Podcasts about revenue cycle

Revenue cycle doesn't just need more reporting; it needs smarter systems that can prevent problems before they happen.In this episode of Straight Outta Health IT, Jeff Hatfield, Co-Founder and CEO of Four Points Health, talks about how Agentic AI and intelligent automation are reshaping revenue cycle management for hospitals. He explains why denials, write-offs, payer complexity, and manual rework continue to drain financial resources and create unnecessary administrative burden. Drawing from both personal experience and years of working with hospital leaders, Jeff shares why healthcare needs to move beyond retrospective dashboards and toward real-time action.Jeff introduces the Agentic Claims Integrity System (ACIS), built to help hospitals shift from reactive denial management to proactive denial prevention. Rather than simply flagging problems after the fact, ACIS identifies issues upstream, intervenes before claims are submitted, and helps teams reduce avoidable denials and write-offs. He also explains how closed-loop systems can track payer behavior, validate whether fixes worked, and continuously improve performance over time.He also explores the human side of automation, emphasizing that AI should not replace healthcare teams but give them leverage. By reducing repetitive work, improving productivity, and speeding up reimbursement, intelligent automation can help staff focus on higher-value tasks while strengthening hospital financial performance. Hatfield also highlights the importance of making this technology accessible to rural and community hospitals, so AI does not widen existing gaps in healthcare.Tune in to hear how Agentic AI can help hospitals reduce denials, improve cash flow, ease staff burnout, and build a more sustainable future for healthcare operations!ResourcesConnect with Jeff Hatfield on LinkedIn here.Follow Four Points Health on LinkedIn here and visit the website here.

Motivated by the notion that healthcare providers are seeking compliance solutions across the revenue cycle, the producers of Monitor Mondays have invited the CEO of Panacea Healthcare Solutions to serve as the special guest during the next upcoming broadcast.Introducing Kevin Chmura. For more than 25 years, Mr. Chmura has been at the forefront of major healthcare vendors as they, in turn, have worked to help their clients achieve success in revenue cycle compliance.Broadcast segments will also include these instantly recognizable features:• Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.• The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.• Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.• Legislative Update: Cate Brantley, legislative affairs analyst for Zelis, will report on current healthcare legislation.

What if the fastest way to grow your healthcare organization is to slow down? In this episode of The Disrupted Podcast, Scott Middleton returns from Scotland straight into the thick of a merger — and what he's learning is reshaping how he thinks about change itself. Scott takes us inside the integration of TCPA and Providence Care into Your Health, where two very different models are colliding. One organization built 640 billing codes last year; the other built 40. One puts a single nurse practitioner in a building with no support; the other surrounds providers with nurses and community health workers. The opportunity is enormous — but so is the risk of moving too fast and scaring everyone away. What if the fastest way to grow your healthcare organization is to slow down? In this episode of The Disrupted Podcast, Scott Middleton returns from Scotland straight into the thick of a merger — and what he's learning is reshaping how he thinks about change itself. Scott takes us inside the integration of TCPA and Providence Care into Your Health, where two very different models are colliding. One organization built 640 billing codes last year; the other built 40. One puts a single nurse practitioner in a building with no support; the other surrounds providers with nurses and community health workers. The opportunity is enormous — but so is the risk of moving too fast and scaring everyone away. In this conversation, Jamie and Scott explore: Why a nurse practitioner alone is a "single source of failure" — and how staffing changes everything How to enter a building without threatening the provider they already love Why billing isn't bureaucracy — it's how Medicare knows you made a difference The art of giving people what they think they need now, and the rest over time Advanced care planning, DNRs, and why the right message sometimes needs a different voice This is a masterclass in change management disguised as a healthcare conversation. Listen now — and rethink what "disruption" really requires. Why a nurse practitioner alone is a "single source of failure" — and how staffing changes everything How to enter a building without threatening the provider they already love Why billing isn't bureaucracy — it's how Medicare knows you made a difference The art of giving people what they think they need now, and the rest over time Advanced care planning, DNRs, and why the right message sometimes needs a different voice This is a masterclass in change management disguised as a healthcare conversation. Listen now — and rethink what "disruption" really requires. www.YourHealth.Org

