From predicting the future of healthcare revenue cycle management (RCM) to leveraging artificial intelligence (AI) and automation to optimize clinical administration, AGS Health experts have spent the past few months capitalizing on every opportunity to educate and inform other healthcare professionals across the revenue cycle continuum. Whether via guest articles, interviews, or podcasts, AGS executives and service line leaders readily shared insights into the trends and policy changes that are reshaping RCM and health information management (HIM).
CEO Patrice Wolfe discussed the potential for generative AI (GenAI) to reimagine healthcare’s approach to front- and back-end financial operations in The Future State of AI and Automation in the Revenue Cycle. She pointed to GenAI’s potential to leverage the massive volumes of historical and real-time revenue-related data flowing through RCM departments to create entirely new approaches to optimize revenue and minimize financial risk.
CIO Thomas Thatapudi, MBA, discussed healthcare’s seemingly intractable $125 billion faxing conundrum and associated issues with data integrity, productivity, and efficiency in Solving Healthcare’s $125 Billion Fax Problem and An Automated Solution to Healthcare’s $125 Billion Fax Problem. He also explored the impact that a hybrid fax indexing model that couples human indexers with AI-powered digital workers can have on accelerating processing and eliminating the care delays that are caused by improperly managed faxes. In What HI Professionals Can Learn from a Corrupted Software Update, Thomas shared his insights into the lessons healthcare can learn from the massive outage caused by Crowdstrike when it released a corrupted software update.
Emily Bonham, senior vice president of product management, predicted the continued rise and refinement of AI and automation in healthcare, particularly in RCM and other administrative areas, in AI and Automation in Healthcare – 2025 Health IT Predictions. She also shared her expectations that rising administrative complexities, workforce challenges, and the transformative potential of AI and automation, with clinical and non-clinical workforce shortages, staff burnout, and financial pressures, particularly rising denial rates and increasingly complex payer requirements, will remain significant challenges for healthcare providers in 2025. In The Business and Finance of Healthcare in 2025, Emily noted that healthcare leaders are expected to adopt a combination of onshore, nearshore, and offshore outsourcing models and advanced automation to address these challenges.
Matt Bridge, senior vice president of strategy and solutions, presented the synchronized financial clearance methodology in A Synchronized Methodology to Optimize Patient Access Operations. When centered around a well-designed and efficiently operated patient access team and modernized processes, a synchronized model can ensure efficient operations by accelerating the revenue cycle and aiding in greater revenue capture by proactively identifying and resolving patient eligibility and coverage issues before they become denials.
Vijaya Krishna Veeravalli, senior vice president – cloud engineering, predicts that healthcare’s cybersecurity landscape will be shaped by evolving ransomware tactics, escalating financial impacts, increased regulatory pressures, and the integration of advanced AI-driven defenses. In Healthcare Cybersecurity – 2025 Health IT Predictions, he says the rising threat environment requires proactive measures to prevent service delays and protect patient safety.
Vijaya and Ryan Chapin, executive director of strategic solutions, teamed up to identify the RCM trends to watch in 2025, including surging denial rates, evolving workforce dynamics, rising cybersecurity threats, and greater integration of cutting-edge technologies in RCM In Transition: Key Trends to Watch in 2025. Ryan also shared why the “good enough” mentality in healthcare RCM that relies on outdated methods to track performance creates a false sense of financial security in Denials Management: Unintended Consequences of the Good Enough Mentality. Instead, RCM leaders should adopt a hybrid strategy to end denials-related revenue leakage by coupling intelligent automation with global service solutions to reduce the cost of denial recovery and make it feasible and profitable to pursue a larger share of denials.
In Taming the Obstetrics Coding Beast, Leigh Poland, RHIA, CSS, vice president of coding services, and Angels Rani Jeritta, CCS, manager of coding services and coding education, took a deep dive into the challenges of pregnancy-related coding. Leigh also broke down how 2025 updates to the Current Procedural Terminology (CPT®) code set have altered the coding landscape in Current Procedural Terminology® 2025 Updates Alter the Medical Coding Landscape.
In Leveraging Emerging Technologies to Enhance Data Integrity and Streamline Processes, Jayashree Selvaraj, strategy manager – coding and clinical services, discussed ways to leverage emerging technologies to enhance data integrity and streamline processes by automating key data entry, validation, and standardization aspects.
Also shared were insights on why healthcare leaders need to stop fearing technology and instead advocate for and support its broader use (Leadership Rules) and tips on simplifying clinical administrative services, including clinical documentation integrity (CDI), utilization management, prior authorizations, and clinical denials and appeals, to reclaim billions of dollars each year and lessen widespread impacts (A Practical Guide for Enhancing Efficiency Across Clinical Administration and HIM Services). Healthcare leaders were also advised to anticipate ongoing labor shortages and higher burnout rates in 2025 as increased administrative demands place greater pressure on vital clinical and non-clinical resources (Healthcare Staffing Shortage and Burnout – 2025 Health IT Predictions).
These media topics highlight the extensive knowledge, insights, and opinions of many of AGS Health’s subject matter experts. For more coverage, please visit the News & Events page.
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