Accounts Receivable (AR), AR Days, AR management, Denial Management, Medical Billing, Medical Billing Services, Medical Coding, Prior Authorization, Revenue Cycle Management

What’s Really Holding Back AI Success in Revenue Cycle Management?

A recent Black Book flash survey of 149 US revenue cycle executives surfaced a truth many healthcare providers quietly acknowledge but few say it loud: AI isn’t falling short in healthcare revenue cycle management (RCM) because its algorithms are weak; it’s falling short because the data underneath them is.

Healthcare workers with claim documentation at the background

Accounts Receivable (AR), AR Days, AR management, Denial Management, Medical Billing, Medical Billing Services, Medical Coding, Prior Authorization, Revenue Cycle Management

From Living in Denial to Leading in Denial Prevention: How AI Is Changing the RCM Game

For years, denial management has been a post-event exercise—a financial post-mortem of a claim after the damage is done. But AI is changing that.

Having moved beyond experimentation to actual execution, AI is now redefining how healthcare providers look at and handle claims—not as a reactive port-mortem of claims lost to denials but as a predictable and prescriptive tool to prevent denials

Accounts Receivable (AR), AR Days, AR management, Denial Management, Medical Billing, Medical Billing Services, Medical Coding, Prior Authorization, Revenue Cycle Management

How to Choose the Right RCM Outsourcing Partner

Choosing the wrong RCM partner can cost more than those missed reimbursements. It can hit your operational efficiency, impact your compliance standing, and, most importantly, dent your organization’s reputation.

Accounts Receivable (AR), AR management, Denial Management, Medical Billing, Medical Billing Services, Medical Coding, Prior Authorization, Revenue Cycle Management

Top 4 Reasons Appeals Fail in RCM and How to Fix Them

Given the financial implications of denials on your bottom line, proactive denial prevention and appeal management remain your best bet to safeguard revenue.

Accounts Receivable (AR), AR management, Denial Management, Medical Billing, Medical Billing Services, Medical Coding, Prior Authorization, Revenue Cycle Management

3 Reasons Why Healthcare Executives Are Betting Big on RCM Outsourcing

As hospitals fight for financial resilience, healthcare executives are stepping up to change the course with outsourced revenue cycle management (RCM) services. While filling revenue cycle gaps with extensive hiring or building new-age tech stacks is both costly and unsustainable, RCM outsourcing has emerged as one of the most cost-effective ways to move beyond temporary patchwork and build long-term revenue cycle resilience.

Image of physicians looking at RCM dashboards

Accounts Receivable (AR), AR management, Denial Management, Medical Billing, Medical Billing Services, Medical Coding, Prior Authorization, Revenue Cycle Management

The Big 4: KPIs that Make or Break Your Revenue Cycle

Driving improvements in RCM isn’t about drowning in data. It’s about tracking and acting on the right KPIs that go beyond vanity reporting to tell whether your revenue cycle is on track or heading for chaos and that serve as strategic enablers for financial growth.

A healthcare professional using Agentic AI

Accounts Receivable (AR), AR management, Denial Management, Medical Billing, Medical Billing Services, Medical Coding, Prior Authorization, Revenue Cycle Management

Beyond the Bot: How Agentic AI Is Changing the Game in Healthcare RCM

The inherent complexities in RCM, from patient access to billing and AR management, create an optimal environment for intelligent intervention with Agentic AI. While RPA bots focus on minimizing human effort on mundane tasks, Agentic AI can actually fix RCM systemic inefficiencies