EHR and RCM - Connected Health Pulse

Automation’s Role in Streamlining RCM Workflows and Reducing Administrative Burdens

Healthcare IT Today

JUNE 26, 2025

Today, we are going to focus on Revenue Cycle Management (RCM) and see what automation can do to streamline RCM workflows and reduce administrative burdens. One health system we worked with was able to automate 120 million RCM process steps, saving more than $18 million. The following are their answers.

RCM

RCM EHR Patient Experience Healthcare IT

Addressing the Main Challenges in Integrating RCM Software with Existing EHR Systems

Healthcare IT Today

JULY 16, 2025

Today, we are going to narrow our focus on integrating RCM software with existing electronic health record (EHR) systems. We reached out to our brilliant Healthcare IT Today Community to ask — what are the main challenges in integrating RCM software with existing EHR systems, and how can these be addressed?

RCM

RCM EHR Interoperability Private practice

Most Effective Tools and Technologies in Providing Real Time Insights Into Financial Performance and Key RCM Metrics

Healthcare IT Today

JULY 9, 2025

In search of those answers, we reached out to our incredible Healthcare IT Today Community to ask — what tools or technologies are most effective in providing real-time insights into financial performance and key RCM metrics? Given the complexity of RCM, a BI tool helps identify trends and consolidates data to support better decision-making.

RCM

RCM EHR Patient Experience Healthcare IT

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How to Start Virtual Care the Right Way: A Proven Roadmap for 2025 and Beyond

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The Evolving Challenge of RCM and Keys to Successful RCM with Compass Health Systems

Healthcare IT Today

DECEMBER 4, 2024

One of the important ones is that effective RCM (Revenue Cycle Management) is essential to running a successful medical practice. The challenges and importance of RCM have never been greater. Payers are continuing to take advantage of healthcare organizations with poor RCM. Medical practices with great RCM are thriving.

RCM

RCM Leadership Healthcare IT EMR

Healthcare Revenue Cycle Management – 2025 Health IT Predictions

Healthcare IT Today

JANUARY 8, 2025

Outsourcing will pivot to a more surgical, targeted strategy, focusing on high-impact, specialized areas like revenue integrity, underpayment recovery, and the more commonplace out-of-state Medicaid and small balance recovery work where RCM outsourcing supplements streamlined, automation-empowered teams instead of replacing them.

Health IT

Health IT RCM Patient Experience Life Science

Access Healthcare and Smarter Technologies Applying AI to Revenue Cycle Management

Healthcare IT Today

JULY 10, 2025

Access Healthcare , now part of Smarter Technologies , makes revenue cycle management (RCM) more accurate and cheaper by breaking the process into modules and automating each one using AI. In theory, the EHR vendors could provide these revenue management services, but Ravi says they haven’t done so.

RCM

RCM EHR Interoperability Healthcare IT

Commure Secures $200M to Accelerate AI-Powered Healthcare Transformation

Healthcare IT Today

JULY 14, 2025

The funding will be used to meet the surging demand for our full-stack AI platform, which spans revenue cycle management (RCM), Ambient AI clinical workflows, and practice management solutions. CVF enables fast-growing companies that operate a proven, repeatable go-to-market approach.

RCM

RCM EHR Health IT Healthcare IT

Bonus Features – January 12, 2025 – 80% of providers prioritizing updates to billing and payment systems, new board chairs at AHIMA and the EHR Association, plus 19 other stories

Healthcare IT Today

JANUARY 12, 2025

HCPro launched its Provider Education Microlearning Series , which offers training on clinical documentation integrity, coding, and RCM. Specialty EHR and practice management vendor ModMed received ASTP certification for its Predictive Decision Support Intervention criterion.

EHR

EHR RCM Healthcare IT Nursing

Cofactor AI Launches Platform to Help Hospitals Fight Tidal Wave of Claims Denials and Announces $4 Million Seed Round

Healthcare IT Today

JANUARY 21, 2025

Cofactor AIs platform, Cofactor Denial Suite, integrates with EHR systems and clearinghouses and instantly finds the exact contextual information required to generate winning appeals. To help hospitals fight back, Cofactor AI today introduced a new first-of-its-kind AI-powered platform to easily, quickly, and successfully appeal denials.

