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RCM Strategies
What Healthcare Leaders Need to Know About the Government Shutdown (October 2025)
On October 1, 2025, at 12:01 a.m., the federal government entered a shutdown after lawmakers failed to pass a spending deal before the September 30 deadline. For healthcare systems and executives, the implications are immediate.
RCM Strategies
The Complete Guide to Healthcare Automated Claims Processing
Healthcare automated claims processing uses AI and machine learning to handle medical billing from start to finish, replacing manual data entry with intelligent software that checks eligibility, processes claims, and manages payments with greater speed and accuracy.
RCM Strategies
Transforming Healthcare RCM With Automated Data Entry
Healthcare organizations can now automate data entry using AI and robotic process automation to capture information directly from documents into billing systems, eliminating manual typing while reducing errors and speeding up claims processing.
RCM Strategies
Smarter Healthcare Automation Solutions for RCM
Healthcare automation systems use AI, machine learning, and robotic process automation to streamline revenue cycle management tasks, reducing errors and costs while enabling staff to focus on complex responsibilities that require human judgment.
Healthcare Trends
Medical Credentialing Software for Healthcare 2025
Medical credentialing software automates provider qualification verification and management, replacing manual processes with digital platforms that verify licenses, education, and credentials in hours instead of weeks, while ensuring regulatory compliance.
RCM Strategies
How Automated Medical Coding Transforms Healthcare Revenue Cycles
Artificial intelligence and machine learning now automate medical coding, analyzing patient records and assigning insurance codes in seconds. This improves accuracy, speeds up payment processing, and helps healthcare orgs handle growing patient volumes efficiently.
RCM Strategies
Healthcare Claims Processing Automation in 2025
In 2025, healthcare claims automation uses Artificial Intelligence to streamline submissions, reduce errors, cut costs, and accelerate payments, improving efficiency across the revenue cycle.
RCM Strategies
Patient Responsibility Guide for 2025
Patient responsibility includes both financial obligations like deductibles and copays, and active participation in care through following treatment plans and communicating with providers. Rising costs and insurance changes have increased patient payment portions.
RCM Strategies
Why Pilots Don't Work for Healthcare Revenue Cycle AI
Healthcare organizations waste resources on small AI pilot programs that rarely succeed. A comprehensive transformation approach using specialized AI Agents across the revenue cycle delivers better results, improving efficiency and cash flow while empowering staff.
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RCM News
CMS Unveils 614 New ICD-10 Codes for 2026
Healthcare leaders are facing another major transition this fall as the Centers for Medicare and Medicaid Services (CMS) rolls out the 2026 ICD-10 updates. Beginning October 1, 2025, organizations will need to implement 614 new codes.
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RCM News
AMA Issues New AI Governance Framework
The American Medical Association has released an eight-step playbook to help health systems adopt and govern augmented intelligence (AI) responsibly. AMA survey data shows that nearly 70% of physicians used AI in 2024.
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RCM News
CMS Pilots WISER Model To Modernize Medicare Prior Authorization
CMS has announced the Wasteful and Inappropriate Service Reduction (WISER) model, a six-year pilot launching January 1, 2026. The program targets low-value services in Original Medicare by pairing advanced technology with clinical review.
RCM News
Epic Goes All In on AI With New Assistants, Microsoft Partnership, and Cosmos Models
Epic Systems, the nation’s largest EHR provider, is making a sweeping push into generative AI with nearly 200 new features. At its annual Users Group Meeting, CEO Judy Faulkner said AI is being built into “all features” of the EHR
AI & Healthcare
Introducing AI Agent ARIA for Accounts Receivable
Today, we’re announcing ARIA, our newest AI Agent designed to transform accounts receivable for healthcare providers. After months of development and real-world testing, ARIA is ready to help you recover outstanding payments and improve cash flow.