Revenue Cycle Optimized

Staffing shortages may appear first as growing work queues or slower follow-up, but their financial impact can remain hidden for months. This episode looks at practical steps revenue cycle teams can take now to protect capacity, prevent backlogs, and keep today's staffing challenge from becoming tomorrow's cash problem.

Healthcare has made enormous progress in digitizing payments, yet paper checks, remittance documents, statements, and manual reconciliation are still part of the revenue cycle. Monte Sandler, COO of WebPT, joins us to discuss why these workflows persist and what providers can do to finally move beyond them.Brought to you by www.infinx.com

Automating eligibility and benefits verification takes more than establishing a connection to a payer. Benj Kamm explains how data quality, calibration, payer variation, and exception handling determine whether automation produces a complete and usable result.

Denial prevention requires healthcare organizations to look beyond back-end recovery and address the operational breakdowns that cause claims to be denied. Taylor Searfoss explains how stronger processes, cross-functional collaboration, and practical uses of AI can reduce rework and protect margins.

Radiology revenue cycle teams are being stretched by prior authorization complexity, staffing shortages, payer policy changes, fragmented systems, and denials that often begin long before the claim is submitted. This episode features a session at RBMA Founder's Day 2026 where Stuart Newsome shared common themes emerging from real radiology practice conversations and explored the operational breaking points that are slowing down revenue, frustrating staff, and creating patient access delays. Listen in to find a practical framework for identifying their own highest-impact bottlenecks and understanding where automation, analytics, AI agents, and human expertise can make a measurable difference.Brought to you by infinx.com

AI delivers value in the revenue cycle when it is built into well-designed workflows supported by reliable data, governance, and clear measures of performance. Navaneeth Nair, Chief Product Officer at Infinx Healthcare, joins Stuart Newsome to discuss where AI is working today, from prior authorization and coding to denial prevention, recovery, and enterprise workflow orchestration.

Revenue cycle may be complicated, but managing it should not require constant executive attention. The goal is an operation dependable enough that leaders can focus on the exceptions instead of wondering whether the entire process is working.

The beginning of a new benefit year can create a major eligibility and benefits reverification surge for physical therapy and occupational therapy organizations. In this episode, healthcare leaders will explore how intelligent automation, flexible workflows, and operational support can help manage January volume while protecting staff capacity, patient access, and revenue.Brought to you by www.infinx.com

Tom Jackiewicz, President of the University of Chicago Health System, examines the financial and workforce pressures forcing health systems to reconsider how they grow and deliver care. He shares why physician engagement, operational focus, and a willingness to embrace change will be essential in the years ahead.

Revenue cycle transformation rarely follows the same path from one organization to the next. Ankur Pawa, Chief Commercial Officer at Infinx, shares real-world examples of how technology, process redesign, and human expertise can be applied differently based on an organization's operational needs, culture, and readiness for change.

The January benefit reset creates a predictable surge in eligibility, benefit, and authorization work, yet many organizations still treat it like a January problem. Getting ahead of reverification means understanding the volume, prioritizing the right patients, and building enough capacity before the new benefit year begins.

Every revenue cycle has people who seem to know the things that never made it into the manual. That experience is incredibly valuable, but when a workflow depends on one person knowing the payer, the exception, or the workaround, expertise can quietly become operational risk.

Annual insurance reverification puts added strain on therapy organizations during an already busy time of year. Join Brittany Lemoi of Ivy Rehab to discuss practical ways to manage reverification at scale, support staff, and standardize processes across a growing network.Brought to you by www.infinx.com

Revenue cycle teams are often asked to work more accounts, faster, even when much of that inventory may not need the same level of attention. This episode looks at how exception-based workflows can help teams focus on the accounts that fall outside expected patterns and are most likely to require action.

Revenue cycle instability becomes an executive problem when leaders must continually check, chase, escalate, and intervene. This Office Hours session explores how recurring cash delays, workflow gaps, payer friction, and unclear accountability erode trust—and what it takes to build a more stable and dependable operating model.Brought to you by www.infinx.com

Healthcare leaders often recognize revenue cycle opportunities but still struggle to determine which ones deserve executive attention and investment. This panel discussion explores how health systems can validate financial opportunities, strengthen accountability, improve revenue capture, and take meaningful action in a changing healthcare environment.

Automation can remove repetitive work, but disconnected tools often leave staff managing the gaps between systems. This episode explores why orchestration is the key to getting automation, AI, and human expertise working together across the revenue cycle.

Get the key takeaways from the Infinx Thought Leadership Executive Forum, where finance, RCM, and transformation leaders discussed AI, workforce strategy, prior authorization, AR and denials, revenue integrity, and what's next for revenue cycle strategy.Brought to you by www.infinx.com

RCM Plus gives revenue cycle leaders greater visibility into the claims, payer trends, operational behaviors, and performance issues affecting financial outcomes. In this episode, Christina Harkins explains how predictive analytics, intelligent prioritization, and revenue cycle expertise can transform fragmented data into focused action. 