RCM

RCM EHR Hospital IT Health IT

Reducing Denials and Improving the Success Rate of Claim Reimbursements

Healthcare IT Today

JUNE 27, 2025

Healthcare IT should modernize their talent and technology staff in Cloud, AI, and Analytics, moving past systems of record like EHR and Clinical systems to capitalize on unlocking value and insights from their unstructured data. This preventative approach significantly reduces rework and revenue leakage.

RCM

RCM Healthcare IT Medical Billing EHR

Weekly Roundup – June 28, 2025

Healthcare IT Today

JUNE 28, 2025

Read more… Automation’s Role in Streamlining RCM Workflows and Reducing Administrative Burdens. According to the Healthcare IT Today community, the key benefits of RCM automation include fewer billing errors, faster payments, reduced leakage, and more accurate coding. More on that one below.)

RCM

RCM Life Science HIPAA EHR

Weekly Roundup – December 7, 2024

Healthcare IT Today

DECEMBER 7, 2024

Read more… An Interoperability and EHR API Deep Dive with Brendan Keeler. Read more… Finding Success With RCM Amid Evolving Challenges. Colin Hung ventured to Chicago for the annual gathering. Using AI to improve efficiency was a key theme, as was making imaging more mobile to improve the patient experience.

RCM

RCM Interoperability Healthcare IT Medical Billing

Raintree Systems Acquires Rehab Therapy AI Technology Leader Yoomi Health

Healthcare IT Today

FEBRUARY 21, 2025

The Yoomi acquisition paves the way for accelerated delivery of AI products that change the paradigm of how rehab therapy EHRs inherently function. With Yoomi and Raintree working together to deliver an all-inclusive native EHR AI solution, we will reduce the cost per activity for rehab therapy practices.

EMR

EMR RCM EHR Healthcare IT

Bonus Features – November 24, 2024 – Only 16% of patients prefer online pharmacies, medical coding denials up 125% in the last year, plus 27 other stories

Healthcare IT Today

NOVEMBER 24, 2024

Partnerships MEDENT and Azalea Health added Suki Platform , Suki’s AI engine, to their EHR systems. ModMed released ModMed Scribe , an AI ambient listening tool natively built into the EMA EHR platform. Thoughtful AI launched six specialized AI agents for RCM workflows.

RCM

RCM Psychiatry EMR Nursing

Weekly Roundup – July 12, 2025

Healthcare IT Today

JULY 12, 2025

Applying AI to RCM for Improved Efficiency. John Lynn sat down with Access Healthcare CEO Shaji Ravi to unpack why providers need AI solutions to match the power of payers , and how breaking the RCM process into modules and automating each one using AI is an important first step. Read more… More Video Perspectives From HFMA 2025.

RCM

RCM Life Science Healthcare IT Mental health

Weekly Roundup – July 19, 2025

Healthcare IT Today

JULY 19, 2025

Read more… Addressing the Main Challenges of Integrating RCM and EHR Systems. He shared his thoughts on everything from implementing an EHR before the days of meaningful use to what CIOs shouldn’t be afraid to talk about publicly. We asked the Healthcare IT Today community for advice on how to get this done.

RCM

RCM Life Science Meaningful Use Drug Development

Harnessing AI to Transform Urgent Care Centers: Improving Efficiency, Morale, and Profitability

Healthcare IT Today

FEBRUARY 3, 2025

By addressing common Urgent Care challengesranging from provider burnout to revenue cycle management (RCM) issuesAI can revolutionize Urgent Care operations. Optimizing Revenue Cycle Management (RCM) AI can streamline RCM by automating claims submissions and handling denial management with incredible speed and accuracy.

RCM

RCM Patient Experience EMR EHR

Leveraging Emerging Technologies to Enhance Data Integrity and Streamline Processes

Healthcare IT Today

DECEMBER 20, 2024

AI-powered revenue cycle management (RCM) systems streamline billing and coding processes, reduce claim denials, and optimize revenue capture. These AI tools and more are having a tremendous impact on multilingual information capture in the EHR to facilitate higher accuracy levels of interpretation and translation at the point of care.

