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Artwork for Revenue Cycle Optimized

Revenue Cycle Optimized

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

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.

PublishesDailyEpisodes392Founded4 years ago
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Artwork for Revenue Cycle Optimized

Latest Episodes

AI in revenue cycle is not just about automation. In this RCMinutes episode of the Revenue Cycle Optimized podcast, we explore how AI-powered decision support helps revenue cycle teams prioritize work, reduce second-guessing, improve denial managemen... more

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.

Brought to you by www.infinx.com

Medical necessity review is getting harder as payer policies change more often and AI allows health plans to evaluate cases at greater speed and scale. In this episode, Navaneeth Nair explains why older rules-based tools could not fully solve the pro... more

AI and automation in revenue cycle mean very little without measurable outcomes to back them up. This episode explores why the real goal is relief from staffing strain, administrative burden, and constant rework, and why outcomes are the proof that p... more

Long term care pharmacy billing is uniquely complex, shaped by changing patient status, payer transitions, and facility-specific requirements that do not exist in other pharmacy settings. In this episode, Derek Taylor, PharmD, explores the billing ch... more

Prior authorization has changed dramatically over the last decade, but not every solution has evolved in the same way. In this episode, Jason Lewis explores the history of prior authorization automation and helps healthcare leaders understand the mod... more

AI success in revenue cycle rarely comes from a single implementation or vendor promise. This segment explores how leaders should evaluate partial wins, guide use cases, and actively shape AI outcomes instead of reacting to market hype.

Independent radiology centers face growing competition from hospital systems, where speed to schedule and authorization turnaround directly impact patient access and referral retention. In this episode, Heidi Simpson, Operations Manager at Advanced D... more

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Recent Guests

Jonathan Aguilar
Senior Solutions Engineer
Infinix / Infinex (RCM Plus team)
Episode: Live Demo: How RCM Plus Prioritizes Denials by Predicted Reimbursement
Navaneeth Nair
Chief Product Officer at Infinix
Infinix
Episode: Why Medical Necessity Review Needs a New AI Approach
Derek Taylor
Senior Director of Pharmacy Client Services at Infinix Healthcare
Infinix Healthcare
Episode: Mastering LTC Pharmacy Billing Complexity
Jason Lewis
Director of Business Development
Infinix
Episode: The Evolution of Prior Authorization Automation in Healthcare
Heidi Simpson
Operations Manager at Advanced Diagnostic Radiology
Advanced Diagnostic Radiology
Episode: Driving Radiology Growth Through Smarter Prior Authorization
Anthony Amaya
Vice President, acute care operations at Infinx
Infinx Health Care
Episode: Reducing Cost to Collect The AI Wave and How to Multiply Its Impact
Jamie Campagna
From MedReceivables Advisors
MedReceivables Advisors
Episode: How Charge Capture AI Agents Improve Billing Accuracy
Susan Eisenhower
Senior Coding Manager at Infinix
Infinix
Episode: Autonomous EM Coding And Breakpoints That Drive RCM Outcomes
Julie Graham
Senior Coding Manager with expertise in cardiology and orthopedic coding.
Infinix
Episode: Autonomous Coding and the E&M Gray Zone

Host

Stuart Newsome
Host of Revenue Cycle Optimized

Top Business Podcasts

Talking Points

Recent interactions between the hosts and their guests.

Live Demo: How RCM Plus Prioritizes Denials by Predicted Reimbursement
Q: How does the system change the order in which denials are worked once predictions are in place?
The system ranks denials by expected recovery rather than just balance or aging, converting analytics into actionable, prioritized work lists and moving away from generic queues.
Live Demo: How RCM Plus Prioritizes Denials by Predicted Reimbursement
Q: What is something you hear most often about how denial work is prioritized, and what's the typical approach teams use today?
Teams often lack a disciplined, data-driven method and rely on habit and urgency, chasing high-dollar amounts or those closest to timely filing limits, which can misalign effort with true recoverable value.
Mastering LTC Pharmacy Billing Complexity
Q: So with new admissions arriving in a compressed window, how can LTC pharmacies ensure all payer information is set up in advance to avoid delays in dispensing and billing?
By maximizing overlap of staffing during the crunch window, pre-loading admissions with the correct payer hierarchies, and using remote or contracted staff to cover the peak period, pharmacies can ensure the first batch of meds is billed correctly, reducing delays and write-offs.
Reducing Cost to Collect The AI Wave and How to Multiply Its Impact
Q: If resources are limited, which function should be tackled first to increase cash quickly while avoiding compliance risk?
Start with charge capture optimization as it offers rapid impact with technology, while ensuring governance and third-party support to prevent downstream compliance risk and to accelerate implementation.
Reducing Cost to Collect The AI Wave and How to Multiply Its Impact
Q: What metrics should leaders track to prove the denominator strategy is working?
Track concrete, claim-to-claim improvements—compare equivalent claims before and after changes, isolating variables like payor mix and volume to verify true cash lift versus timing shifts.

Audience Metrics

Listeners, social reach, demographics and more for this podcast.

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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?

This program consistently centers on healthcare revenue cycle management, with a strong emphasis on AI, automation, and the practical realities of implementation in clinical and hospital settings. Episodes frequently explore how technology can improve coding accuracy, prior authorization workflows, denial prevention, and overall cash collection, while stressing the importance of human-in-the-loop governance to avoid over-automation. A recurring strength is translating complex RCM concepts into actionable strategies—such as tuning documentation practices, workflow orchestration, and change management—that listeners can apply to real-world operations. A standout trait is the candid focus on credible AI outcomes, balancing optimism with pragma... more

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Which podcasts are similar to Revenue Cycle Optimized?

These podcasts share a similar audience with Revenue Cycle Optimized:

1. Becker's CFO + Revenue Cycle Podcast
2. HFMA’s Voices in Healthcare Finance
3. CodeCast | Medical Billing and Coding Insights
4. NSCHBC Edge Podcast
5. Talk Ten Tuesdays

How many episodes of Revenue Cycle Optimized are there?

Revenue Cycle Optimized launched 4 years ago and published 392 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. Jonathan Aguilar
2. Navaneeth Nair
3. Derek Taylor
4. Jason Lewis
5. Heidi Simpson
6. Anthony Amaya
7. Jamie Campagna
8. Susan Eisenhower

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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