    RCM Insights - Inside the Security Questionnaire Process

    Play Episode Listen Later May 5, 2025 17:06


    In this episode, we break down the internal process for responding to client security and compliance questionnaires with precision and care. You'll learn how our HITRUST and SOC 2 accreditation supports these efforts and what steps the compliance team takes to ensure consistency, accuracy, and data protection.

    RCM Insights - How AI Agents Are Shaping RCM Inside the Digital Workforce

    Play Episode Listen Later May 1, 2025 8:17


    In this episode of RCM Insights, Product Marketing Manager Lindsey Nelson breaks down the growing lineup of AI agents and task-based automations embedded across Infinx's solutions. Hear how specific agents — from prior authorization and claim status to credentialing and custom data workflows — are helping healthcare organizations drive greater speed, scalability, and accuracy in revenue cycle management.

    RCMinutes - AI Agents Behind the Scenes of Your Patient Access

    Play Episode Listen Later Apr 30, 2025 3:02


    AI agents are transforming the front-end of the revenue cycle by capturing documents, verifying data, and launching workflows before staff even log in. In this episode, we explore how these digital teammates increase throughput, reduce rework, and empower your team to focus on high-value tasks.

    The Human Edge in an Automated Revenue Cycle

    Play Episode Listen Later Apr 29, 2025 33:52


    Evan Martin of ZoomCare joins us to explore the intersection of automation and expertise in RCM, offering practical insights into denial management, data usage, and building smarter revenue cycle strategies.Brought to you by www.infinx.com

    RCM Insights- Inside the Revenue Cloud and the Rise of AI Agents

    Play Episode Listen Later Apr 28, 2025 14:42


    This episode explores the foundation of Infinx's cloud-based Revenue Cycle Agent Platform and its integration of adaptive, RCM-trained AI agents. Learn how these digital agents bring goal-oriented, context-aware intelligence to the revenue cycle, transforming automation into real-time decision-making support.

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