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


    • May 28, 2025 LATEST EPISODE
    • weekdays NEW EPISODES
    • 21m AVG DURATION
    • 250 EPISODES


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    Latest episodes from Revenue Cycle Optimized

    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

    RCM Insights Making Data Actionable for Revenue Cycle Optimization

    Play Episode Listen Later Mar 24, 2025 12:02


    Unlock the power of actionable data in revenue cycle management. Jason Adams, President of Ni2, an Infinx company, shares how AI-driven analytics, customized dashboards, and expert-driven clinical appeals can transform financial performance, enhance transparency, and ensure claims get paid.

    RCM Insights - Simplifying AR & Denial Management with AI-Driven Recovery

    Play Episode Listen Later Mar 20, 2025 23:48


    AR & denial management is often a manual, time-consuming process that leads to inefficiencies and lost revenue. In this episode, Bimal Sahoo, Principal Product Manager at Infinx, compares traditional recovery methods to how AI-driven automation is transforming the way organizations recover outstanding revenue, prioritize denials, and streamline workflows for faster financial outcomes.

    RCMinutes - Is Your RCM Tech Actually Helping, Or Just Adding More Work?

    Play Episode Listen Later Mar 19, 2025 4:03


    Many healthcare organizations believe their revenue cycle technology is streamlining operations, but outdated automation often adds more manual work, not less. In this episode of RCMinutes, we uncover how AI Agents—powered by RPA, GenAI, and cognitive decision-making—replace inefficiencies with true automation, eliminating bottlenecks and optimizing revenue cycle performance.

    Why AI Needs to Think for the Future of Revenue Cycle Management

    Play Episode Listen Later Mar 18, 2025 24:29


    Traditional automation isn't enough—AI is the future of revenue cycle management. Join Jaideep Tandon, CEO of Infinx, and Stuart Newsome for a discussion on how AI is transforming denial prevention, prior authorization, and A/R workflows.Brought to you by www.infinx.com

    RCM Insights - AI Agents in Revenue Cycle and The Vision of Automation and Intelligence

    Play Episode Listen Later Mar 17, 2025 16:12


    Live from the Vive Conference, Navaneeth Nair, Chief Product Officer at Infinx, joins John Lynn of Healthcare IT Today to discuss the evolving role of AI in revenue cycle management. They explore how AI agents can streamline workflows, enhance human expertise, and build trust through task-based automation.

    AI Agents Enabling Faster, Smarter Referral Follow-Up

    Play Episode Listen Later Mar 13, 2025 16:48


    Discover how automation and AI agents revolutionize referral follow-up, optimizing efficiency in revenue cycle management. Learn how integrating Document Capture AI and automated referral workflows streamlines processes, reduces errors, and accelerates decision-making.

    How AI Automation Agents Prevent Patient Access Profitability Drainage

    Play Episode Listen Later Mar 12, 2025 4:36


    Patient access errors like eligibility verification mistakes and missed prior authorizations can quietly drain millions in lost revenue. In this episode of RCMinutes, we explore how AI automation agents help eliminate these front-end issues, reduce denials, and safeguard profitability for healthcare organizations.

    Enhancing RCM Efficiency With AI Agents And Advanced Document Capture Solutions

    Play Episode Listen Later Mar 11, 2025 16:33


    Join Stuart Newsome as we explore how AI-powered document capture and AI agents are eliminating documentation bottlenecks, reducing manual data entry, and improving claim accuracy across healthcare specialties. Learn how AI is transforming RCM efficiency for radiology, labs, PT/OT, cardiology, and more!Brought to you by www.infinx.com

    Breaking Down RCM Assessments for Revenue Recovery

    Play Episode Listen Later Mar 10, 2025 8:50


    In this episode of RCM Insights, part of the Revenue Cycle Optimized podcast, we walk through a comprehensive revenue cycle assessment to uncover shortfalls, identify revenue recovery opportunities, and prevent denials. Bimal Sahoo explains how a structured review of key financial metrics provides provider organizations with the analytics needed to optimize collections and strengthen their revenue cycle.

    AI-Powered RCM Strategies to Fortify AR and Denial Management

    Play Episode Listen Later Mar 6, 2025 23:04


    VK Eswarakrishnan, Director of Product Management, and Christina Harkins, Senior Revenue Cycle Manager, discuss how AI-driven revenue cycle management (RCM) technology enhances workflow automation, improves denial management, and optimizes AR recovery. Learn how intelligent automation and predictive analytics are transforming RCM operations for healthcare organizations.

    How AI Automation Agents Reduce Revenue Cycle Bottlenecks

    Play Episode Listen Later Mar 5, 2025 3:01


    AI Automation Agents are transforming revenue cycle management by eliminating manual tasks like prior authorizations, eligibility checks, and claims follow-ups. Unlike traditional bots, AI-driven agents can adapt to system changes in real time, ensuring seamless automation without constant reprogramming.

    Influence of Automation in RCM

    Play Episode Listen Later Mar 4, 2025 28:08


    How is automation transforming provider success in RCM? Join Stephanie Solich, Regional VP of Enterprise Sales at Infinx, as she shares insights on reducing denials, optimizing labor, and improving financial predictability through AI-driven Agents.Brought to you by www.infinx.com

    Elevating Document Capture with AI Agents

    Play Episode Listen Later Mar 3, 2025 22:28


    AI-driven document capture is transforming order entry for imaging centers by automating intake, classification, and data extraction AI agents. In this segment of RCM Insights, Stuart Newsome explains how Infinx's Document Capture AI Agents are eliminating inefficiencies and reducing errors in RIS workflows.

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