Everything you wish someone told you about automating RCM
From failed bots to million-dollar recoveries – stories, frameworks, and lessons from the field.
Featured insights
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AWS Connect Health: RCM Salvation or Infrastructure Play?
While the US healthcare system bleeds hundreds of billions annually to administrative waste, tech giants are pitching AI as the ultimate cure. But when evaluating Amazon's new offering, healthcare executives must ask a critical question: AWS Connect Health: Infrastructure Play or RCM Solution? Stripping away the marketing reveals that it is a powerful cloud foundation requiring years of expensive custom development, not a ready-to-use billing platform. Before investing, leaders must decide if they have the engineering budget to build from scratch or if they need an out-of-the-box system that delivers immediate financial ROI.
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Claude for Healthcare Overview | 2026
In January 2026, Anthropic launched Claude for Healthcare at the J.P. Morgan Healthcare Conference - a dedicated toolkit integrating Claude with US medical data infrastructure. This guide covers the full technical architecture, clinical benchmarks, real-world case studies (Banner Health, Novartis, Novo Nordisk), HIPAA compliance details as of April 2026, and a head-to-head comparison with OpenAI's healthcare offerings. Essential reading for anyone planning a healthcare AI implementation.
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Epic Automation | 2026
Automation is no longer a future promise in healthcare - it is an operational imperative. Rising labor costs, increasing payer complexity, shrinking reimbursement margins, and the relentless administrative burden on clinical staff have made manual processes untenable at scale. Epic Systems, which powers the electronic health records of more than 300 million patients across the United States, has positioned itself as a central platform for healthcare automation. But the distance between what Epic's automation features can do and what most organizations actually extract from them remains significant.This guide is written for healthcare IT professionals, practice managers, and revenue cycle leaders who need to move beyond the marketing overview and understand what Epic automation actually involves - the mechanics, the metrics, the mistakes, and the path forward.
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athenahealth Automation | 2026
athenahealth automation can be fully standardized. The platform excels at automating common workflows like billing and eligibility, but limits customization through its shared rules engine. The challenge is balancing what athenahealth standardizes with what your organization actually needs to control.
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What is HRA? | 2026
Health Risk Assessments (HRA) have evolved from simple questionnaires into critical infrastructure for population health and revenue cycle strategy. This guide explores how HRAs identify hidden patient risk, impact care management, and drive financial performance—along with the operational frameworks needed to make them actually work.
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Revenue Cycle Management in Cardiology
Fnancial pulse of a cardiac practice requires demands a specialized approach: the Cardiology Revenue Cycle Management (RCM). As clinical procedures become more complex - ranging from diagnostic imaging to intricate interventional electrophysiology - the administrative back-end must be equally sophisticated to ensure financial viability.
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No Suprises Act from RCM perspective | 2026
The No Surprises Act reshaped how healthcare providers handle billing, compliance, and patient protections. This guide explains the law’s key provisions, its impact on revenue cycle management, and the steps healthcare organizations must take to remain compliant and avoid costly billing disputes.
Dental Revenue Cycle Management | 2026
Efficient revenue cycle management prevents "revenue leakage," where services are performed but never fully reimbursed. In 2025, dental services have shifted from semi-automated case processing to vast human-in-the-loop automations and predictive analytics. Interested in more detail on this transformation? Here’s our take on the best strategies for dental RCM in 2026.
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Revenue Cycle Management for Physician Practices
The management of fiscal vitality within physician practices has become a discipline of precision. With Payor AI and batch At the core of this effort lies the revenue cycle, a sequence of functions that begins with the appointment and concludes with the final settlement of payment.
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