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Artwork for Revenue Cycle Optimized

Revenue Cycle Optimized

Infinx Healthcare
Revenue Cycle Management
RAC Audits
Cardiology
Healthcare Revenue Cycle Management
Automation
Healthcare
Medical Necessity
Artificial Intelligence
Accounts Receivable (AR)
Denials Management
Claim Denials
Coding
Data Analytics
Radiology
Technology Integration
Cash Flow Issues
Revenue Integrity
CMS Price Transparency Compliance
Critical Access Hospitals
Patient Care

Join us as we explore the latest challenges, developments and innovations in the healthcare revenue cycle space. Don't forget to subscribe to get alerted when a new episode is uploaded.

PublishesDailyEpisodes319Founded4 years ago
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Artwork for Revenue Cycle Optimized

Latest Episodes

Prior authorization remains one of the biggest obstacles to smooth reimbursement, causing delays, denials, and cash flow disruption across the revenue cycle. This episode explores why prior auth continues to break front-end operations and how automat... more

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 movin... more

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 ... more

When eligibility and benefits verification wobbles, everything in your revenue cycle does too. In this RCMinutes episode, we explore how manual EVB leads to denials, missed reverifications, and payment delays — and how intelligent automation, payer m... more

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.

Brought to you by www.infinx.c... more

Senior Revenue Cycle Manager Christina Harkins shares how Infinx personalizes every RCM engagement—from onboarding through optimization and even exit planning. Learn how structured discovery, tailored timelines, transparent communication, and U.S.-ba... more

With payer audits and denials on the rise, AI offers providers a powerful way to protect revenue and remain compliant. Join HFMA Hawaii and Infinx, in this episode, to explore how healthcare organizations are using AI to flag denial risks, streamline... more

Discover how intelligent automation transforms eligibility verification by eliminating repetitive checks, reducing errors, and freeing staff to focus on real exceptions that require expertise.

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Recent Guests

Dan Heemstra
Revenue Cycle Manager at Mary Free Bed Rehabilitation Hospital
Mary Free Bed
Episode: Smart PT Reverification Lessons From Mary Free Bed
Michael Branzino
Co-founder and Chief Commercial Officer at Maverick AI.
Maverick Medical AI
Episode: Ensuring Quality and Compliance in AI Coding
Stacey Buck
VP of Coding Compliance at Maverick Medical AI.
Maverick Medical AI
Episode: Ensuring Quality and Compliance in AI Coding
Nio Queiro
Chief Executive Officer at the Queiro Group, previously Chief Strategy Officer at Nashville General Hospital and Senior Vice President of Revenue Cycle at Tufts Medicine
Queiro Group
Episode: Bringing the Human Touch Back to AI Revenue Cycle Transformation
Laura Pata
AVP of Customer Success at Infinex Healthcare
Infinex Healthcare
Episode: The Realities of Reverification and the Future of Intelligent Automation
Jonathan Aguilar
Senior Solutions Engineer at Infinex Healthcare
Infinex Healthcare
Episode: The Realities of Reverification and the Future of Intelligent Automation
Taylor Searfoss
Vice President of NI2, part of the Infinx family
NI2
Episode: Hidden Dollars – A Rural Hospital’s Guide to Financial Survival
Neelam Yadav
Associate Product Manager at Infinex, focusing on automating healthcare workflows
Infinex Healthcare
Episode: How Radiology Teams Modernize Intake Without Disrupting Epic Workflows
Ramona Hernandez
Vice President of Revenue Cycle Growth and Strategy
Infinex Healthcare
Episode: Closing the Visibility Gap in Patient Access Metrics

Host

Stuart Newsome
Host and expert in revenue cycle management, specializing in automated solutions and operational improvements in healthcare settings.

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Talking Points

Recent interactions between the hosts and their guests.

Reverification Leads to Prior Authorization Automation Live Demo
Q: Can the product assess payer policy, medical necessity, even if it auto approves?
The roadmap includes a new AI agent that will assess medical necessity across multiple payers dynamically.
Reverification Leads to Prior Authorization Automation Live Demo
Q: What happens when a payer's rules change mid-process?
The system has auditing mechanisms that keep humans in the loop to ensure it adapts to changes.
Reverification with EVB Automation Live Demo
Q: Does the automation handle pairs that still require phone verification or unique logins?
Yes, the automation triages the work and hands over cases that require phone verification to human specialists.
Region 9 HFMA: The Anatomy of AI Agents - What They Are, How They Work, and Why They Matter
Q: Are more payer contracts beginning to reflect incorporation of AI utilization?
Yes, we have seen a spike in requests for medical records, indicating that payers are leveraging AI to track and request records more quickly while also negotiating contracts based on data analytics.
Region 9 HFMA: The Anatomy of AI Agents - What They Are, How They Work, and Why They Matter
Q: How do you create agents or where can you find pre-made agents?
The best approach is to find someone who is an expert in this and can listen to what you're trying to accomplish. There are also companies that use predetermined agents that can be plugged into workflows, but many organizations will look for consultants who can customize solutions.

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Frequently Asked Questions About Revenue Cycle Optimized

What is Revenue Cycle Optimized about and what kind of topics does it cover?

Focused on the dynamics of the healthcare revenue cycle, this series engages listeners with insightful discussions surrounding the challenges and innovations within the field. Episodes cover a broad spectrum of topics including the integration of AI and automation in healthcare systems, efficiency metrics in revenue cycle management, and strategies for improving patient coverage and operational sustainability. Unique features include practical case studies and expert insights that illustrate real-world applications of discussed technologies and methodologies, making it a valuable resource for professionals looking to enhance revenue cycle operations in healthcare settings.

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How many episodes of Revenue Cycle Optimized are there?

Revenue Cycle Optimized launched 4 years ago and published 319 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on Revenue Cycle Optimized?

Recent guests on Revenue Cycle Optimized include:

1. Dan Heemstra
2. Michael Branzino
3. Stacey Buck
4. Nio Queiro
5. Laura Pata
6. Jonathan Aguilar
7. Taylor Searfoss
8. Neelam Yadav

To view more recent guests and their details, simply upgrade your Rephonic account. You'll also get access to a typical guest profile to help you decide if the show is worth pitching.

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