Health Information

Health Information Life Science EHR RCM

Infinx Envisions a Life Cycle Around AI to Improve RCM

Healthcare IT Today

MARCH 3, 2025

Navaneeth Nair, its Chief Product Officer, views AI refinement as a life cycle in which humans constantly monitor and evaluate its results, giving AI feedback so that it keeps up with the evolution of RCM. The AI agent can insert an order into a patient record, and even create the record in the EHR. Infinx has hierarchies of AI agents.

RCM

RCM EHR Healthcare IT EMR

eClinicalWorks Cloud and healow Providing Value to HealthNet

Healthcare IT Today

NOVEMBER 14, 2024

Gomez shared with us about their experience using healow Pay and Statements and how it has really benefited the HealthNet organization’s RCM. Along with moving to the cloud, HealthNet has also been leveraging eClinicalWorks healow solution to improve their revenue cycle management.

RCM

RCM EMR Healthcare IT Patient Experience

Weekly Roundup – June 21, 2025

Healthcare IT Today

JUNE 21, 2025

Faisal Hussain at Wellstar Health System joined John to discuss whether RCM or clinical quality is the bigger driver of CDI adoption , as well as how to centralize CDI across a growing healthcare enterprise. Read more… How to Maintain a HIPAA-Compliant EHR in 2025.

Life Science

Life Science eHealth RCM EHR

Nirvana Raises $24.2M Series A to Revolutionize Health Insurance Verification

Healthcare IT Today

OCTOBER 15, 2024

For providers, this also substantially reduces claim denials for their finance and RCM teams. Nirvana is available via direct API integration, EHR/EMR integration, or through the always accessible web/mobile OneVerify application. This antiquated standard is no longer compatible with today’s digital healthcare environment.

Patient Experience

Patient Experience RCM EMR Primary Care

Bonus Features – October 20, 2024 – Clinicians spend 28 hours per week on admin tasks, 80% of adults 18-24 willing to use generative AI in healthcare, plus 22 more stories

Healthcare IT Today

OCTOBER 20, 2024

Nearly two-thirds (65%) of RCM leaders believe generative AI will substantially impact medical coding operations , according to an AKASA survey. Privacy technology vendor BeeKeeperAI and Nordic Consulting are collaborating to develop clinical decision support systems for EHR workflows.

RCM

RCM Healthcare IT EHR Digital Health

Abridge Moves Upstream With $300M Series E

Digital Health Wire

JUNE 26, 2025

Commure raised $200M and rounded out its RCM and documentation capabilities with AI agents that handle scheduling, referrals, and prior auths. Nabla closed $70M to build out an Adaptic Agentic Platform that enables real-time coding assistance, direct EHR commands, and new capabilities for nurses.

RCM

RCM Digital Health Nursing EHR

Bonus Features – October 27, 2024 – Almost 90% of info blocking complaints to ONC/ASTP are against providers, 74% of patients with health plan questions want to speak to a human, plus 20 other stories

Healthcare IT Today

OCTOBER 27, 2024

Net Health is integrating Tali , a voice-enabled AI assistant, into four of its restorative care EHR offerings. Montana-based Billings Clinic-Logan Health is expanding its Oracle Health EHR install to all 30 of its hospitals. RCM vendor TruBridge elected Amy O’Keefe to its Board of Directors.

RCM

RCM EHR Healthcare IT HIPAA

The Healthcare AI Adoption Index

Digital Health Wire

APRIL 24, 2025

The rest are being built internally or led by the usual suspects like major EHRs and Big Tech. Of the 22 jobs-to-be-done for Payors (claims, network, member, pricing), 19 jobs for Pharma (preclinical, clinical, marketing, sales), and 18 jobs for Providers (care delivery, RCM) – 45% are still in the ideation or proof of concept phase.

