The RC Executive Lounge

ArceeHQ
  • 5.0 (2)
  • Medicine
  • Updated Biweekly

The RC Executive Lounge is where top healthcare finance leaders share bold strategies to grow revenue and accelerate cash flow. Discover how they apply cutting-edge tools like Agentic AI across the revenue cycle to reduce denials, streamline Medicare, and enhance patient financing and financial assistance to advance equitable access to care. Each episode delivers real-world wins, deep executive insights, and future-focused thinking on technology, payer dynamics, compliance, staffing, and patient experience.

  1. 1d ago

    Building High Reliability Revenue Cycle: Denial Prevention, Agentic AI, & Leadership | Ken Hogue

    In this episode of The RC Executive Lounge Podcast, Ken Hogue, Chief Revenue Officer at United Health Services, shares how building a high reliability culture has made UHS one of the top-performing revenue cycle organizations in its class. Ken opens with the framework that anchors everything he does: start as far upstream as possible, define your denial never events, and tear the portfolio apart monthly to make sure nothing is hiding. His SWAT team model, where specialists trend root causes and drive automation rather than simply working claims, is one of the most distinctive structures in the series. On agentic AI, Ken is direct: there is no longer a choice. Payers are using it and providers have to keep up. His deployment philosophy: trust and verify before accepting any AI decision, monitor automation output daily, and plan for AI drift as policy changes accumulate. Additional topics covered include: ✅ Benchmark three ways: nationally, regionally, and by state as just one benchmark gives you blisters✅ Touch 300 denials now to eliminate 1,000 next month: the ops versus innovation compromise✅ Reducing claim touches from 14 to 10: the ROI metric most organizations do not track✅ Clean claim pass rate and days work on hand: the two metrics Ken lives by every morning✅ Combat AI with AI: why there is no longer a choice in the current payer landscape✅ Joy Notes: the music-anchored leadership book that reconfirms we are all in this together Learn more about ArceeHQ and our comprehensive AI solutions platform for reducing denials, increasing adoption of patient financing and utilization of financial assistance: 👉 ⁠⁠⁠https://arceehq.com⁠⁠⁠ Download the free white paper on the play book for reducing claim denials:👉⁠⁠⁠https://arceehq.com/claims-denial-management/the-executive-guide-to-reducing-claim-denials-with-agentic-ai⁠⁠⁠ Download the free white paper on the play book for increasing collections from patient financing: 👉⁠⁠⁠https://arceehq.com/patient-financing/the-financial-engagement-playbook-with-agentic-ai⁠⁠⁠ Download the free white paper on the play book for increasing collections using financial assistance: 👉⁠⁠⁠https://arceehq.com/financial-assistance/the-executive-guide-to-financial-assistance-with-agentic-ai⁠⁠⁠ Evaluate your ROI of reducing claim denials using the ROI calculator:👉⁠⁠⁠https://arceehq.com/claims-denial-management/roi-calculator⁠⁠⁠ Evaluate your ROI of increasing collections from patient financing using the ROI calculator: 👉⁠⁠⁠https://arceehq.com/patient-financing/roi-calculator⁠⁠⁠ Evaluate your ROI of increasing collections from financial assistance using the ROI calculator: 👉⁠⁠⁠https://arceehq.com/financial-assistance/roi-calculator⁠⁠⁠ Access all the podcast episodes and short videos from the RC Executive Lounge: 👉⁠⁠⁠https://arceehq.com/the-rc-executive-lounge-podcast-series⁠⁠⁠ 👉⁠⁠⁠https://arceehq.com/podcast-shorts⁠⁠ ⁠⁠⁠⁠⁠Subscribe to the RC Executive Lounge Podcast on your favorite platform: 🎧 Apple:⁠⁠⁠https://podcasts.apple.com/us/podcast/the-rc-executive-lounge/id1834231179⁠⁠⁠ 🎧 Spotify:⁠⁠⁠https://open.spotify.com/show/6Pzfp41103XlD2ItpFfbdN⁠⁠⁠ 🎧 Amazon Music:⁠⁠⁠https://music.amazon.com/podcasts/2232884f-10ae-424c-ae65-e21a93b61693/the-rc-executive-lounge⁠⁠⁠ 🎧 Audible:⁠⁠⁠https://www.audible.com/podcast/The-RC-Executive-Lounge/B0FMZNHLQK?source_code=ASSGB149080119000H&share_location=pdp #RevenueCycle #RCM #RevenueCycleManagement #DenialPrevention #DenialsManagement #HighReliabilityOrganization #AgenticAI #AIinHealthcare #HealthcareAI #RCMLeadership #HealthcareLeadership #HealthcareFinance #HealthSystemLeadership #HealthcareOperations #HealthcareInnovation #ChangeManagement #CleanClaimRate #RevenueIntegrity #HealthcarePodcast

