Revenue Cycle Optimized

AI agents don't come with arms, legs, or eyes—but they do have something even better: the ability to think, reason, and act. As generative AI continues to evolve, so do the capabilities of AI agents—autonomous systems that can interact with applications, extract and apply knowledge, and make decisions based on context. In this episode, from a Region 9 HFMA Texas webinar, Stuart Newsome, CPCO, VP of RCM Insights, Infinx, breaks down the "anatomy" of AI agents—not to teach biology, but to show how these invisible workers are transforming how healthcare organizations operate behind the scenes. From data-grabbing fingers to decision-making brains, we'll explore what powers these agents, how they collaborate, and why revenue cycle leaders are putting them to work across their digital ecosystems.Brought to you by www.infinx.com

This episode explores the hidden cost of eligibility errors and how small EVB mistakes cascade into claim denials, rework, and delayed payments that hurt both practices and patients.

Explore how today's AI-powered coding solutions are designed with compliance and quality at their core. This episode will highlight the safeguards built into implementation, the auditing processes that protect accuracy, and how continuous improvement ensures models evolve over time. Join us to learn how organizations can confidently adopt AI while maintaining trust, compliance, and coding excellence.Brought to you by www.infinx.com

This episode features Krisi Probert, EVP of Operations & Clinical Technology at Upstream Rehabilitation, sharing how a patient centered and data driven approach transformed her journey from clinician to executive innovator while overcoming challenges in patient access, prior authorization, and scale.

Every January, payors reset benefits, deductibles, and authorizations—making eligibility re-verification a critical step for practices. This episode unpacks why the stakes are higher than ever and how automation ensures patients stay covered and revenue keeps flowing.

AI may be the buzzword of the decade, but its success depends on something far older—human connection. Join healthcare leader Nio Queiro for a candid discussion on demystifying AI, building trust across teams, and turning innovation into lasting operational change.Brought to you by www.infinx.com

This episode features a client conversation with Lora Pada, AVP of Client Success, on how re-verification season is managed step by step. Learn how automation, staff augmentation, and customizable workflows ensure patients are re-verified quickly, accurately, and without disruption.

In this episode, we spotlight an article by Navaneeth Nair, Chief Product Officer at Infinx, recently published in Becker's Hospital Review. The piece outlines six critical questions every healthcare CFO should be asking about artificial intelligence, from governance and ROI to workforce impact and compliance.

Physical therapy groups face massive reverification spikes every January. Learn how Agentic AI and flexible staffing can keep patients moving while protecting practice revenue.Brought to you by www.infinx.com

This episode highlights a client conversation on how intelligent automation and AI agents streamline eligibility verification and prior authorization for PT/OT practices, while human specialists manage exceptions for a complete, tech-enabled solution. Listeners will also hear how seasonal re-verification surges are handled with flexible workflows that reduce denials and improve turnaround times.

This episode unpacks the difference between clerical and clinical denials — and why so many prior auth denials get mislabeled as “clinical” until it's too late. Learn how misclassification drives up costs, drains resources, and hides preventable issues that can be fixed on the front end.

Manual intake workflows are one of the biggest slowdowns in healthcare. Every day, staff spend hours chasing down documents, retyping data, or figuring out what's missing—before a patient can even be scheduled.In this episode, Stuart Newsome, VP of RCM Insights at Infinx, shows how agentic AI can change that.Brought to you by www.infinx.com

Rural hospitals don't need another cost-cutting cliché. They need to reclaim what's already theirs. In this episode, Taylor Searfoss from Infinx highlights the hidden dollars buried in hospital workflows—and shows you how to find them.Brought to you by www.infinx.com

This episode highlights how one provider used claim complexity scoring to redesign workload assignment, curb cherry-picking, and dramatically reduce rebill rates. Along the way, we connect this approach to modern AR analytics, predictive modeling, and smarter workforce management.

This episode features David Byrd, Senior Vice President at Infinx, as he walks through a proven four-step prior authorization process that helps reduce denials, accelerate turnaround times, and improve patient access. Listeners will hear how technology and human expertise combine to deliver scalable results across specialties while supporting better patient and staff experiences.

A small imaging center uncovered hidden waste in patient access when scheduling workflows didn't match their tech stack. By streamlining tools, cutting manual steps, and aligning technology with real staff processes, they saved FTE hours, improved throughput, and reduced bottlenecks that drive revenue loss in imaging centers across the U.S.

Over 70% of imaging centers still depend on manual referral, scheduling, and prior auth processes—slowing care and straining staff. In this episode, Stuart Newsome, CPCO, VP of RCM Insights at Infinx, shows how AI agents powered by generative AI are transforming radiology operations. See how these “invisible coworkers” integrate with RIS, PACS, and EHRs to automate tasks, improve efficiency, and deliver real results.Brought to you by www.infinx.com

When it comes to managing denials, scale isn't just about staffing—it's about intelligence. In this episode, we explore how AI, predictive analytics, and custom work queues are helping revenue cycle teams work smarter and recover more.

Sometimes it's not the payer or the process—it's your partner. This fast episode unpacks how weak vendor SLAs and poor integration can trigger a revenue delay spiral that stalls cash flow and frustrates patients.

Modernizing radiology intake means more than sending documents to Epic—it's about building accuracy into the process. Learn how AI-powered document capture uses HL7 ORM mapping to handle multi-patient faxes, duplicates, and poor-quality images, with a phased rollout that keeps data clean and workflows running smoothly.Brought to you by www.infinx.com

Navaneeth Nair, Chief Product Officer, and Jonathan Aguiar, Senior Solutions Engineer, share how embedding AI driven prior authorization directly into the EHR keeps providers in their familiar workflow while giving supervisors and leadership complete operational visibility. Discover how digital and human agents work together behind the scenes to accelerate approvals, prevent denials, and adapt to changing payer requirements.

Some denials don't follow the rules—and that's exactly the problem. This episode explores why edge-case denials expose system vulnerabilities and how smarter design thinking can prevent silent revenue loss.

Many hospitals lack real-time visibility into front-end revenue cycle metrics like prior auth status and registration accuracy. This episode explores how closing that visibility gap can reduce denials, improve staff performance, and drive better financial outcomes.Brought to you by www.infinx.com

Pratik Gaykar shares how the Centers of Excellence team improves efficiency, ensures quality, and partners with internal teams to transform client experiences and drive margin improvements. From automation initiatives to handling escalations and supporting product development, the team plays a key role in shaping smarter revenue cycle solutions.

Not every metric belongs in an exec report. These are the KPIs your billing staff actually act on—and why they're the key to improving denial rates.

Evan Martin joins us to break down the daily chaos of managing prior authorizations in a real-time care model. From retro auths to plan-specific rules and underwhelming automation, Evan reveals why today's processes are out of sync — and what an agentic AI solution could look like to finally orchestrate it all.Brought to you by www.infinx.com

In this RCM Insights segment, we drop in on a real client conversation exploring the live deployment of AI-powered document capture. Hear how agentic AI is being applied step-by-step—from fax intake to HL7 integration—with expert insights from Infinx product leaders.

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.

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

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.

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.

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

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.

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

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

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.

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.

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

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.

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.

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

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.

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.

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.

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

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.

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.

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.

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

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.

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.