Revenue Cycle Optimized

Automation is changing patient access, but prior authorization still requires more than bots, portals, and percentage-based promises. In 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.

A/R is familiar territory for revenue cycle leaders, but the way it is managed determines whether teams are simply tracking unpaid claims or actively moving them toward resolution. This RCMinutes episode reframes A/R as an operational discipline built around follow-up, prioritization, denials, underpayments, patient responsibility, and the decisions that protect cash flow.

Healthcare revenue cycle has relied on rules engines, manual workflows, and brittle automation for decades. In this episode, Monte Sandler, Chief Operating Officer at WebPT, joins Stuart Newsome to discuss why AI may finally give RCM teams a way to manage complexity more dynamically while keeping human expertise at the center. Brought to you by www.infinx.com

Prior authorization and eligibility verification remain too variable, payer-specific, and operationally complex to rely on automation alone. In this episode, David Byrd and Navaneeth Nair explain how Infinx Patient Access Plus orchestrates AI agents, automation, payer connectivity, analytics, and human expertise to reduce administrative burden and keep care moving.

This RCMinutes segment reframes prior authorization as more than a portal or paperwork problem — it is a data problem that affects access, scheduling, patient trust, and revenue. The episode explores why clean data, intelligent automation, and human oversight are essential to moving from reactive authorization chasing to proactive access management.

Same-day cancellations, delayed procedures, and scheduling disruption can create major strain for orthopedic practices. In this Office Hours Takeover, Lora Pada, VP of Customer Success at Infinx, speaks with Danelle Newman, Director of Patient Access at OSS Health, about the role prior authorization workflows play in keeping schedules moving, reducing preventable delays, and giving patient access...

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.

AI is changing more than speed and efficiency. It is changing who gets to contribute. In this Office Hours roundtable, the panel explores how everyday users are using AI to shape work, solve problems, and support better decisions in ways that matter for revenue cycle leaders.

Scott Cook, VP of Business Development for Acute Care at Infinx, explains how charge capture assessments can help hospitals identify missed revenue opportunities while strengthening documentation, education, and operational consistency. He also discusses why data alone is not enough, and how combining analytics with staff conversations can uncover practical improvements across departments like sur...

AI can help revenue cycle teams improve consistency across shifts, locations, and workflows by reducing unnecessary variation in how work gets prioritized, documented, and escalated. In this episode, we explore how AI acts as a quality stabilizer, giving teams more reliable support without removing the human judgment complex revenue cycle work still requires.

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.c...

Lindsey Nelson, Product Marketing Leader at Infinx, explains how Infinx is bringing Medical Necessity AI Agent to market through a phased launch shaped by research, beta feedback, and early customer evaluation. She also outlines what makes the solution different from rules-based tools, including explainable clinical reasoning that helps teams assess coverage earlier and prevent denials before subm...

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.

Payers are taking a closer look at E&M claims, and providers are feeling the impact. This session explores what is changing, why it matters, and what organizations can do to respond. Brought to you by www.infinx.com

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 management, and make faster, more confident operational decisions.

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 problem and how a new AI approach can help providers assess unstructured documentation, preserve scarce expertise, and prevent denials earlier in the rev...

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 progress is actually happening.

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 challenges that define LTC pharmacy operations and shares practical strategies for improving accuracy, efficiency, and financial performance. Brought to...

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 models, gaps, and realities behind today’s competitive landscape.

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 Diagnostic Radiology, shares how leveraging prior authorization services as a strategic advantage has helped her organization compete, grow, and modern...

In this episode, Stephanie Cheng, Associate Director of Client Success, explains why eligibility and benefits verification in the physical therapy space still requires more than automation alone. She walks through how a hybrid model of payer integrations, workflow technology, and human support can help organizations scale, reduce bottlenecks, and improve visibility across patient access workflows.

Efficiency is often framed as eliminating humans from workflows, but that’s rarely realistic or measurable. This episode reframes efficiency as practical, incremental gains that reduce cost to collect, improve throughput, and support staff instead of replacing them.

Everyone is racing to reduce cost to collect by cutting the numerator, cost, through AI and automation. In this episode, Anthony Amaya, VP at Infinx, makes the case that a holistic approach, one that also drives the denominator up by increasing cash, delivers faster, measurable results and positions organizations for sustainable gains as automation continues to mature in healthcare. Brought to you...