A HFMA Buyers Guide: How to Separate Revenue Cycle Strategy from Noise The discussion will explore what separates a true revenue cycle partner from another vendor on the HFMA floor. The panel will share how Infinx approaches revenue cycle challenges through operational experience, technology, automation, AI-enabled workflows, and proven execution across front-end, mid-cycle, and back-end functions. For healthcare finance and revenue cycle leaders preparing for HFMA, this session will provide a practical framework for evaluating choices, avoiding common mistakes, and identifying partners who can connect strategy, workflow, technology, and outcomes in a meaningful way. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Send us Fan MailIf I walked into your organization today and asked you one simple question — “What is your revenue cycle trying to tell you?” — would you know the answer?Not your collections rate. Not your days in A/R. Not your monthly deposits. I mean the deeper answer. What operational stories are hiding inside your numbers right now?Because most healthcare organizations still think about revenue cycle as a billing department function. Claims go out. Payments come in. Denials get worked. Aging gets reviewed. End of story.But high-performing organizations understand something very different: your revenue cycle is not just billing. It is operational intelligence. It is one of the clearest mirrors of how your organization is actually functioning.Every metric tells a story. Your denial patterns tell stories. Your charge lag tells stories. Your payer behavior tells stories. Your provider coding and undercoding variation tells stories. Your scheduling data tells stories. Even your unapplied credits and unpostables tell stories. And the organizations that thrive financially are usually the organizations that have learned how to listen carefully.So today I want to challenge you to think differently about your revenue cycle. Not as a back-office function. Not as an administrative burden. But as one of the most important diagnostic tools in your entire organization.Because here's the truth: your revenue cycle is talking to you every single day. The question is whether anyone is listening.Please Follow or Subscribe to get new episodes delivered to you as soon as they drop! Visit Jill's company, Health e Practices' website: https://healtheps.com/ Subscribe to our newsletter, Health e Connections: https://share.hsforms.com/1FMup6xLPSpeA8hB77caYQwd32sx?hsCtaAttrib=171926995377 Want more formal learning? Check out Jill's newly released course: Physician's Edge: Mastering Business & Finance in Your Medical Practice. 32.5 hours of online, on-demand CME-accredited training tailored just for busy physicians. Promo pricing available now: https://education.healtheps.com/offers/Ry3zfLYp/checkout?coupon_code=PHYSEDGE3000 Purchase your copy of Jill's book here: Physician Heal Thy Financial Self Join our Medical Money Matters Facebook Group here: https://www.facebook.com/groups/3834886643404507/ Original Musical Score by: Craig Addy at https://www.underthepiano.ca/ Visit Craig's website to book your Once in a Lifetime music experience Podcast coaching and development by: Jennifer Furlong, CEO, Communication Twenty-Four Seven https://www.communicationtwentyfourseven.com/    

In this episode, Amanda de los Reyes, MBA, FHFMA, EHRC - Vice President Revenue Cycle, Renown Health, discusses the growing impact of payer denials, automation, and regulatory changes on revenue cycle operations, while sharing how Renown is leveraging technology and strategic partnerships to expand access to care and support future growth.Learn more about relentlessly raising RCM yield here: https://med-metrix.com/?utm_source=beckers&utm_medium=podcast&utm_campaign=brand

In this episode, David Kelly, Chief of Ambulatory Operations and Vice President of Revenue Cycle at Mary Rutan Health, joins the podcast to discuss financial assistance programs that help patients access the care they need. He also shares insights on the importance of care coordination and strategic partnerships in improving patient outcomes, enhancing the care experience, and supporting long-term organizational success.