RCM

RCM Digital Health EHR

AI and Automation in Healthcare – 2025 Health IT Predictions

Healthcare IT Today

DECEMBER 23, 2024

RCM will be managed by AI-powered agents every step of the way, including generating appeals letters, submitting appeals to payers, and converting paper EOBs to ERAs. In 2025, we predict that using AI-powered agents will reduce the cost of Revenue Cycle Management (RCM) by 70%, helping streamline the end-to-end billing process.

Health IT

Health IT EHR RCM Nursing

A Plethora of Announcements Focused on AI at eClinicalWorks Annual Conference

Healthcare IT Today

OCTOBER 28, 2024

As I said in my previous writeup at an EHR user conference, I believe there’s no way for the culture of a company not to appear at their user conference. Amazing to see how impactful an integrated solution with access to the EHR data can be. The third panel provided AI feedback and answers to support the call center agent.

EHR

EHR RCM Patient Experience Telehealth

Weekly Roundup – June 7, 2025

Healthcare IT Today

JUNE 7, 2025

John interviewed Lim Bing Feng and Calvin Koay at MyHeartRisk, along with Pawan Jindal at Darena Solutions, about how the contest offered a chance to help the startup find an easy way to integrate its AI solution with EHR systems. Read more… Life Sciences Today Podcast : Post-Surgical Care.

Life Science

Life Science RCM FHIR Healthcare IT

SuperDial Raises $15M to Automate Healthcare’s Endless Admin Phone Calls

Healthcare IT Today

JULY 15, 2025

The platform integrates with EHRs and other systems of record to automate documentation, including writing back data gathered from calls, such as claims status updates. RCM market still relies on manual phone calls for basic tasks – calls that can take over an hour and pull staff away from higher-impact work. The $150B U.S.

RCM

RCM Healthcare Cybersecurity EHR HIPAA

SmarterDx, Thoughtful.ai, and Access Healthcare Form Smarter Technologies

Digital Health Wire

MAY 22, 2025

New Mountain Capital just hit us with one of the biggest blockbuster mergers of the year, combining portfolio companies SmarterDx, Thoughtful.ai, and Access Healthcare into a new RCM powerhouse dubbed Smarter Technologies.

RCM

RCM Digital Health EHR

Bonus Features – June 22, 2025 – Use of health plan mobile apps up nearly 22% since last year, only 40% of consumers willing to share health data with AI vendors, plus 20 more stories

Healthcare IT Today

JUNE 22, 2025

Altera Digital Health released Sunrise 25.1 , the latest version of its EHR for mid-size hospitals and health systems. The application is a cloud-based mobile extension of the Oracle Health Foundation EHR, which is designed for rural and home care settings. People Eyecare EHR Sightview named Tycene Fritcher as CEO.

Health Data

Health Data EHR RCM Digital Health

HIStalk Interviews Jaideep Tandon, CEO, Infinx

HIStalk Interviews

JUNE 16, 2025

We started by providing back office help, but quickly realized that there’s an amazing opportunity here to reduce friction in overall RCM through the use of technology and trained resources. Today we provide a variety of RCM solutions to about 800 customers. How are these capabilities being integrated into the EHR?

RCM

RCM EHR FHIR Digital Health

Collaboration Across the Healthcare Ecosystem: A Key to Revenue Cycle Success

Healthcare IT Today

FEBRUARY 26, 2025

As electronic health record (EHR) systems become nearly universal and interoperability initiatives gain momentum, many healthcare providers assume their revenue cycle challenges are solved. In 2008, 9% of hospitals and 17% of office-based physicians used EHR systems. By 2021, these numbers had soared to 96% and 78%, respectively.

EHR

EHR Interoperability Leadership healthcare technology

Steady Improvement, AI Benefits, and Reducing Burden were the Key Messages at NextGen UGM 2024

Healthcare IT Today

OCTOBER 31, 2024

Not only for RCM reimbursements, but also how fast a physician conducts an encounter and how satisfied patients are with their service. “By giving our customers these benchmarks through this enterprise data warehouse and dashboard that we publish, they can see how much potential they are leaving on the table,” said Velamoor.

