revenue cycle Archives - HIT Leaders and News

SYNERGEN Health’s Sunil Konda Explores AI’s True Role in Revenue Cycle Strategy

Jason Free — Tue, 15 Jul 2025 10:17:27 +0000

Sunil Konda, Chief Product Officer at SYNERGEN Health, brings grounded clarity to this evolving landscape. With more than 16 years of experience spanning product strategy, population health, interoperability, and analytics, Konda has emerged as one of the sector’s most practically minded RCM voices. In this exclusive Q&A with HIT Leaders & News, he offers a measured, metrics-driven perspective on how automation should be implemented, what it should accomplish, and where its limits reside.

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Inside Mike Esworthy’s Playbook for Tackling Complex Claims

Jason Free — Tue, 17 Jun 2025 10:42:06 +0000

In today’s healthcare revenue cycle, standard claims are no longer the real challenge. The true margin drain hides in the outliers such as complex claims tied to Veterans Affairs, workers’ compensation, TRICARE, and other non-routine payers that fall outside the 80/20 efficiency rule. These edge cases are consuming disproportionate time, staff, and resources while driving up denials and delaying reimbursement. As payer rules grow more fragmented and labor shortages persist, health systems are under pressure to do more with less, and do it with precision.

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AI Hype Meets Revenue Cycle Reality: Why Healthcare Leaders Are Betting Big

Jason Free — Wed, 04 Jun 2025 12:57:49 +0000

The recent wave of AI investment in healthcare has moved decisively beyond clinical decision support and diagnostics. For health system executives, the most immediate and actionable returns increasingly lie in the trenches of the revenue cycle, where automation can directly impact prior authorization workflows, claims processing, and denial management.

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Health System Leaders Are Banking on AI to Fix Revenue Cycle Waste

Jason Free — Tue, 03 Jun 2025 12:11:25 +0000

The promise of artificial intelligence in healthcare has often centered on diagnostics, clinical decision support, and predictive risk modeling. But the majority of health system executives are placing their strongest AI bets in a more operational domain: revenue cycle management. A growing number of hospital and health system leaders now view AI as essential to fixing the chronic inefficiencies, error rates, and staffing burdens that plague billing, prior authorization, and claims workflows.

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Fifth Third Announces Acquisition of Big Data Healthcare, a Payments Company Serving National Health Systems, Physicians

Jason Free — Thu, 09 Mar 2023 16:33:32 +0000

Fifth Third Bancorp announced a definitive agreement to acquire Big Data Healthcare, a technology solutions provider for healthcare payments and remittance. This transaction adds national healthcare revenue cycle capabilities, addressing the complex and complicated needs of clients, while building on Fifth Third’s legacy of digital innovation and focus on the healthcare sector.

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CodaMetrix Closes $55M Series A to Autonomously Power Medical Coding, Boost Health System Revenue Cycles

Jason Free — Tue, 28 Feb 2023 14:15:48 +0000

CodaMetrix, an AI technology platform transforming healthcare revenue cycle management, announced that it closed a $55 million Series A round led by SignalFire. Frist Cressey Ventures (FCV), Martin Ventures, Yale Medicine, University of Colorado Healthcare Innovation Fund, and Mass General Brigham (MGB) physician organizations also participated in the round. Chris Scoggins, Partner at SignalFire, will join the CodaMetrix Board of Directors.

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