The $50B Rural Health Question In this session, Scott Cook, VP of Business Development at Infinx, unpacks what the Rural Health Transformation Program may mean in practice. The conversation will explore what the funding is designed to accomplish, why each state's approach matters, and how rural healthcare organizations should think about sustainability once the five-year funding period ends. The session will also look at the operational burden behind transformation funding. Rural health teams may be asked to apply for, justify, track, and operationalize funding while already managing workforce shortages, payer pressure, technology gaps, and limited administrative capacity. Scott will help frame the practical questions rural providers should be asking now: What can this funding realistically support? What happens when it goes away? And how can organizations use this moment to strengthen revenue cycle, access, and care delivery instead of simply chasing short-term dollars? Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

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, David Kelly, Chief of Ambulatory Operations and Vice President of Revenue Cycle at Mary Rutan Health, joins the podcast to discuss financial assistance programs that help patients access the care they need. He also shares insights on the importance of care coordination and strategic partnerships in improving patient outcomes, enhancing the care experience, and supporting long-term organizational success.

Todd Van Meter, CEO of Accuity, highlights the evolution of the revenue cycle from simple billing and coding to include data analytics to reduce friction and prevent revenue leakage.  Accuity specializes in reviewing inpatient accounts before billing, using a combination of AI and physicians to ensure claims are compliant and accurate. Getting the clinical analysis and coding correct initially significantly reduces costly, time-consuming clinical denials.  Todd explains, Revenue cycle is a term that's really become more relevant here, in the last maybe decade plus. Years ago, it used to be called billing and coding and a whole different bunch of terms. And really, it's this whole idea of how, when a patient's going through their care event, how are you tracking them from when they access care all the way through documenting their care to coding the care they received and then getting a bill out to an insurance company or to a patient to get reimbursed for the care they received. And so the transformation has been going on for a long time."   "The cost has been pretty well identified over the years. From a cost perspective, the goal is to perform all of this work as cost-effectively as possible, and faster is better for patients and for hospitals in terms of processing accounts, cash flow, and other financial metrics. So I think what I've seen happening for health systems is that the data is allowing for better visibility, back to your cost point, into where there are opportunities to take out friction, to do things better, faster, cheaper, to process accounts. And to take care of patients better, and communicate better to both patients and insurance companies, and internally, just from a tracking perspective, and to make sure, to your other point, that there's really not any leakage all along the way." #Accuity #Healthcare #RevenueCycleManagement #RCM #Hospitals #InpatientCare #MedicalAI #HumanintheLoop accuityhealthcare.com Download the transcript here

Todd Van Meter, CEO of Accuity, highlights the evolution of the revenue cycle from simple billing and coding to include data analytics to reduce friction and prevent revenue leakage.  Accuity specializes in reviewing inpatient accounts before billing, using a combination of AI and physicians to ensure claims are compliant and accurate. Getting the clinical analysis and coding correct initially significantly reduces costly, time-consuming clinical denials.  Todd explains, Revenue cycle is a term that's really become more relevant here, in the last maybe decade plus. Years ago, it used to be called billing and coding and a whole different bunch of terms. And really, it's this whole idea of how, when a patient's going through their care event, how are you tracking them from when they access care all the way through documenting their care to coding the care they received and then getting a bill out to an insurance company or to a patient to get reimbursed for the care they received. And so the transformation has been going on for a long time."   "The cost has been pretty well identified over the years. From a cost perspective, the goal is to perform all of this work as cost-effectively as possible, and faster is better for patients and for hospitals in terms of processing accounts, cash flow, and other financial metrics. So I think what I've seen happening for health systems is that the data is allowing for better visibility, back to your cost point, into where there are opportunities to take out friction, to do things better, faster, cheaper, to process accounts. And to take care of patients better, and communicate better to both patients and insurance companies, and internally, just from a tracking perspective, and to make sure, to your other point, that there's really not any leakage all along the way." #Accuity #Healthcare #RevenueCycleManagement #RCM #Hospitals #InpatientCare #MedicalAI #HumanintheLoop accuityhealthcare.com Listen to the podcast here

The New Revenue Cycle Reality for Acute Care Leaders 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. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

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.

