Podcasts about revenue cycle

In this episode, Amy Assenmacher, RN, Senior Vice President of Revenue Cycle at Corewell Health, discusses margin pressure, payer challenges, and rising self pay trends, and shares how front end excellence, automation, analytics, and resilient leadership can transform the revenue cycle into a strategic driver of financial stability and patient experience.

In this episode, Debra Jaeger, SVP and Chief Revenue Officer at Mount Sinai, shares how she is unifying fragmented revenue operations, improving cash collections and denials, and leveraging AI, predictive analytics, and workforce development to modernize the revenue cycle and enhance the patient financial experience.

As AI becomes embedded into revenue cycle workflows, accountability can no longer be treated as a black box owned by technology. This episode explores how leaders should set expectations, measure outcomes, and stay responsible for results even as automation scales.

EMR upgrades, clearinghouse changes, and AI automation are reshaping revenue cycle operations, but they can also disrupt cash flow if not carefully managed. This episode focuses on maintaining revenue continuity during system transitions, highlighting where delays commonly occur, how AI automation fits into modern workflows, and what operational safeguards help ensure revenue continues to flow through change. 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

When leaders ask “Why AI?” in revenue cycle, they're often reacting to growing complexity, staffing pressure, and loss of control rather than chasing innovation. This segment reframes the AI conversation around stability, predictability, and restoring confidence in day-to-day operations.

AI Wins in Healthcare: Administrative Automation, Revenue Cycle, and the Future of Intelligent Care Healthcare administrative costs consume 25-30% of total spending, yet most AI investments focus on clinical applications rather than operational efficiency. Dr. Yan Chow of Automation Anywhere discusses proven AI use cases delivering measurable ROI today, from revenue cycle management and EOB processing to automated clinical documentation while exploring emerging conversational AI capabilities reshaping patient and provider interactions. As health systems face continued margin pressure, Chow examines where automation investments generate immediate returns versus longer-term strategic value. He addresses the “art of the possible” in administrative AI, implementation realities for enterprise deployments, and why the next wave of healthcare AI may be less about diagnosis and more about eliminating the administrative burden strangling clinical workflows. 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, Alan Condon, Editor in Chief at Becker's Healthcare, joins Scott Becker to break down major revenue cycle developments, including Tenet regaining full control of Conifer Health Solutions and new RCM platforms targeting rural providers.

AI can extract data from documents, but making that data usable, reliable, and scalable is where most efforts fall apart. Charu Nevatia, VP of Automation, explores why AI document capture isn't plug and play and what it really takes to operationalize it 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/

As payors increasingly use AI to review documentation and accelerate denials, radiology practices must adapt. This session explores how stronger documentation, AI-supported workflows, and proactive compliance strategies can reduce preventable denials and protect revenue in an evolving payer landscape. 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/

Healthcare administrative costs consume 25-30% of total spending, yet most AI investments focus on clinical applications rather than operational efficiency. Dr. Yan Chow of Automation Anywhere discusses proven AI use cases delivering measurable ROI today, from revenue cycle management and EOB processing to automated clinical documentation while exploring emerging conversational AI capabilities reshaping patient and provider interactions. As health systems face continued margin pressure, Chow examines where automation investments generate immediate returns versus longer-term strategic value. He addresses the “art of the possible” in administrative AI, implementation realities for enterprise deployments, and why the next wave of healthcare AI may be less about diagnosis and more about eliminating the administrative burden strangling clinical workflows.Yan Chow, MD, MBAGlobal Healthcare Leader, Automation AnywhereMegan Antonelli, Chief Executive Officer, HealthIMPACT Live