Not all revenue loss begins with a denial or an unpaid claim. This episode explores how missed charges, documentation gaps, and disconnected workflows can cause revenue to disappear before a claim is ever submitted.

The goal is not just to extract data from documents, but to make it actionable and seamlessly connected to the next step in the revenue cycle. Join us for a thought leadership discussion on reducing manual document work, building confidence in AI-enabled workflows, and understanding why trusted technology partners are essential for reliable, scalable automation.Brought to you by www.infinx.com

Denials may appear at the end of the revenue cycle, but their causes often begin much earlier. This episode explores how organizations can use denial data to identify operational breakdowns, assign accountability, and protect revenue before the same problems repeat.

CMS-0057 and HTI-4 are reshaping prior authorization from both sides of the workflow: payer requirements and certified EHR readiness. This episode will break down what these regulations mean for providers, how they may change day-to-day prior authorization operations, and what questions organizations should be asking their vendors now.Brought to you by www.infinx.com

In this excerpt from a client conversation, Navaneeth Nair, Chief Product Officer at Infinx, explains why prior authorization cannot always be managed effectively through Epic alone. He explores how the Infinx Patient Access platform combines payer connectivity, AI agents, workflow orchestration, and human expertise to manage the many paths an authorization may need to take.

A revenue cycle analysis can help organizations identify where cash is delayed, where A/R is building, and where denials may point to deeper operational or strategic issues. In this episode, Ankur Pawa, Chief Commercial Officer at Infinx, and Ramesh Reddy, AVP of Client Services, discuss how broader revenue cycle analytics can reveal opportunities to collect more and collect faster.

Mergers and acquisitions may bring organizations together on paper, but revenue cycle operations rarely align automatically. This episode's discussion explores what leaders should understand about workflows, systems, reporting, culture, and operational continuity when RCM teams and processes come together.Brought to you by www.infinx.com

Health systems are under pressure to improve margins, but cost reduction alone will not solve the financial challenge. In this RCMinutes episode, Stuart Newsome explores why denials, prior authorization delays, A/R drag, missed charge capture, and under-billing are not isolated department issues, but signs that revenue cycle leadership now requires enterprise visibility, workflow orchestration, and practical financial action.

A paid claim may look resolved, but payment does not always mean the reimbursement was correct. In this RCMinutes episode, we look at how underpayments, payer contract issues, missing modifiers, and incorrect adjustments can quietly drain revenue even when the claim technically gets paid.

Stuart Newsome shares his top takeaways from the KLAS K2 Summit on payer-provider collaboration, prior auth, interoperability, and AI—and what they mean for revenue cycle leaders working to reduce friction, prevent denials, and improve real-world workflows.Brought to you by www.infinx.com

In this episode of Revenue Cycle Optimized, David Byrd, SVP of Business Development at Infinx, and Carlie Richard from Maverick AI discuss how autonomous coding can improve speed, accuracy, and scalability in radiology revenue cycle operations. The conversation highlights a connected model where AI handles routine coding in seconds while certified human coders manage exceptions, audits, compliance oversight, and denial prevention.

Revenue cycle metrics can reveal far more than days in A/R, cash collections, or cost to collect. In this episode, Jon Vitiello, SVP & CFO at St. Luke's Health, joins Stuart Newsome to discuss how CFOs interpret RCM signals, separate operational noise from financial risk, and use revenue cycle insight to guide strategy, investment, Medicare Advantage response, and patient access performance.Brought to you by www.infinx.com

Health systems are under pressure from workforce shortages, rising denials, aging A/R, charge capture leakage, and revenue integrity gaps that are often hiding across both acute and ambulatory operations. In this RCMinutes episode, we preview the themes behind the Infinx Healthcare Revenue Cycle Thought Leadership Executive Forum in Chicago and explore why leaders need a more collaborative, enterprise-wide approach to finding and protecting revenue.

Denial management matters, but it often begins after revenue has already been delayed or put at risk. This RCMinutes episode explains why preventing revenue loss requires looking upstream, spotting patterns earlier, and fixing the process issues that create avoidable denials in the first place.

AI-enabled charge capture can reduce manual work, but the real value comes when technology and billing expertise work together to improve accuracy, speed, and claim quality.Brought to you by www.infinx.com

Charge capture issues often hide in plain sight, creating recurring revenue leakage across departments, payer contracts, documentation, and billing workflows. In this episode, Sean Dennehey and Jason Adams of Infinx discuss how a full claims review, clinical validation, reimbursement modeling, and long-term implementation support can help organizations uncover missed revenue and strengthen charge reconciliation.