RCM

RCM Patient Experience Healthcare IT EMR

Bonus Features – March 9, 2025 – 85% of senior leaders say AI will improve RCM efficiency, 44% of patients worry AI will reduce personal interactions with their providers, plus 26 more stories

Healthcare IT Today

MARCH 9, 2025

Studies An Omega Healthcare survey found 85% of senior healthcare executives believe AI will improve RCM efficiency. Wolters Kluwer Health integrated UpToDate with Phrase Health , an EHR workflow optimization product. RCM vendor Infinx Healthcare unveiled its Revenue Cycle Agent Platform and Document Capture AI Agent Platform.

RCM

RCM Healthcare IT Interoperability EHR

Availity is Already Automating Prior Auths

Healthcare IT Today

JULY 17, 2025

They also look forward to an API that can allow providers to submit a request right of the EHR. .” They hope to get prior approval for every step, even as conditions change during treatment: initial diagnosis, recommendation, treatment, and follow-up.

Interoperability

Interoperability Healthcare IT EHR RCM

Most Impactful Digital Health and IT Innovation Projects on Healthcare Organizations

Healthcare IT Today

MAY 6, 2025

The digital innovations with the most impact on care delivery are EHR and practice management tools, including RCM and payment functions, that are designed with providers and patients at the forefront.

Digital Health

Digital Health Telecare Telemedicine Life Science

What Are Healthcare’s Most Pressing Revenue Integrity Issues in the Remote Work Era?

Healthcare IT Today

JUNE 6, 2025

Teams are focused on what functions they can build into their EHR more than the “why” behind each action they perform. This is, in part, a function of the inherently siloed nature of remote work. Another factor is the time constraints brought on by workforce reduction measures.

Nursing

Nursing EHR Medicare Health Technology

Bonus Features – February 2, 2025 – Only 14% of Americans confident with their health plan choice, hospitals end 2024 with 6% operating margins, plus 19 more stories

Healthcare IT Today

FEBRUARY 2, 2025

Lone Star Family Health Center selected athenaOne for EHR, RCM, and patient engagement. Perceptyx launched Activate for Healthcare to help health systems analyze and act on feedback from employee surveys. Sales Mercy is launching Aidocs aiOS platform to support diagnostic imaging review.

eHealth

eHealth RCM Mental health Healthcare IT

Weekly Roundup – April 12, 2025

Healthcare IT Today

APRIL 12, 2025

Ford at the California Medical Association joined John to discuss the Golden State’s efforts to regulate AI use and segment certain types of EHR data. Read more… Funding and M&A Activity: Knack RCM acquired PPM Partners , which provides anesthesia billing and practice management services.

HIPAA

HIPAA Life Science RCM Healthcare IT

Bonus Features – May 25, 2025 – 49% of patients who avoid portals say it’s because of data security concerns, 61% of patients would pay a premium for a better experience, plus 31 more stories

Healthcare IT Today

MAY 25, 2025

Partnerships TruBridge integrated Microsoft Dragon Copilo t into its EHR system. RCM vendors Ensemble and Solventum are partnering to enable autonomous coding. Products athenahealth announced athenaOne for Community Health Centers , its EHR and practice management tool for FQHCs.

RCM

RCM EHR Healthcare IT Primary Care

Bonus Features – January 19, 2025 – 183 million patient records exposed in cyberattacks in 2024, 74% of orgs rely on manual processes for workforce management, plus 36 more stories

Healthcare IT Today

JANUARY 19, 2025

Veradigm added SDoH and mortality data to its ambulatory EHR database. Company News Third-party EHR integration vendor Red Rover Health selected Amendola as its PR firm. RCM managed services vendor Ensemble received a patent for its data retrieval and decision support technology.

Telecare

Telecare RCM Healthcare Data Security EHR

Weekly Roundup – March 15, 2025

Healthcare IT Today

MARCH 15, 2025

Another topic for the experts in the Healthcare IT Today community highlighted AI use cases such as RCM automation, diagnostic efficiency, clinical documentation, and predictive analytics. Read more… AI’s Promise in Improving Patient Outcomes and Streamlining Healthcare Operations.