Ben Beadle-Ryby, Senior Vice President and Co-founder at AKASA, says that a typical patient record contains 50,000 words spread across 59 clinical documents. Trying to code a single patient's conditions is comparable to reading The Great Gatsby and extracting key facts.Historically, he says, organizations "have thrown armies of people at the problem." Not only is that unfeasible; these people are not as accurate they need to be. Due to this and other reasons, claim denials have increased from 9.8% in 2019 to 12.7% now. Other revenue cycle measures have also gone in the wrong direction: for instance, cost to collect has gone from 2.7% in 2019 to 3.7% today.This video at the AHIMA Annual Conference interviews Beadle-Ryby along with two clients: Nick Judd, Senior Director, Revenue Cycle and Health Information Management at Cleveland Clinic, and Jennifer Nicholson, Assistant Vice President, Revenue Cycle and Health Information Management at Duke University Health System. They talk about leveraging generative AI solutions for coding and the benefits of leveraging this technology.Learn more about Cleveland Clinic: https://my.clevelandclinic.org/Learn more about Duke University Health System: https://www.dukehealth.org/Learn more about Akasa: https://akasa.com/Healthcare IT Community: https://www.healthcareittoday.com/

Faxes still sit at the center of referrals, orders, and authorizations by quietly slowing care, overwhelming staff, and delaying revenue. In this live demo, Stuart Newsome and Jonathan Aguiar show how AI agents transform document intake from a manual bottleneck into a reliable, scalable foundation for revenue performance. 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/

Medical necessity sits at the intersection of clinical judgment, coverage policy, and payer scrutiny, and on this episode Stuart Newsome, VP of RCM Insights, unpacks what it really means. Joined by Viveka Jagadeesan (Enablement Manager), Lindsey Nelson (Director of Product Marketing), Christina Harkins (Senior Revenue Cycle Manager), and Angie Adams (VP Clinical & Patient Engagement), the group explores Medicare error data, CERT audits, recoupment risk, NCD vs. LCD nuances, and how AI-driven policy intelligence can support medical necessity on both the front and back end of the revenue cycle. 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

Building Confidence in AI Coding for Hospital Radiology Departments See how hospitals and health systems are modernizing radiology coding with AI to improve accuracy, compliance, and coder confidence. 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

Inside Look at a Prior Auth Turnaround with Enabled Services Health systems continue to face growing prior authorization volume, staffing strain, and payer complexity—challenges that stretch even further across multiple service lines and rural environments. Rayne Premo, Quality & Prior Authorization Manager at Iowa Specialty Hospital, discusses how her organization strengthened its prior authorization workflows using a centralized model supported by AI-enabled services. We'll explore how teams can streamline processes, reduce administrative burden, and prepare documentation to meet payer expectations while positioning themselves for future expansion. 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

Payers are increasingly using AI to scan claims, flag anomalies, and trigger denials or audits automatically—often without transparency and long before anyone on the hospital side understands what happened. As these systems accelerate, hospitals face growing exposure, especially when documentation, data flow, and internal AI tools aren't aligned with how payer models interpret clinical and financial information. This session unpacks the mechanics behind automated decision-making, why even accurate claims can be flagged, and how missing audit trails or inconsistent documentation can undermine appeals. 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/

Live Demo AR and Denials Automation in Action Listen in as AR and denials management automation comes to life in this live demo of Infinx ARDM. Christina Harkins walks through how AI-driven denial prevention, claim prioritization, and productivity analytics transform how revenue cycle teams work. 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, Stephen Rinaldi, SVP and Chief Revenue Officer at UNC Health, discusses the major headwinds shaping revenue cycle today, strategies for building strong future leaders, and how UNC Health is advancing revenue integrity and operational excellence heading into 2026.

In this episode, Doug Proctor, COO and Co-founder of Candid Health, discusses how AI, machine learning, and configurable automation are reshaping revenue cycle performance. He shares insights on building a strong data foundation, choosing the right problems to solve, and creating scalable, high impact AI workflows that improve collections, reduce costs, and strengthen long term operational strategy.This episode is sponsored by Candid Health.

Changing the Oncology Prior Authorization Story with Exact Sciences This Office Hours will highlight Liz Durkin, Manager of Revenue Cycle as she tells the story of Exact Sciences' journey, from pain points to progress, and provide takeaways for other oncology organizations seeking to change the narrative on prior authorization. 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, Alan Condon, Editor in Chief at Becker's Healthcare, breaks down HCA's strong financial momentum, the accelerating AI arms race between payers and providers, and major industry transactions shaping 2025. He also highlights trends in revenue cycle innovation and the growing push for payer provider collaboration.

