Healthcare IT Today

JULY 3, 2025

Amanda has Recovered $120 Million in Annual Revenue and Automated 75,000+ Insurance Calls for RCM Teams, In Addition to a $4.2 At the same time, industry-wide staffing shortages impact 63 percent of RCM teams, leaving healthcare billers more overwhelmed than ever. Additionally, Amperos has secured a $4.2M

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Healthcare IT Today

MAY 5, 2025

The following is a guest article by Ananth Pudukkottai , Senior Vice President, Head of Client Services and US Operations at Access Healthcare In the rapidly evolving healthcare landscape, revenue cycle management (RCM) stands as one of the most crucial pillars of operational success.

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Healthcare IT Today

JUNE 27, 2025

Cheryl Taylor, Vice President, RCM Advisory at Cognizant Beyond simply managing denials after they occur, healthcare organizations must shift left — addressing issues before claims are submitted. More specifically, one of the most effective ways to improve RCM outcomes is to modernize your provider credentialing process.

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Healthcare IT Today

JULY 2, 2025

Does RCM need a transformation? What doesn’t seem like an open question to me is that RCM is going to be transformed with technology. If you’re someone working on an RCM related product in healthcare, you better be looking at improving net revenue. Balance in life, work, and RCM is always a challenge.

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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.

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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. To learn more about how they’re doing it and the new organization that brings together Access Healthcare, SmarterDx, and Thoughtful.ai

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Healthcare IT Today

DECEMBER 7, 2024

Read more… Finding Success With RCM Amid Evolving Challenges. Sandy Washburn at Compass Health Systems joined John to outline how health systems can benefit from eClinicalWorks RCM Consulting Services , especially in addressing challenges such as claims denials.

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Healthcare IT Today

NOVEMBER 8, 2024

The Company’s innovative solution for revenue cycle management (RCM) takes provider notes within patient charts and translates them into accurate diagnostic and billing charge codes, all within a matter of seconds and with zero human intervention.

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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.

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Healthcare IT Today

JANUARY 21, 2025

Margaret Schuler, Revenue Cycle Management Executive, Industry Expert, and Advisor to Cofactor AI said, More than ever there is a need for innovation and automation in the RCM space. Further, many incorrect denials go unappealed by hospitals due to the time and energy required to appeal them.

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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.

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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.)

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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.

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Healthcare IT Today

NOVEMBER 9, 2024

Read more… Balancing AI and Humans in RCM to Produce Clear ROI. Navaneeth Nair and Lora Pada at Infinx talked to John about AI’s role in improving RCM efficiency and reimbursement rates , along with finding a good balance between automation and human expertise.

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Healthcare IT Today

JANUARY 11, 2025

The Healthcare IT Today community expects automation will continue transforming RCM in 2025 , with a primary focus on eliminating waste and reducing inefficiency. But does everyone agrees that outsourcing RCM will continue ? Read more… 2025 Predictions: Revenue Cycle Management. AI was part of many expert predictions.

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Healthcare IT Today

JULY 10, 2025

But we’re also now entering a new phase: automating more of what happens behind the scenes and enabling revenue cycle management (RCM) teams to operate with unparalleled efficiency. Revenue cycle teams aren’t in the exam room—they only review what’s been documented.

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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 life cycle approach builds trust in AI and improves the RCM outcomes for their customers.

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Healthcare IT Today

JULY 19, 2025

Read more… Addressing the Main Challenges of Integrating RCM and EHR Systems. Read more… Funding and M&A Activity: RCM automation platform Commure secured $200 million in growth financing. We asked the Healthcare IT Today community for advice on how to get this done.

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Healthcare IT Today

NOVEMBER 24, 2024

Thoughtful AI launched six specialized AI agents for RCM workflows. Pennsylvania-based Independence Health System chose Ensemble as the RCM provider for four of its facilities. Unite Us updated the Social Needs System framework behind Social Connector , its analytics platform for calculating social risk.

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Healthcare IT Today

MAY 9, 2025

Expands Market Presence and Strengthens Customer Base in Academic Medical Centers Infinx Healthcare , a leading provider of AI-powered solutions for patient access and revenue cycle management (RCM), today announced it has acquired the Healthcare Revenue Cycle Management Business of i3 Verticals, Inc.