In this episode, Lynn Ansley, Vice President of Revenue Cycle Management at Moffitt Cancer Center, joins the podcast to discuss how her team is leveraging automation, process optimization, and Epic implementation to transform revenue cycle operations.Learn more about relentlessly raising RCM yield here: https://med-metrix.com/?utm_source=beckers&utm_medium=podcast&utm_campaign=brand

In this episode, Paul Chausse, Jr., SVP Revenue Cycle and Chief Revenue Cycle Officer, Tampa General Hospital, discusses how AI agents are reshaping revenue cycle operations, the challenges of the fee for service model, and the leadership skills needed for the next generation of RCM leaders.Learn more about relentlessly raising RCM yield here: https://med-metrix.com/?utm_source=beckers&utm_medium=podcast&utm_campaign=brand

The Future of RCM Is Finally Catching Up Stuart Newsome is joined by Monte Sandler, Chief Operating Officer at WebPT, for a thought-leadership conversation on why healthcare RCM has remained so difficult to automate, why many organizations are skeptical after past technology disappointments, and how AI may finally help modernize the revenue cycle in a more dynamic, human-in-the-loop way. The conversation will explore what makes healthcare different from other industries, where traditional automation has fallen short, how AI should be realistically understood, and why the future of RCM is less about replacing people and more about helping teams work smarter, faster, and with better support. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

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

In this episode, Michael Zwetschkenbaum, President & CFO, RCM Healthcare Solutions, discusses how AI-powered automation is transforming revenue cycle management, patient experience, and healthcare operations. He also shares insights on the growing hospital-at-home movement, ambient listening technology, and the evolving role of AI agents in supporting physicians and improving care delivery.

Smoother Schedules Start With Smarter Prior Authorization Lora Pada, VP of Customer Success at Infinx, host a practical conversation with Danelle Newman, Director of Patient Access at OSS Health, on how orthopedic practices can take a smarter approach to prior authorization workflows. The discussion will focus on the real operational grind patient access teams face every day, including payer complexity, manual follow-up, documentation gaps, scheduling pressure, and the challenge of keeping patients moving without overwhelming staff. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

At last, the secrets of healthcare technology will be revealed during a fresh new two-part series, especially written for the accomplished healthcare professional who wants a refresher course on the latest developments that are quickly enveloping healthcare.Coders, clinical documentation integrity specialists (CDISs), and Revenue Cycle professionals who comprise the Talk Ten Tuesday (TTT) audience and who live inside the chart and the queue, are expected to benefit from an eye level rather than at the strategy level approach from senior healthcare analyst Frank Cohen, a renowned computer scientist and respected Monitor Monday panelist.Other well-known subject-matter experts will also join the broadcast with more news to report, including the following:• IPPS Proposed Rule: George Kelly, President of KA Consulting Division at Panacea Healthcare Solutions, will provide an overview of the 2027 IPPSS Proposed Rule during a presentation on May 28.• POV: Penny Jefferson, Manager of Coding & Clinical Documentation Integrity Services for the University of California-Davis Medical Center, will share her point of view during the broadcast.• CDI Report: Cheryl Ericson will provide an update on all things CDI.• SDoH Report: Tiffany Ferguson will report on news happening at the intersection of compliance and medical record coding.• The Coding Report: Christine Geiger will report on the latest coding news.

Across the industry, leaders are talking about a “battle of the bots”—with payers and providers racing to deploy AI across the revenue cycle. But that narrative may be more hype than reality. In this episode, Rae Woods is joined by Advisory Board experts Isis Monteiro and Elysia Culver to separate fact from fiction. They break down where AI is actually delivering value today—and why it's showing up as efficiency gains and cost avoidance, not revenue growth. And they make the case for a different approach: stop chasing AI for its own sake, and start focusing on margin protection, operational discipline, and the problems that actually need solving. We're here to help: Report | Revenue cycle claims denial benchmarks Report | Addressing plan-provider friction: 3 insights from Optum's Payer-Provider Abrasion survey Case Study | 3 steps to prevent prior authorization denials Learn | AI in healthcare: Evaluating promising use cases Playlist | Radio Advisory Provider Strategy and Financial Outlook playlist Playlist | Radio Advisory Tech and AI playlist Learn about Advisory Board's 2026 summits A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.