Transforming the Patient Experience with Voice-First AI Automation Long hold times and overwhelmed front-office staff have made patient scheduling a pain point across healthcare. In this episode, we explore how Infinx and Voxology are redefining patient access with AI-powered scheduling agents that combine empathy, intelligence, and efficiency to transform the way patients connect with care. 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, Tom Buckley shares the biggest revenue cycle challenges facing health systems today, from payer denials to rising patient financial responsibility, and how Virtua Health is using AI, automation, and strong communication practices to stay ahead. He also reflects on evolving leadership expectations and what it takes to keep teams resilient and aligned in a rapidly changing environment.

In this episode of Disruption/Interruption, host KJ interviews Matt Seefeld, CEO at MedEvolve, about the chaos and inefficiencies in the US healthcare revenue cycle. Matt shares how generative AI and a focus on human accountability can help providers achieve "zero touch" claims, reduce waste, and improve access to care, especially for small and rural hospitals. Four Key Takeaways: The Real Cost of Healthcare is Obscured (3:00)The US healthcare system lacks alignment between consumers, providers, and payers, making it nearly impossible to know the true cost of care. Administrative Waste is a Billion-Dollar Problem (04:01)Most providers touch claims multiple times, with 63% of those touches being wasted effort due to system inefficiencies and payer games. AI is a Tool, Not a Cure-All (31:50)While AI can automate and improve processes, more than half of claim errors still require human intervention, and technology alone won't solve systemic issues. Access to Care is Shrinking for Many Americans (24:00, 27:00)As costs rise and reimbursements fall, small and rural hospitals are closing, and more Americans are forced to seek care through emergency services or go without. Quote of the Show (31:50):"More than half—53%—of the errors that we see that humans have to get involved with come from AI solutions, so they're not smart enough yet." - Matt Seefeld Join our Anti-PR newsletter where we’re keeping a watchful and clever eye on PR trends, PR fails, and interesting news in tech so you don't have to. You're welcome. Want PR that actually matters? Get 30 minutes of expert advice in a fast-paced, zero-nonsense session from Karla Jo Helms, a veteran Crisis PR and Anti-PR Strategist who knows how to tell your story in the best possible light and get the exposure you need to disrupt your industry. Click here to book your call: https://info.jotopr.com/free-anti-pr-eval Ways to connect with Matt Seefeld: LinkedIn: https://www.linkedin.com/in/matt-seefeld-521319/ Company Website: https://medevolve.com How to get more Disruption/Interruption: Amazon Music - https://music.amazon.com/podcasts/eccda84d-4d5b-4c52-ba54-7fd8af3cbe87/disruption-interruption Apple Podcast - https://podcasts.apple.com/us/podcast/disruption-interruption/id1581985755 Spotify - https://open.spotify.com/show/6yGSwcSp8J354awJkCmJlDSee omnystudio.com/listener for privacy information.

Reverification in Action with Frontline Lessons from the Field Randy Boner, Associate Director of Client Success, shares real-world lessons from the front lines of reverification—how automation, payer mapping, and orchestration reduce rework, improve accuracy, and keep coverage continuous through the busiest time of year. 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, Erin Hodson, MSN, Vice President of Revenue Cycle at Inova Health, shares how emerging AI tools, evolving team skill sets, and new patient financial needs are reshaping denials management, operational strategy, and the overall revenue cycle experience.

AI Oversight for the Modern Revenue Cycle As AI agents take on more decisions across the revenue cycle, the question isn't how fast automation can move — it's how safely it operates. This session explores the guardrails of governance in an AI-driven RCM environment, outlining practical steps to ensure transparency, compliance, and human accountability as automation scales. 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/

Prior authorization in oncology is notoriously complex, with aggressive payer policies and documentation hurdles that delay care. Join Liz Durkin, Manager of Revenue Cycle from Exact Sciences, as she shares challenges faced before Infinx, improvements since partnering, and how automation and programmatic strategies are reshaping their PA workflows.Brought to you by www.infinx.com

As many healthcare organizations seek to optimize revenue cycle management, Ensemble offers a reasoning-driven agentic AI approach that can speed up appeals, reduce denials and recover lost revenue. Learn how Ensemble connects clinical data, financial data and human insight to solve revenue cycle problems in real time. 

