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RCM Strategies

Actionable insights and best practices to optimize revenue cycle performance, improve financial outcomes, and support patient-centered care.

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.

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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.

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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.

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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.

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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.

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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.

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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.

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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 Strategies

Cloud vs On-Premise RCM Systems: Which Fits Your Practice?

Healthcare organizations must choose between cloud-based RCM systems offering automatic updates and remote access, or on-premise solutions providing full control but requiring internal management and higher upfront costs.

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RCM Strategies

How Intelligent Document Processing Transforms RCM Data Management

Intelligent Document Processing technology transforms healthcare revenue management by using AI to automatically read, extract, and organize data from various documents, reducing processing time from 8 hours to 45 minutes while improving accuracy and cash flow.

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RCM Strategies

How Top Health Systems Achieve 15-Minute Prior Authorization

Leading healthcare systems are transforming prior authorization from a days-long burden into a 15-minute process by implementing AI-powered automation, EHR integration, and real-time decision tools.

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RCM Strategies

Charge Capture Strategies: Preventing Revenue Leakage in Modern Healthcare

Healthcare organizations lose 1-2% of net revenue due to charge capture errors, but implementing standardized documentation, regular staff training, and automated tracking systems can prevent missed charges and ensure accurate billing for medical services.

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RCM Strategies

Modern Solutions for Dermatology Revenue Cycle Management

Dermatology practices face unique revenue management challenges due to their mix of medical and cosmetic services. Modern AI-driven solutions automate insurance verification, coding, and claims processing, helping practices collect payments.

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RCM Strategies

Dental Revenue Cycle Management: A Complete Guide for Modern Practices

Dental revenue cycle management connects clinical care with financial tasks, tracking patient payments from scheduling through final collection. This system helps practices maintain financial stability while ensuring accurate billing payments for services.

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