What Should an AI Agent Be Allowed to Do in the Revenue Cycle?
A practical autonomy framework for revenue cycle AI. Five levels, where the line should sit for coding, appeals and write-offs, and what governance actually requires.
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Patient Billing Statements: How Clearer Communication Improves Collections
Uncertainty about a bill contributes to nonpayment alongside affordability. See the five questions your patient billing statement should answer, and what to measure.
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Generative, Predictive and Agentic AI in Revenue Cycle Management
Predictive, generative and agentic AI are not interchangeable. See what each does in revenue cycle management, where adoption really is and how to evaluate claims.
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Humans Behind the Tech: Design for the People Who Live There
Kothur Raju grew up in his father’s interior design business in Hyderabad. He now manages projects at Advantum Health. His father’s rule for a room still runs every decision he makes.
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Humans Behind the Tech: The Elevators at Kendriya Vihar
Meet Siva Sankar, the Advantum Health leader who fixes what sits underneath the problem, from a housing society's elevators to healthcare data security.
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Urology Revenue Cycle Management in 2026: What the New IDR Rules and Site-of-Service Policies Mean
The 2026 federal IDR rule lowers the administrative fee to $15 and sets a 50-item batching limit from Nov. 1. Here is what urology practices should build for.
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Rheumatology Prior Authorization: Protecting the Specialty Drug Claim From Order to Payment
How rheumatology practices protect high-dollar biologic and infusion claims from order to payment, from authorization scope to J-code units.
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Anupam Tripathi: Half a World from the Patients He Serves
Anupam Tripathi never set out to work in healthcare, let alone a healthcare system an ocean away. Nearly two decades...
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Protecting five-figure claims in immunology: biologics, J-codes and the documentation payers expect
Immunology biologics carry five-figure claims. See the revenue cycle steps, J-code accuracy and documentation payers expect that keep specialty-drug claims clean.
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The Revenue Is Already Earned. Intelligent Automation Is How We Collect It Faster.
The practices that pull ahead aren’t billing more than anyone else. They’re collecting faster, cleaner and with far less manual...
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Reduced AR Days By 44% and Achieved a Zero Denial Rate: How a GI Practice Restored Financial Control
Executive Summary A large multisite gastroenterology practice experienced rapid operational growth that placed increasing pressure on its revenue cycle infrastructure....
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She Learned to Fight for Others by First Learning to Fight for Herself
Katelin Popma grew up fast. Now she uses everything those early years taught her to protect the patients who cannot...
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