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In this episode, Joe Davi, Chief Executive Officer, Med-Metrix, discusses how healthcare organizations can strengthen revenue cycle integration to capture the full value of mergers and acquisitions. He shares strategies for successful post-merger execution, standardizing operations, and leveraging AI to improve efficiency, productivity, and long-term financial performance.This episode is sponsored by Med Metrix.
In this episode, Laura Dyrda, Vice President, Editor-in-Chief, Becker's Healthcare, discusses the resurgence of hospital mergers and acquisitions, how health systems are refining AI and technology investments, and why revenue cycle is becoming a strategic priority across healthcare organizations.
More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter Revenue doesn't disappear overnight. It slips away through denied claims, incomplete documentation, poor insurance verification, and small breakdowns that most dental practices never notice until the numbers stop adding up. In this episode of Nobody Told Me That, Teresa Duncan sits down with Allyssa Mizenko, CEO of Zen Dental Support, for an in depth conversation about the hidden challenges of revenue cycle management. They discuss why insurance verification is more important than ever, how weak documentation leads to costly claim denials, why front office and clinical teams need to work together, and how setting the right financial expectations with patients can improve collections. Whether your practice handles billing in house or works with a billing company, this episode shares practical insights to help protect your revenue, strengthen your systems, and improve the overall patient experience. Connect with Allyssa Mizenko Facebook: https://www.facebook.com/zendentalsupport Instagram: https://www.instagram.com/zendentalsupport LinkedIn: www.linkedin.com/in/allyssa-mizenko-8aa014387 Dental Claims Attachment Checklist: https://mizenkodallyssa.gumroad.com/l/tzcnjx —------------- Practice Management Power Day is happening in Denver, Colorado, and it is built for leaders who want real results. Learn directly from top practice management experts and industry speakers who know what it takes to run a profitable, organized, high performing practice. The event will take place on Friday, September 25 at the Vivos Institute, located next to the Denver Airport. Register now at: https://practicemanagementpowerday.com Podcast listeners use NTMT100 for a $100 courtesy. ------------- I created Dental Revenue Network to foster collaboration and networking amongst RCM professionals. Billing company owners and billing professionals will have access to skill building sessions, current carrier news and insurance discussions beyond "what's the code?" Check it out - I hope you'll join! https://dentalrevenuenetwork.mn.co/ ------------- Synergy Dental Partners offers lower prices for your dental supplies and services https://www.odysseymgmt.com/synergy NTMT listeners receive a 2 Month Free Trial + a 3rd Month if you buy anything from any vendor during the trial period. Also, new Darby customers receive a $200 Darby statement credit with a purchase. ------------- My insurance course Dental Insurance Design and Management is geared toward those who want to understand the how and why of insurance. As a loyal podcast listener, please use "NTMT" for a $75 courtesy toward your investment. ------------- Visit odysseymgmt.com to check out my book, webinars and courses. ------------- **If you like the show then I'd appreciate a good rating. Tell your friends. Even podcasters ask for referrals!** YouTube: https://youtube.com/@odysseymgmt #Dentistry #DentalPractice #RevenueCycleManagement #DentalInsurance #DentalBilling
A revenue cycle analysis can help organizations identify where cash is delayed, where A/R is building, and where denials may point to deeper operational or strategic issues. In this episode, Ankur Pawa, Chief Commercial Officer at Infinx, and Ramesh Reddy, AVP of Client Services, discuss how broader revenue cycle analytics can reveal opportunities to collect more and collect faster.
Automation is changing patient access, but prior authorization still requires more than bots, portals, and percentage-based promises. On this episode, Lindsey Nelson, Product Marketing Director at Infinx, explores why agentic workflows, human expertise, clinical judgment, and operational visibility all matter when organizations are trying to reduce delays, avoid denials, and keep work moving. 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/
Mergers and acquisitions may bring organizations together on paper, but revenue cycle operations rarely align automatically. This episode's discussion explores what leaders should understand about workflows, systems, reporting, culture, and operational continuity when RCM teams and processes come together.Brought to you by www.infinx.com
Health systems are under pressure to improve margins, but cost reduction alone will not solve the financial challenge. In this RCMinutes episode, Stuart Newsome explores why denials, prior authorization delays, A/R drag, missed charge capture, and under-billing are not isolated department issues, but signs that revenue cycle leadership now requires enterprise visibility, workflow orchestration, and practical financial action.
Agentic AI represents the shift from point solutions to interconnection across the front-, middle- and back-end of the revenue cycle.
In this episode, Jeff Francis, CFO, Nebraska Methodist Health System, discusses how his team is addressing rising payer denials through stronger documentation, coding, and AI-powered revenue cycle tools. He also shares how the CFO role has evolved into a more strategic leadership position and offers advice for the next generation of healthcare finance leaders.
The KLAS K2 Summit brought together payers, providers, and technology leaders to talk about collaboration, prior authorization, interoperability, AI, and administrative burden. In this Office Hours session, Stuart Newsome shares his top takeaways from the summit and what they mean for revenue cycle leaders trying to reduce friction, prevent avoidable denials, and make payer-provider collaboration work inside real healthcare 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/
Revenue Cycle From the CFO Seat: Signal vs. Noise In this session, Jon Vitiello, SVP & CFO at St. Luke's Health and Infinx Advisory Board member, joins Stuart Newsome for a CFO-level conversation on how revenue cycle performance connects to the broader financial picture. The discussion will explore why finance and revenue cycle teams can sometimes operate from different views of the same data, and why that disconnect matters when organizations are estimating net revenue, managing cash flow, evaluating cost to collect, or responding to payer behavior. 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/
From Manual Entry to Smarter Charge Capture AI-enabled charge capture can reduce manual work, but the real value comes when technology and billing expertise work together to improve accuracy, speed, and claim quality. 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/
Episode 10: Pre-Service Collections, Prior-Auth Bots, and Patsy Cline w/Felicia Jamison On this episode hosts Angie Shin and Dave Smith engage with Felicia Jamison, the Director of Revenue Cycle at Permian Regional Medical Center, a rural hospital in Andrews, Texas. Felicia shares insights on centralized scheduling, upfront estimates vs back-end billing, keeping families informed during surgeries without pulling nures from bedsides, and where agentic AI fits in engaging with patients. 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 metrics can reveal far more than days in A/R, cash collections, or cost to collect. In this episode, Jon Vitiello, SVP & CFO at St. Luke's Health, joins Stuart Newsome to discuss how CFOs interpret RCM signals, separate operational noise from financial risk, and use revenue cycle insight to guide strategy, investment, Medicare Advantage response, and patient access performance.Brought to you by www.infinx.com
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.
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
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
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.