In this episode, Lindsay Myers, MBA, MPH, Vice President of Revenue Cycle and HIM at Chapters Health System, discusses how her organization is scaling operations, leveraging automation, and investing in people to support rapid growth and long-term financial stability across its nationwide hospice and value-based care network.

Reverification Leads to Prior Authorization Automation Live Demo Reverification can uncover coverage changes that require new prior authorizations. In this live demo, we'll show how intelligent automation and AI agents determine when an authorization is needed, initiate it automatically, and keep the process moving without disrupting staff or patient care. 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, Shari Johnson, Chief Revenue Cycle Officer at Alameda Health System, discusses how the health system leverages AI, automation, and data-driven strategies to streamline revenue cycle operations while empowering staff and improving patient care. She shares insights on overcoming industry challenges, fostering employee engagement, and leading organizational change.

Send us a textWhat if I told you that in most medical groups, the person in charge of your financial health might not fully understand half of your revenue?It sounds dramatic, but it's true. In countless physician practices and medical groups across the country, the CFO—the Chief Financial Officer—is responsible for the organization's entire financial picture… except when it comes to revenue cycle. That part? That's usually considered operations. Or billing. Or someone else's responsibility.The problem is, revenue cycle represents money in—the very top of the financial funnel. So if your CFO isn't actively overseeing how revenue is earned, coded, billed, collected, and followed up on… then who is? And more importantly, what is it costing you?Today we're going to explore the hidden—but very real—disconnect between Finance and Revenue Cycle in medical groups. We'll talk about how this structural divide came to be, what it costs you in real dollars, and what you can do to fix it. If you're a physician leader, an administrator, a CFO, or a board member, this episode is for you. Because it's time to bridge the gap—and start treating revenue cycle as a core part of financial strategy.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: http://21978609.hs-sites.com/newletter-subscriber 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. Find it here: https://healtheps.com/physicians-edge-mastering-business-finance-in-your-medical-practice/ 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, Keisha Downes, MBA-HM, RN, CCDS, CCS, Vice President of Mid-Revenue Cycle at Beth Israel Lahey Health, discusses the rapid evolution of AI and automation in revenue cycle management, the shift toward proactive claim processing, and how technology and teamwork are helping streamline operations and strengthen financial performance across the system.

This episode features John Polikandriotis, CEO of South Florida Orthopaedics & Sports Medicine, who shares how reimagining revenue cycle management as both a shield and a sword can drive organizational growth. He discusses the power of data transparency, cross-department collaboration, and patient-centered access models in building a more agile, innovative, and financially strong healthcare organization.This episode is sponsored by NextGen Healthcare.

This episode features John Polikandriotis, CEO of South Florida Orthopaedics & Sports Medicine, who shares how reimagining revenue cycle management as both a shield and a sword can drive organizational growth. He discusses the power of data transparency, cross-department collaboration, and patient-centered access models in building a more agile, innovative, and financially strong healthcare organization.This episode is sponsored by NextGen Healthcare.

Reverification season creates a tsunami of eligibility checks and payor changes. In this live demo, we showed how automation in EVB reduces bottlenecks, cuts denials, and supports staff during the busiest time of year. 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/

Fans of Off the Record may recall my recent episode with Chris Petrilli, Director of Revenue Cycle of Operations at NYU Langone, who joined me to discuss his experience delivering a TEDx Talk on artificial intelligence. Chris was well prepared and delivered a great lecture, which you should definitely check out on YouTube. And on the podcast he sang the praises of a coach brought in to prep him and other NYU Langone staff for the big day on the big stage. My wheels started to spin, I reached out... and landed that coach for OTR.  Susanna Baddiel is an actress, director, voice over artist and TEDx Speaker Coach. She works in both the UK and the US and is a founder member of Actors Shakespeare Company where she continues to act, direct and coach. She has more than 17 years of experience teaching public speaking, personal impact, presentation skills, leadership development, and executive coaching. It was my honor to host her in a bit of an offbeat show than the usual mid-revenue cycle topics. But I picked up a few pointers about public speaking that helped me, and I think you will too. This special episode kicks off November, a month in which I'll be taking a deep delve into provider engagement. Odds are if you're trying to engage providers you'll have to present or educate, and Susanna offers some great advice and practical tips and takeaways. On this show we cover: Her background as an actress in Britain, transition into coaching, and eventually working with niche clients in science and medicine Working with the team at NYU and Chris Petrilli—preparing them, building them up, and getting them ready for the big day. Why preparation is everything in public speaking, as is gratitude for the opportunity Balancing authenticity vs. general principles of good presentation The differences between in-person and presenting on camera. Susanna offers some GREAT suggestions for being better on Zoom. Books and other resources Susanna recommends 