Stuart Newsome is joined by Lindsey Nelson, Gretchen Manica, Jeremie Gluckman, and Viveka Jagadeesan for a practical discussion about the subtle but important ways AI is changing everyday work, how that shift mirrors the same staffing and efficiency pressures healthcare organizations face, and what revenue cycle leaders should consider as they adopt AI without losing sight of governance, context, and outcomes. That framing is consistent with the brainstorm's emphasis on the “ordinary user” becoming more of a contributor, the need for human-in-the-loop oversight, and the importance of tying the conversation back to real RCM pressures rather than generic AI hype. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

AI in Revenue Cycle: From Today's Reality to Tomorrow's Edge Host Jenna Hagan and her guest Sloan Clardy, a recognized thought leader in the revenue cycle management space, discuss the evolution of RCM over the past few decades. They unpack some of the industry's most persistent challenges, separate hype from reality when it comes to AI's impact on revenue cycle management, and explore how organizations can drive more predictable speed, stronger performance, and what's next as health tech continues to advance. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

In this episode, Heather Dunn, MBA, FHFMA, CHFP, EHRC, CRCR, Senior Vice President, Revenue Cycle at Novant Health, shares how her team is redesigning the revenue cycle with a focus on technology, efficiency, and team engagement. She also discusses key trends including price transparency, capacity challenges, and the growing role of AI like voice technology in improving patient access and financial experience.

In this episode, Heather Dunn, MBA, FHFMA, CHFP, EHRC, CRCR, Senior Vice President, Revenue Cycle at Novant Health, shares how her team is redesigning the revenue cycle with a focus on technology, efficiency, and team engagement. She also discusses key trends including price transparency, capacity challenges, and the growing role of AI like voice technology in improving patient access and financial experience.

How Northwell derives ROI from applying artificial intelligence that fits the system.

In today's world of narrow healthcare margins, technology without ROI is DOA. Join Josh Amrhein and Thea Campbell as they discuss proven approaches for leading teams through AI adoption, measuring results that matter, and pushing denial prevention further upstream. Discover how thoughtful strategy can help your organization realize lasting value from AI and enable professionals to shift from repetitive tasks to higher-impact problem solving. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

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.

Patient financial responsibility keeps growing, but a better financial experience does not start after the bill goes out. In this Office Hours session, Stuart Newsome and Evan Martin, VP Revenue Cycle at ZoomCare, discuss how upfront insurance verification, patient liability estimation, and clearer payment pathways can reduce friction for both patients and providers. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Responding to Payor E&M Downcoding E&M downcoding is becoming a growing concern for providers, coders, and revenue cycle teams. As payer scrutiny increases, organizations need to understand what is happening, how it may affect reimbursement, and where documentation, claims review, and appeals fit into the response. This session will look at the issue from multiple angles and discuss practical considerations for providers trying to protect revenue while supporting accurate coding and compliant documentation. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Patient financial responsibility keeps growing, but a better financial experience does not start after the bill goes out. In this Office Hours session, Stuart Newsome and Evan Martin, VP Revenue Cycle at ZoomCare, discuss how upfront insurance verification, patient liability estimation, and clearer payment pathways can reduce friction for both patients and providers.Brought to you by www.infinx.com

"What if you train them and they leave?" It's the fear that quietly keeps most healthcare leaders from investing in their people. Matt Staub — CEO of Your Health — wants you to sit with the question his mentor once asked in return: What if you don't train them, and they stay? In this episode, Matt joins Jamie Preston for a conversation about why workforce education isn't a perk at Your Health — it's the culture. From nationally accredited apprenticeships, to a training pipeline built out of a licensing crisis, to the real people behind the success stories, this is a blueprint for leaders who want to grow something that lasts. Key topics covered: The lumberjack story: why sharpening your axe beats swinging harder every time How a shortage of licensed administrators became the catalyst for Your Health's training engine The shift from "education happens on your own time" to "this is how we behave" Real success stories — Olivia, Kristin, Taylor, McKinsey, Rebecca — and what they share Matt's three challenges for anyone ready to grow: show up, find your who, take your shot If you've ever wondered whether developing your people is worth the cost, this episode will change the math. Press play — then look around, and ask yourself who's looking at you.