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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. RCM automation vendor Apprio launched Intelligent Denial Prevention. That compares to 37% for medical use cases and 13% for R&D.

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Healthcare IT Today

OCTOBER 12, 2024

Colin interviewed John Anilraj and Ryan Christensen at AGS Health about the company’s Intelligent RCM Engine, which optimizes workflows and improves efficiency while preventing claims denials and boosting cash flows. More than 80% said they would recommend a scribe to colleagues.

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Healthcare IT Today

JULY 8, 2025

No RCM, no mission. One of the questions at the end of the session was about the choice to offshore or nearshore their RCM. Plus, they got them to offer it at an extremely discounted rate. I also loved that Microsoft was working on ways to offer rural health nonprofit pricing to organizations that have a mixed environment.

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Healthcare IT Today

JUNE 21, 2025

Dr. 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… CIO Podcast : Clinical Documentation Improvement.

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Healthcare IT Today

JANUARY 17, 2025

Whats needed is a revolution, and revenue cycle management (RCM) technology is turning the tables. RCM technology streamlines workflows, increases collections, and improves a health systems financial stability by prioritizing high-value claims. Still, the RCM market is projected to exceed $238 billion by 2030.

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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. Machine learning algorithms can also analyze large datasets to detect patterns, assist with predictive analytics, and improve medical coding accuracy.

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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. Topping off the warchest comes with golden strings attached, so expect the pace to only accelerate from here as Abridge looks to live up to its valuation by coming out on top in the RCM landgrab.

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Healthcare IT Today

FEBRUARY 21, 2025

With a proven track record of success and client satisfaction, Raintree provides solutions in patient engagement and communications, clinical documentation, revenue cycle management (RCM), and business intelligence/analytics for adult and pediatric physical therapy, occupational therapy, speech therapy, and multidisciplinary practices across all treatment (..)

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Healthcare IT Today

JUNE 16, 2025

Next, we debate over whether RCM or more clinical quality efforts are driving the most CDI. What’s driving most CDI—RCM or more clinical quality efforts? We kick this episode off as Hussain details the aspects that many CIOs and healthcare leaders don’t understand about CDI but should. What were the keys?

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Healthcare IT Today

OCTOBER 15, 2024

For providers, this also substantially reduces claim denials for their finance and RCM teams. Today, Nirvana’s platform improves the patient experience by allowing patients to pay confidently upfront at the time of the visit, which simplifies the appointment booking experience as a whole.

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Electronic Health Reporter

JANUARY 9, 2025

As we head into 2025, several key trends are expected to significantly shape the future […] The article RCM In Transition: Key Trends to Watch in 2025 appeared first on electronichealthreporter.com.

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Healthcare IT Today

JUNE 30, 2025

There are a lot of really exciting things happening in RCM and AI right now. I can’t wait to see how it will continue to evolve. And thanks to The SSI Group for providing me the opportunity to interview my first humanoid.

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Healthcare IT Today

JUNE 7, 2025

A collaborative atmosphere is critical to reducing denials and speeding up time to approval – but that can be difficult to achieve when people supporting different RCM stages work in different places, noted Tanya Sanderson at Xsolis. Read more… Healthcare’s Most Pressing Revenue Integrity Issues in the Remote Work Era.

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Digital Health Wire

APRIL 24, 2025

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.

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Healthcare IT Today

FEBRUARY 7, 2025

Whether its about reducing human errors or enhancing efficiency, AI-powered tools have already laid a transformative effect on healthcare RCM. They can outsource their RCM operations to top medical billing companies equipped with AI tools to gain a competitive advantage. And it is just the beginning.

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Healthcare IT Today

APRIL 8, 2025

Strategic Acquisition Strengthens Knack RCM’s Leadership in Specialty RCM Services Knack RCM , a leader in tech-enabled, end-to-end, and customizable revenue cycle management (RCM) services, today announced the acquisition of PPM Partners , a leading RCM provider with deep expertise in the anesthesia sector.

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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.

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