Revenue Cycle Optimized

This episode features Krisi Probert, EVP of Operations & Clinical Technology at Upstream Rehabilitation, sharing how a patient centered and data driven approach transformed her journey from clinician to executive innovator while overcoming challenges in patient access, prior authorization, and scale.

Every January, payors reset benefits, deductibles, and authorizations—making eligibility re-verification a critical step for practices. This episode unpacks why the stakes are higher than ever and how automation ensures patients stay covered and revenue keeps flowing.

AI may be the buzzword of the decade, but its success depends on something far older—human connection. Join healthcare leader Nio Queiro for a candid discussion on demystifying AI, building trust across teams, and turning innovation into lasting operational change. Brought to you by www.infinx.com

This episode features a client conversation with Lora Pada, AVP of Client Success, on how re-verification season is managed step by step. Learn how automation, staff augmentation, and customizable workflows ensure patients are re-verified quickly, accurately, and without disruption.

In this episode, we spotlight an article by Navaneeth Nair, Chief Product Officer at Infinx, recently published in Becker’s Hospital Review . The piece outlines six critical questions every healthcare CFO should be asking about artificial intelligence, from governance and ROI to workforce impact and compliance.

Physical therapy groups face massive reverification spikes every January. Learn how Agentic AI and flexible staffing can keep patients moving while protecting practice revenue. Brought to you by www.infinx.com

This episode highlights a client conversation on how intelligent automation and AI agents streamline eligibility verification and prior authorization for PT/OT practices, while human specialists manage exceptions for a complete, tech-enabled solution. Listeners will also hear how seasonal re-verification surges are handled with flexible workflows that reduce denials and improve turnaround times.

This episode unpacks the difference between clerical and clinical denials — and why so many prior auth denials get mislabeled as “clinical” until it’s too late. Learn how misclassification drives up costs, drains resources, and hides preventable issues that can be fixed on the front end.

Manual intake workflows are one of the biggest slowdowns in healthcare. Every day, staff spend hours chasing down documents, retyping data, or figuring out what’s missing—before a patient can even be scheduled. In this episode, Stuart Newsome, VP of RCM Insights at Infinx, shows how agentic AI can change that. Brought to you by www.infinx.com

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.