Life Science

Life Science RCM Leadership Healthcare IT

Automation’s Role in Streamlining RCM Workflows and Reducing Administrative Burdens

Addressing the Main Challenges in Integrating RCM Software with Existing EHR Systems

Webinars

Trending Sources

Most Effective Tools and Technologies in Providing Real Time Insights Into Financial Performance and Key RCM Metrics

Webinars

The Evolving Challenge of RCM and Keys to Successful RCM with Compass Health Systems

Healthcare Revenue Cycle Management – 2025 Health IT Predictions

Access Healthcare and Smarter Technologies Applying AI to Revenue Cycle Management

Commure Secures $200M to Accelerate AI-Powered Healthcare Transformation

Bonus Features – January 12, 2025 – 80% of providers prioritizing updates to billing and payment systems, new board chairs at AHIMA and the EHR Association, plus 19 other stories

Cofactor AI Launches Platform to Help Hospitals Fight Tidal Wave of Claims Denials and Announces $4 Million Seed Round

Reducing Denials and Improving the Success Rate of Claim Reimbursements

Weekly Roundup – June 28, 2025

Weekly Roundup – December 7, 2024

Raintree Systems Acquires Rehab Therapy AI Technology Leader Yoomi Health

Bonus Features – November 24, 2024 – Only 16% of patients prefer online pharmacies, medical coding denials up 125% in the last year, plus 27 other stories

Weekly Roundup – July 12, 2025

Weekly Roundup – July 19, 2025

Harnessing AI to Transform Urgent Care Centers: Improving Efficiency, Morale, and Profitability

Leveraging Emerging Technologies to Enhance Data Integrity and Streamline Processes

Infinx Envisions a Life Cycle Around AI to Improve RCM

eClinicalWorks Cloud and healow Providing Value to HealthNet

Weekly Roundup – June 21, 2025

Nirvana Raises $24.2M Series A to Revolutionize Health Insurance Verification

Bonus Features – October 20, 2024 – Clinicians spend 28 hours per week on admin tasks, 80% of adults 18-24 willing to use generative AI in healthcare, plus 22 more stories

Abridge Moves Upstream With $300M Series E

Bonus Features – October 27, 2024 – Almost 90% of info blocking complaints to ONC/ASTP are against providers, 74% of patients with health plan questions want to speak to a human, plus 20 other stories

The Healthcare AI Adoption Index

AI and Automation in Healthcare – 2025 Health IT Predictions

A Plethora of Announcements Focused on AI at eClinicalWorks Annual Conference

Weekly Roundup – June 7, 2025

SuperDial Raises $15M to Automate Healthcare’s Endless Admin Phone Calls

SmarterDx, Thoughtful.ai, and Access Healthcare Form Smarter Technologies

Bonus Features – June 22, 2025 – Use of health plan mobile apps up nearly 22% since last year, only 40% of consumers willing to share health data with AI vendors, plus 20 more stories

HIStalk Interviews Jaideep Tandon, CEO, Infinx

Collaboration Across the Healthcare Ecosystem: A Key to Revenue Cycle Success

Steady Improvement, AI Benefits, and Reducing Burden were the Key Messages at NextGen UGM 2024

Bonus Features – March 9, 2025 – 85% of senior leaders say AI will improve RCM efficiency, 44% of patients worry AI will reduce personal interactions with their providers, plus 26 more stories

Availity is Already Automating Prior Auths

Most Impactful Digital Health and IT Innovation Projects on Healthcare Organizations

What Are Healthcare’s Most Pressing Revenue Integrity Issues in the Remote Work Era?

Bonus Features – February 2, 2025 – Only 14% of Americans confident with their health plan choice, hospitals end 2024 with 6% operating margins, plus 19 more stories

Weekly Roundup – April 12, 2025

Bonus Features – May 25, 2025 – 49% of patients who avoid portals say it’s because of data security concerns, 61% of patients would pay a premium for a better experience, plus 31 more stories

Bonus Features – January 19, 2025 – 183 million patient records exposed in cyberattacks in 2024, 74% of orgs rely on manual processes for workforce management, plus 36 more stories

Weekly Roundup – March 15, 2025

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