Advertise on podcast: Revenue Cycle Optimized

A low denial rate can make a revenue cycle look healthy—but it doesn’t necessarily tell you whether revenue is actually being protected. In this episode, Stuart Newsome looks at why denial rate, clean-claim rate and other traditional metrics can miss the friction happening outside the denial bucket, and what revenue cycle leaders should be measuring instead.

Kenn Judd, Vice President of Prior Authorization, East Coast at RadNet, has watched patient access operations evolve alongside a rapidly growing imaging organization. In this episode, Kenn shares how RadNet’s approach to prior authorization has changed over time, how the role of its internal teams has evolved, and how a relationship built around operational support developed into a broader innovation partnership. Brought to you by www.infinx.com

Prior authorization is often viewed as a submission task, but the challenges extend far beyond getting an authorization request out the door. In this session from the Infinx Healthcare Revenue Cycle Thought Leadership Executive Forum, David Byrd explores the overlooked considerations in prior authorization, including operational visibility, payer behavior, denial patterns, patient abandonment, and the combination of automation, AI, and human expertise needed to manage the process at scale.

Payer changes rarely stay in one corner of the revenue cycle. A new product, network change, authorization requirement, or payer configuration can start as a contract update and end up as a patient-access problem, a claim rejection, a denial, or delayed cash.

Patient access is no longer a collection of isolated administrative tasks. In this episode, Lindsey Nelson explores how the Patient Access Services model is evolving, why streamlined front-office operations are increasingly tied to financial health, and what healthcare organizations should consider as they move toward a more connected approach to patient access. Brought to you by www.infinx.com

Traditional AR strategies often prioritize aging claims, but the oldest claim isn't always the claim worth working next. In this episode, Anthony Amaya shares his perspective on yield efficiency and how prediction, intelligent prioritization, automation, and targeted human intervention can help revenue cycle teams get more value from every collection effort.

Outdated insurance information and incomplete registration can send a claim into rework long after the patient’s visit. Stuart Newsome explains how to trace those problems back to their source and put a practical check in place before the next claim inherits them.

January reverification is more than an eligibility exercise. Stuart Newsome looks at how benefit resets can expose front-office gaps in capacity, handoffs, exception management, and authorization, and what organizations can do to prepare before the new year begins. Brought to you by www.infinx.com

A clean sample of claims does not necessarily mean an organization is capturing every eligible charge. In this conversation recorded live at the Infinx Revenue Cycle Thought Leadership Executive Forum, Jason Adams discusses how technology can expand charge capture reviews, why clinical validation matters, and what it takes to correct the underlying problems.

Revenue cycle delays often begin when one team finishes its work but the next team lacks what it needs to move forward. In this RCMinutes episode, Stuart Newsome explains how to examine one troublesome handoff, clarify responsibility, and use workflow visibility to prevent downstream rework and patient frustration.

For a high-volume radiology organization, reverification involves more than running eligibility a second time. This episode explores how to identify the right appointments, time the work appropriately, and respond when updated coverage changes the patient estimate, network status, or prior authorization requirements. Brought to you by www.infinx.com

An hour-long roundtable discussion brought four tables together to examine revenue cycle pressure, hidden revenue opportunities, barriers to action, and what leaders need to validate next. Hear their report-outs and Stuart Newsome’s perspective on turning those observations into a focused starting point for improvement.

Revenue cycle workflows are designed around standard cases, but recurring exceptions can quietly consume the team’s capacity. This RCMinutes episode explores how to categorize that work, route it by urgency and complexity, and address the upstream problems that keep refilling the queue.

Stuart Newsome sits down with Infinx colleagues Heather Riley Swanson and Nathan Skorick following Becker’s to hear what stood out from their time at the conference. Drawing on sessions and conversations throughout the event, the group considers where AI and revenue cycle strategy appear to be heading and whether the conference messaging matches the problems health systems are trying to solve. Brought to you by www.infinx.com

Temporary fixes have a habit of becoming permanent revenue cycle processes, adding extra touches, inconsistent outcomes, and operational risk. This RCMinutes episode examines the hidden cost of workarounds and offers a practical way to replace them with workflows that can actually scale.