Revenue Cycle Optimized

Follow Revenue Cycle Optimized
Share on
Copy link to clipboard

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


    • Jun 19, 2025 LATEST EPISODE
    • weekdays NEW EPISODES
    • 21m AVG DURATION
    • 263 EPISODES


    Search for episodes from Revenue Cycle Optimized with a specific topic:

    Latest episodes from Revenue Cycle Optimized

    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.

    RCM Insights - AI Agents for Prior Auth and Order Workflow Automation

    Play Episode Listen Later Apr 24, 2025 17:12


    In this episode, Charulata Nevatia, Product Director at Infinx, explains how AI-driven document capture supports automation in prior authorization, order creation, and EHR workflows. Learn how intelligent agents process faxes, eliminate duplicates, and integrate with systems using APIs or RPA.

    RCMinutes - Three Seconds Three Systems Why Prior Auth Needs One Source of Truth

    Play Episode Listen Later Apr 23, 2025 3:47


    When prior auth workflows are spread across fax inboxes, EMRs, and payor portals, teams lose time, clarity, and control. In this episode, we explore how a single source of truth can turn disconnected processes into a seamless, centralized workflow that gets results.

    AAPC HEALTHCON Recap on Compliance, Change, and What's Next in RCM

    Play Episode Listen Later Apr 22, 2025 21:24


    Stuart Newsome shares high-level reflections from AAPC HEALTHCON, highlighting emerging trends in compliance, legal risk, coding evolution, and automation. Hear how the broader revenue cycle community is responding to change and preparing for the future.Brought to you by www.infinx.com

    Voices from the Floor at AAPC HEALTHCON on AI

    Play Episode Listen Later Apr 21, 2025 21:21


    In this episode of RCM Insights, we bring you candid conversations from the AAPC HEALTHCON conference, where attendees shared how AI is influencing their work in coding, compliance, education, and denial prevention. From early adoption to cautious curiosity, their insights reveal the human side of integrating AI into the revenue cycle.

    RCM Insights- Integrating Patient Access Automation with EHRs in RCM

    Play Episode Listen Later Apr 17, 2025 28:16


    Seamless integration with EHRs is foundational to scaling patient access automation and optimizing revenue cycle performance. In this episode, Client Implementation Specialist Sahana Gangal explains how Infinx approaches standard and custom integrations, overcomes vendor limitations, and ensures successful data exchange across healthcare systems.

    RCMinutes - The Denial That Started at Intake

    Play Episode Listen Later Apr 16, 2025 3:23


    Some denials are inevitable — but others were preventable long before the claim was filed. In this episode, we unpack how missing workflows, bad data, and unclear responsibility at intake create denials that automation could have stopped cold.

    Litigation Strategies in Pathology RCM

    Play Episode Listen Later Apr 15, 2025 29:09


    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.Brought to you by www.infinx.com

    RCM Insights - Making Sense of AI Agents in RCM

    Play Episode Listen Later Apr 14, 2025 31:00


    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.

    ai making sense evan martin
    RCM Insights - AI and Human Collaboration in Revenue Cycle Management

    Play Episode Listen Later Apr 10, 2025 16:14


    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.

    RCMinutes - The Referral Black Hole - Why Patients Disappear Without Follow Up

    Play Episode Listen Later Apr 9, 2025 4:03


    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.

    Document Capture AI Platform Demo - Order Entry Automation in RIS

    Play Episode Listen Later Apr 8, 2025 32:20


    Learn how AI-driven automation reduces manual entry, enhances referral processing, and improves scheduling accuracy. Featuring Stuart Newsome and Lindsey Nelson.Brought to you by www.infinx.com

    Why Prior Auth Success Needs a Tech + Team Approach

    Play Episode Listen Later Apr 7, 2025 14:01


    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.

    RCM Insights – How AI Can Improve Performance Leveraging RCM Benchmarks

    Play Episode Listen Later Apr 3, 2025 24:20


    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.

    RCMinutes - Why Faster Faxing Isn't Enough

    Play Episode Listen Later Apr 2, 2025 3:39


    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.

    Adapting, Restructuring, And Thriving In The AI Workforce Shift

    Play Episode Listen Later Apr 1, 2025 28:56


    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.Brought to you by www.infinx.com

    RCM Insights - AI Automation Drives RCM Workflow Optimization and Denial Analytics

    Play Episode Listen Later Mar 31, 2025 17:22


    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.

    RCM Insights - Prior Authorization Workflows Still Stuck? How Automation Can Fill the Gaps

    Play Episode Listen Later Mar 27, 2025 15:44


    Despite advancements in healthcare technology, prior authorization still relies on fax machines, phone calls, and manual data entry. In this episode, Jennifer Glockzin breaks down the daily challenges providers face with TPAs, intent-to-deny notices, and unaffiliated provider referrals—revealing where automation can finally bridge the gaps in patient access and revenue cycle management.

    RCMinutes - Preventing Prior Auth Denials Before They Happen

    Play Episode Listen Later Mar 26, 2025 5:49


    Prior authorization isn't just a front-end task—it impacts claims, denials, and revenue cycle efficiency. Learn how automation streamlines prior auth from intake to reimbursement, reducing delays and preventing denials before they happen.

    Key Considerations For Clinical Pathology Billing, Coding, And Collections

    Play Episode Listen Later Mar 25, 2025 27:38


    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.Brought to you by www.infinx.com

    Claim Revenue Cycle Optimized

    In order to claim this podcast we'll send an email to with a verification link. Simply click the link and you will be able to edit tags, request a refresh, and other features to take control of your podcast page!

    Claim Cancel