Revenue Cycle Optimized

Rural hospitals don’t need another cost-cutting cliché. They need to reclaim what’s already theirs. In this episode, Taylor Searfoss from Infinx highlights the hidden dollars buried in hospital workflows—and shows you how to find them. Brought to you by www.infinx.com

This episode features David Byrd, Senior Vice President at Infinx, as he walks through a proven four-step prior authorization process that helps reduce denials, accelerate turnaround times, and improve patient access. Listeners will hear how technology and human expertise combine to deliver scalable results across specialties while supporting better patient and staff experiences.

This episode highlights how one provider used claim complexity scoring to redesign workload assignment, curb cherry-picking, and dramatically reduce rebill rates. Along the way, we connect this approach to modern AR analytics, predictive modeling, and smarter workforce management.

A small imaging center uncovered hidden waste in patient access when scheduling workflows didn’t match their tech stack. By streamlining tools, cutting manual steps, and aligning technology with real staff processes, they saved FTE hours, improved throughput, and reduced bottlenecks that drive revenue loss in imaging centers across the U.S.

Over 70% of imaging centers still depend on manual referral, scheduling, and prior auth processes—slowing care and straining staff. In this episode, Stuart Newsome, CPCO, VP of RCM Insights at Infinx, shows how AI agents powered by generative AI are transforming radiology operations. See how these “invisible coworkers” integrate with RIS, PACS, and EHRs to automate tasks, improve efficiency, and d...

When it comes to managing denials, scale isn’t just about staffing—it’s about intelligence. In this episode, we explore how AI, predictive analytics, and custom work queues are helping revenue cycle teams work smarter and recover more.

Sometimes it’s not the payer or the process—it’s your partner. This fast episode unpacks how weak vendor SLAs and poor integration can trigger a revenue delay spiral that stalls cash flow and frustrates patients.

Modernizing radiology intake means more than sending documents to Epic—it’s about building accuracy into the process. Learn how AI-powered document capture uses HL7 ORM mapping to handle multi-patient faxes, duplicates, and poor-quality images, with a phased rollout that keeps data clean and workflows running smoothly. Brought to you by www.infinx.com

Navaneeth Nair, Chief Product Officer, and Jonathan Aguiar, Senior Solutions Engineer, share how embedding AI driven prior authorization directly into the EHR keeps providers in their familiar workflow while giving supervisors and leadership complete operational visibility. Discover how digital and human agents work together behind the scenes to accelerate approvals, prevent denials, and adapt to...

Some denials don’t follow the rules—and that’s exactly the problem. This episode explores why edge-case denials expose system vulnerabilities and how smarter design thinking can prevent silent revenue loss.

Many hospitals lack real-time visibility into front-end revenue cycle metrics like prior auth status and registration accuracy. This episode explores how closing that visibility gap can reduce denials, improve staff performance, and drive better financial outcomes. Brought to you by www.infinx.com

Pratik Gaykar shares how the Centers of Excellence team improves efficiency, ensures quality, and partners with internal teams to transform client experiences and drive margin improvements. From automation initiatives to handling escalations and supporting product development, the team plays a key role in shaping smarter revenue cycle solutions.

Not every metric belongs in an exec report. These are the KPIs your billing staff actually act on—and why they’re the key to improving denial rates.

Evan Martin joins us to break down the daily chaos of managing prior authorizations in a real-time care model. From retro auths to plan-specific rules and underwhelming automation, Evan reveals why today’s processes are out of sync — and what an agentic AI solution could look like to finally orchestrate it all. Brought to you by www.infinx.com

In this RCM Insights segment, we drop in on a real client conversation exploring the live deployment of AI-powered document capture. Hear how agentic AI is being applied step-by-step—from fax intake to HL7 integration—with expert insights from Infinx product leaders.

Even with tech, the recent reform pledges and the latest Medicare rule aiming to improve electronic prior auth, the process remains one of the most burdensome in the revenue cycle. We unpack why the pain persists, and share how some organizations are adapting with smarter strategies, better tooling, and a mindset shift.

Credentialing is the first step to getting paid—and often the first thing to go wrong. In this episode, credentialing veterans Rebecca Bairnsfather and Peggy Kelly explain why radiology groups are struggling, what today’s payers expect, and how better processes can help you avoid denials, delays, and lost revenue. Brought to you by www.infinx.com

In this episode, we break down how Infinx’s AR and Denials Management platform integrates with a variety of PM and EHR systems, and what successful implementation looks like from kickoff to go-live. Learn about data flows, client responsibilities, and how AI modeling is customized using historical claims data for optimal recovery predictions.

AI agents aren’t magic, but they’re not vaporware either. This fast episode breaks down how they’re being used today to reduce manual touches and improve speed.

CMS is rolling out prior authorization for traditional Medicare. This Revenue Cycle Optimized panel breaks down what the WISeR model means for providers, how AI is involved, and what steps to take now—whether you're in a test state or watching for what's next. Brought to you by www.infinx.com

As CMS rolls out the WISeR model, prior authorization is expanding into traditional Medicare for the first time. In this internal Infinx discussion, we explore how providers are beginning to respond, where the opportunities lie, and why proactive preparation is key.

Too many teams are overextended chasing payer responses. Here’s how smarter routing, automation, and batching can reduce burnout without sacrificing control.

If your prior auths can’t start until someone opens a fax, this episode is for you. Learn how automating document capture is streamlining radiology workflows and speeding up approvals from day one. Brought to you by www.infinx.com

In this special episode, Stuart Newsome shares his panel insights from the MGMA Summit on how AI agents and automation are helping practices increase profitability and streamline revenue operations. Focusing on the orchestration between technology and human expertise, Stuart highlights real-world strategies to reduce denials, protect revenue, and give overburdened billing teams a fighting chance.

Denial dashboards often fail to spark action. This episode spotlights a single critical fix: Root Cause Clarity—a decisive indicator of whether your denial data is driving improvement or just documenting failure.