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Healthcare Revenue Cycle Management – 2025 Health IT Predictions

Healthcare IT Today

Outsourcing will pivot to a more surgical, targeted strategy, focusing on high-impact, specialized areas like revenue integrity, underpayment recovery, and the more commonplace out-of-state Medicaid and small balance recovery work where RCM outsourcing supplements streamlined, automation-empowered teams instead of replacing them.

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Infinx Envisions a Life Cycle Around AI to Improve RCM

Healthcare IT Today

Navaneeth Nair, its Chief Product Officer, views AI refinement as a life cycle in which humans constantly monitor and evaluate its results, giving AI feedback so that it keeps up with the evolution of RCM. The AI agent can insert an order into a patient record, and even create the record in the EHR. Infinx has hierarchies of AI agents.

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Technology & RCM & AI, Oh My!

Healthcare IT Today

So with all of these incredible innovations, let’s take a moment to narrow our field down to Revenue Cycle Management (RCM). How can we be using technology to optimize RCM? And even more specifically, what role can data analytics and AI play in optimizing RCM? We would love to hear from all of you as well!

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Promising AI Applications in Improving Patient Outcomes and Streamlining Healthcare Operations

Healthcare IT Today

John Waters, Director, Revenue Cycle Product at CliniComp AI can be used in the RCM world to solve two overarching themes: inefficiencies in workflow, and errors that cause delays in payment. AI can optimize RCM processes, from specific areas to end-to-end automation. Take for example prior authorization or eligibility verification.

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eClinicalWorks Cloud and healow Providing Value to HealthNet

Healthcare IT Today

Gomez shared with us about their experience using healow Pay and Statements and how it has really benefited the HealthNet organization’s RCM. Along with moving to the cloud, HealthNet has also been leveraging eClinicalWorks healow solution to improve their revenue cycle management.

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RCM: Fixing the Old and Adjusting to the New

Healthcare IT Today

Revenue Cycle Management (RCM) is like a one of those huge Lego sculptures. Having a well executed RCM strategy is crucial to keep your organization running because it impacts everything. From the outside it looks one thing, but upon further inspection there are a million tiny little pieces that fit together to create the whole.

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Weekly Roundup – March 15, 2025

Healthcare IT Today

Another topic for the experts in the Healthcare IT Today community highlighted AI use cases such as RCM automation, diagnostic efficiency, clinical documentation, and predictive analytics. Read more… When Numbers Talk: Bridging Gaps in Healthcare Leadership.