Smart PT Reverification Lessons From Mary Free Bed On this episode, hear from Mary Free Bed's Daniel Heemstra on overcoming PT reverification challenges, supported by intelligent automation and Epic integration that simplify the process and reduce the burden on 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/

As AI agents take on more decisions across the revenue cycle, the question isn't how fast automation can move — it's how safely it operates. This session explores the guardrails of governance in an AI-driven RCM environment, outlining practical steps to ensure transparency, compliance, and human accountability as automation scales.Brought to you by www.infinx.com

Imagine a world where every step of patient care and the revenue cycle work together in a faster, smarter way, and where documentation is generated from what is said during the encounter, and is complete and compliant, with real-time, autonomously coded claims. Our ambition is to reduce your revenue cycle workload by at least 50% by 2027, while, at the same time, dramatically improving revenue cycle outcomes. It's about taking more work off your plate than we ever thought possible.  This episode is brought to you by Pretty Good AI: https://marketplace.athenahealth.com/product/pretty-good-ai

Region 9 HFMA: The Anatomy of AI Agents - What They Are, How They Work, and Why They Matter 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. 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/

Navaneeth Nair, Chief Product Officer at Infinx, explains how AI and automation are reshaping the revenue cycle by creating seamless collaboration between people and intelligent agents. He describes a pragmatic roadmap where technology takes on more work autonomously without removing the human expertise that keeps healthcare operations moving.

Ensuring Quality and Compliance in AI Coding 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. 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, Abigail Abongwa, MHA, System Vice President of Revenue Cycle at UW Health, joins the podcast to discuss how technology, data analytics, and patient-centered strategies are reshaping revenue cycle management. She shares insights on tackling financial pressures, improving patient financial experiences, and preparing teams for a tech-enabled future.

Bringing the Human Touch Back to AI Revenue Cycle Transformation 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. 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/

The revenue cycle helps keep hospital revenue flowing. But sometimes, it seems to sputter out, as if not all the cylinders are firing. And that is why the producers of Talk Ten Tuesdays have invited longtime ICD10monitor editorial consultant Dennis Jones, senior director of revenue cycle at the famed Jefferson Health, to be the special guest during the next live edition of the weekly Internet radio broadcast.The popular broadcast will also feature these instantly recognizable panelists, who will report more news during their segments:• CDI Report: Cheryl Ericson, Senior Director of Clinical Policy and Education for the vaunted Brundage Group, will have the latest clinical documentation integrity (CDI) updates.• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news.• News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.

In this episode, Sarah E. Ginnetti, Chief Revenue Cycle Officer and VP of Clinical Revenue at UConn Health, discusses her top priorities, the role of AI and analytics in revenue cycle management, and how collaboration across clinical, finance, and strategy teams is shaping the future of healthcare operations.

The Realities of Reverification and the Future of Intelligent Automation AI is everywhere in healthcare conversations, but when it comes to reverification, the reality is more complex. Each January, practices are hit with a surge of eligibility and benefits checks, straining staff and creating bottlenecks that risk revenue and patient experience. Traditional fixes like staff augmentation and manual workflows keep the lights on, but they don't solve the underlying scalability problem. In this Office Hours, Jonathan Aguiar, Senior Solutions Engineer, and Lora Pada, AVP of Customer Success, will break down the real-world challenges of reverification, explore how staff augmentation and partial automation fill today's gaps, and discuss how intelligent automation and AI agents are being developed to change what's possible tomorrow. 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/