Burnout in revenue cycle is not just a staffing problem. In this episode of RCMinutes, we explore how AI can reduce administrative strain, lower emotional pressure on teams, and create a more sustainable revenue cycle operation without framing automation as a headcount reduction strategy.

Live Demo: How RCM Plus Prioritizes Denials by Predicted Reimbursement Listen to how RCM Plus uses AI to predict denial recoverability, prioritize work by expected reimbursement, and orchestrate human teams around the claims most worth pursuing. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

AI in revenue cycle is not just about automation. In this RCMinutes episode of the Revenue Cycle Optimized podcast, we explore how AI-powered decision support helps revenue cycle teams prioritize work, reduce second-guessing, improve denial management, and make faster, more confident operational decisions.

Mastering LTC Pharmacy Billing Complexity Derek Taylor, PharmD, Senior Director of Pharmacy Client Services, breaks down the real-world complexity behind LTC pharmacy billing and why it demands a more tailored operational approach. From residents entering and exiting nursing facilities to shifts in coverage and payment classification, even small changes in patient circumstances can create significant downstream billing challenges. The discussion will explore where LTC pharmacy organizations typically encounter friction, what makes these workflows difficult to standardize, and how better process discipline, smarter technology support, and specialized expertise can help reduce billing errors, accelerate reimbursement, and strengthen overall revenue cycle performance. Attendees will leave with a clearer understanding of the billing dynamics unique to long term care pharmacy and what it takes to manage them more effectively at scale. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

In this episode, Sunitha Reddy, Chief Revenue Officer and Vice President of Operations, Prime Healthcare, discusses how revenue cycle strategy powers hospital turnarounds, tackles payer pressure and denials, and leverages AI to improve efficiency while supporting care access.Learn more about relentlessly raising RCM yield here: https://med-metrix.com/?utm_source=beckers&utm_medium=podcast&utm_campaign=brand

In today's world of narrow healthcare margins, technology without ROI is DOA. Join Josh Amrhein and Thea Campbell as they discuss proven approaches for leading teams through AI adoption, measuring results that matter, and pushing denial prevention further upstream. Discover how thoughtful strategy can help your organization realize lasting value from AI and enable professionals to shift from repetitive tasks to higher-impact problem solving.

In this episode of Home Health Revealed, we sit down with Alexander Shekaroff from Fin Health, Inc. to explore the emerging concept of profit cycle management—and how it builds on traditional revenue cycle strategies in home health and hospice. While revenue cycle management focuses on cash flow and collections, this conversation dives deeper into what truly drives financial performance: margins, EBITDA, and operational efficiency. Alexander shares how agencies can uncover hidden “margin leaks,” improve financial visibility, and make faster, more confident decisions by connecting data across EMR, accounting, and workforce systems. We also discuss how many organizations can achieve meaningful EBITDA improvement without major structural changes—simply by making small, informed adjustments across departments. With increasing pressure from payers and a rapidly evolving market, having timely, accurate financial insights is no longer optional. Whether your agency is focused on growth, stability, or preparing for future opportunities, this episode highlights how aligning revenue cycle with profitability can create a stronger, more sustainable financial foundation. Chapters (00:00:03) - Home Health Revealed: Profit Cycle Management(00:04:10) - Ohio Conference 2017(00:07:17) - Interview with Hannah Hathaway

AI and automation in revenue cycle mean very little without measurable outcomes to back them up. This episode explores why the real goal is relief from staffing strain, administrative burden, and constant rework, and why outcomes are the proof that progress is actually happening.