A/R follow-up often looks productive on the surface, but claim touches do not always lead to claim movement. In this RCMinutes episode, we look at why clear next actions matter, how vague follow-up creates rework, and how better workflow discipline can help teams move accounts toward resolution instead of just another note.

HFMA Annual will be full of vendors, platforms, consultants, AI tools, automation promises, and revenue cycle solutions. This pre-HFMA Office Hours panel will help healthcare finance and revenue cycle leaders think through the business problems driving this year's conversations, the questions worth asking, and how to separate proven strategy from market noise.Brought to you by www.infinx.com

In this episode of Revenue Cycle Optimized, Christina Harkins, Director of Customer Success at Infinx, discusses how prior authorization workflows can be optimized through automation, custom queues, workflow discovery, and ongoing operational support. She explains how the right mix of AI, human oversight, reporting, and implementation planning can reduce manual work, prevent avoidable denials, and improve revenue cycle performance.

Aged A/R is often treated like one large problem, but every aging bucket tells a different story about collectability, payer behavior, and operational gaps. In this RCMinutes episode, we look at how smarter segmentation, AI-driven payment propensity, recoverable value, and workflow orchestration can help teams prioritize the accounts most likely to produce results.

The Rural Health Transformation Program brings $50 billion in federal funding to states over five years, but the real question is whether temporary funding can create lasting operational change. In this episode, Scott Cook, VP of Business Development at Infinx, joins Stuart Newsome to discuss what rural providers should understand about the program, the state-by-state variability, and the operational realities behind applying for and sustaining these funds.Brought to you by www.infinx.com

In this episode of Revenue Cycle Optimized, JP, VP of RCM Operations, explains why A/R and denial management are often the clearest windows into upstream revenue cycle breakdowns. Drawing from an internal team discussion, he shares how data from denials, underpayments, payer behavior, modality mix, and contract variance can uncover hidden revenue leakage and guide smarter business decisions.

Clean claims are more than a submission goal — they are one of the strongest defenses against avoidable A/R. In this RCMinutes segment, we look at how better claim quality reduces downstream follow-up, prevents unnecessary delays, and gives revenue cycle teams more time to focus on the accounts that truly need attention.

Hospitals are facing a new revenue cycle reality shaped by margin pressure, workforce constraints, payer complexity, denials, underpayments, and fragmented workflows. In this episode, Peggy Kelly, Tim Anderson, and Jason Adams of Infinx will explore what acute-care leaders need to rethink as revenue cycle performance becomes a strategic priority, not just an operational function.Brought to you by www.infinx.com

Automation is changing patient access, but prior authorization still requires more than bots, portals, and percentage-based promises. In this episode, Lindsey Nelson, Product Marketing Director at Infinx, explores why agentic workflows, human expertise, clinical judgment, and operational visibility all matter when organizations are trying to reduce delays, avoid denials, and keep work moving.

A/R is familiar territory for revenue cycle leaders, but the way it is managed determines whether teams are simply tracking unpaid claims or actively moving them toward resolution. This RCMinutes episode reframes A/R as an operational discipline built around follow-up, prioritization, denials, underpayments, patient responsibility, and the decisions that protect cash flow.

Healthcare revenue cycle has relied on rules engines, manual workflows, and brittle automation for decades. In this episode, Monte Sandler, Chief Operating Officer at WebPT, joins Stuart Newsome to discuss why AI may finally give RCM teams a way to manage complexity more dynamically while keeping human expertise at the center.Brought to you by www.infinx.com

Prior authorization and eligibility verification remain too variable, payer-specific, and operationally complex to rely on automation alone. In this episode, David Byrd and Navaneeth Nair explain how Infinx Patient Access Plus orchestrates AI agents, automation, payer connectivity, analytics, and human expertise to reduce administrative burden and keep care moving.

This RCMinutes segment reframes prior authorization as more than a portal or paperwork problem — it is a data problem that affects access, scheduling, patient trust, and revenue. The episode explores why clean data, intelligent automation, and human oversight are essential to moving from reactive authorization chasing to proactive access management.

Same-day cancellations, delayed procedures, and scheduling disruption can create major strain for orthopedic practices. In this Office Hours Takeover, Lora Pada, VP of Customer Success at Infinx, speaks with Danelle Newman, Director of Patient Access at OSS Health, about the role prior authorization workflows play in keeping schedules moving, reducing preventable delays, and giving patient access teams more breathing room.Brought to you by www.infinx.com

Revenue cycle teams are often judged by how fast they react to problems, but the real opportunity is catching issues before they become urgent. This RCMinutes segment explores how better signals, cleaner prioritization, and smarter workflows can help teams move from constant firefighting to more predictable performance.

AI is changing more than speed and efficiency. It is changing who gets to contribute. In this Office Hours roundtable, the panel explores how everyday users are using AI to shape work, solve problems, and support better decisions in ways that matter for revenue cycle leaders.