Driving Radiology Growth Through Smarter Prior Authorization Independent radiology centers face growing competition from hospital systems, where speed to schedule and authorization turnaround directly impact patient access and referral retention. In this Office Hours session, Heidi Simpson, Operations Manager at Advanced Diagnostic Radiology, shares how leveraging prior authorization services as a strategic advantage has helped her organization compete, grow, and modernize operations—while maintaining a patient-first approach. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Send us Fan MailAYOOOOOOO!! Welcome back to Luck Management. We are talking Healthcare and the work I am doing for hospitals in this wild healthcare system we currently live in. It is an insulated system and I break down why there are so many different bottlenecks in the system that people do not want to fix. Worth a listen, enjoy, and keep living the Luck Management Lifestyle!Support the showInstagram: @luck_managementApple Podcasts: https://podcasts.apple.com/podcast/id1637190216Spotify: https://open.spotify.com/show/4JsxM55BY6tRlGzJCiUnvzBrought to you by CharmND. Check us out on Instagram @charm_ND & @CharmNDShop on EtsyKeep living The Luck Management Lifestyle! 

AI success in revenue cycle rarely comes from a single implementation or vendor promise. This segment explores how leaders should evaluate partial wins, guide use cases, and actively shape AI outcomes instead of reacting to market hype.

Reducing Cost to Collect The AI Wave and How to Multiply Its Impact Everyone is racing to reduce cost to collect by cutting the numerator, cost, through AI and automation. In this Office Hours session, Anthony Amaya, VP at Infinx, makes the case that a holistic approach, one that also drives the denominator up by increasing cash, delivers faster, measurable results and positions organizations for sustainable gains as automation continues to mature in healthcare. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

AI feels like a bubble. A bubble that keeps expanding until it fills the entire room—including the Off the Record podcast studio. I remain bullish about some aspects of this game-changing technology and intensely skeptical of others. Which makes it a fascinating topic. Worthy of a fascinating guest, who not only has opinions but has real-world applications for the tech you might not have thought of. Sharon Easterling has a towering, all-consuming passion for AI, specifically bridging the gap between technology and the mid-revenue cycle and navigating a technological future that can seem overwhelming. But she also leans into its creativity. She even sent me a new OTR podcast jingle created with AI! You can hear it on this episode. Listen in as we discuss: Who is Sharon Easterling, “Fractional AI Governance and Enablement Executive | AI and Digital Transformation Leader”? Are we lost in the wild west of AI? Coders are using ChatGPT to code and pass certification exams, and employers screening employees with AI bots.  How much has AI actually penetrated the mid-revenue cycle, use-wise? Can ChatGPT code? Will AI applications replace people? Where AI ais ctually making a tangible difference in the mid-revenue cycle: Denials management, surfacing diagnostic indicators, writing appeals letters, and more Some out-of-the-box suggestions of using AI in your daily workflow: From monitoring coding productivity to sending daily education to your inbox. How Sharon thinks people should view AI more broadly. Referenced on the show: Sharon's article “The Medical Record: How Artificial Intelligence (AI) Impacts Coding”:  https://icd10monitor.medlearn.com/the-medical-record-how-artificial-intelligence-aiimpacts-coding/  

Broadcasting live from Infinx's GTM Growth Summit in Denver, Navaneeth Nair, Chief Product Officer, joins Office Hours to discuss a new AI-driven approach to medical necessity review. We'll explore how provider teams can catch coverage gaps earlier, reduce manual policy lookups, and route exception cases to the right human experts before delays and denials take hold. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Efficiency is often framed as eliminating humans from workflows, but that's rarely realistic or measurable. This episode reframes efficiency as practical, incremental gains that reduce cost to collect, improve throughput, and support staff instead of replacing them.

E&M coding performance rises or falls on ten predictable breakpoints that drive payment, denials, rework, audits, and compliance risk. Join our panel for a practical discussion on what fixes those breakdowns and how AI supports scalable oversight through pattern detection, documentation review, exception based workflows, and autonomous E&M coding with human specialist exception handling. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

In this episode, Gary and Naren talk about how to take control of your practice's money with something called revenue cycle management. They explain simple ways to get paid on time, avoid billing surprises, and keep patients happy. Plus, Dr. Andrew Adly shares a smart tip to save a crown when the buildup breaks. If you want less stress and more profit, this episode is for you!