  2. Sep 17

    The Road to Zero-Touch RCM: Agentic AI, Denials Prevention, and Operator Ownership in Revenue Cycle | David Kelly

    In this episode of The RC Executive Lounge Podcast, David Kelly, Chief of Ambulatory Operations and Vice President of Revenue Cycle at Mary Rutan Health, returns for a second conversation focused squarely on claims denial management: how to prioritize it, how to measure success, and what it will take to reach zero-touch RCM. David opens with a practical framework for defining denial never events. Borrowed from clinical practice, the concept forces revenue cycle teams to decide which denials should simply never happen, whether timely filing, credentialing gaps, or specific CARC and RARC code combinations, and then build the discipline to eliminate them. On agentic AI, David is candid about being of two minds. The potential is real: agents that touch every denial rather than just the largest ones, faster resolution, and policy intelligence no human team could stay on top of. But the roadmap is unclear, and public backlash against patient-facing AI bots is a real constraint organizations will have to navigate. Additional topics covered in this episode include: ✅ Why RevCycle has done itself a disservice by using the word denials to mean too many different things✅ The Paper Cuts team: the Jeff Bezos concept David borrowed to tackle the small frictions big initiatives never touch✅ Holding steady as a genuine form of success in a rising denial rate environment✅ Yield as the A1C of revenue cycle health: the primary metric David tracks above all others✅ The three biggest obstacles to step-function denial improvement: new shinyism, scarcity, and workforce churn✅ Bring denials to the operators: David's single most important piece of advice for any RCM leader Learn more about ArceeHQ and our comprehensive AI solutions platform for reducing denials, increasing adoption of patient financing and utilization of financial assistance: 👉 ⁠⁠https://arceehq.com⁠⁠ Download the free white paper on the play book for reducing claim denials:👉⁠⁠https://arceehq.com/claims-denial-management/the-executive-guide-to-reducing-claim-denials-with-agentic-ai⁠⁠ Download the free white paper on the play book for increasing collections from patient financing: 👉⁠⁠https://arceehq.com/patient-financing/the-financial-engagement-playbook-with-agentic-ai⁠⁠ Download the free white paper on the play book for increasing collections using financial assistance: 👉⁠⁠https://arceehq.com/financial-assistance/the-executive-guide-to-financial-assistance-with-agentic-ai⁠⁠ Evaluate your ROI of reducing claim denials using the ROI calculator:👉⁠⁠https://arceehq.com/claims-denial-management/roi-calculator⁠⁠ Evaluate your ROI of increasing collections from patient financing using the ROI calculator: 👉⁠⁠https://arceehq.com/patient-financing/roi-calculator⁠⁠ Evaluate your ROI of increasing collections from financial assistance using the ROI calculator: 👉⁠⁠https://arceehq.com/financial-assistance/roi-calculator⁠⁠ Access all the podcast episodes and short videos from the RC Executive Lounge: 👉⁠⁠https://arceehq.com/the-rc-executive-lounge-podcast-series⁠⁠ 👉⁠⁠https://arceehq.com/podcast-shorts⁠ ⁠⁠⁠Subscribe to the RC Executive Lounge Podcast on your favorite platform: 🎧 Apple:⁠⁠https://podcasts.apple.com/us/podcast/the-rc-executive-lounge/id1834231179⁠⁠ 🎧 Spotify:⁠⁠https://open.spotify.com/show/6Pzfp41103XlD2ItpFfbdN⁠⁠ 🎧 Amazon Music:⁠⁠https://music.amazon.com/podcasts/2232884f-10ae-424c-ae65-e21a93b61693/the-rc-executive-lounge⁠⁠ 🎧 Audible:⁠⁠https://www.audible.com/podcast/The-RC-Executive-Lounge/B0FMZNHLQK?source_code=ASSGB149080119000H&share_location=pdp #RevenueCycle #RCM #RevenueCycleManagement #DenialPrevention #DenialsManagement #AgenticAI #ZeroTouchRCM #HealthcareAI #AIinHealthcare #HealthcareLeadership #HealthcareFinance #HealthSystemLeadership #RCMLeadership #HealthcareOperations #HealthcareInnovation #ChangeManagement #CommunityHospital #HealthcarePodcast

  3. Sep 5

    Mastering Modern Denials Management: Data Discipline, Agentic AI, and the Continuous Improvement Mindset | Taya Gordon

    In this episode of The RC Executive Lounge Podcast, Shawntea "Taya" Gordon, CEO of Atlas & Perpetua Healthcare Consulting, co-author of two MGMA-published books on revenue cycle management, and former adjunct professor at Harvard University, brings a data-first perspective to one of the most persistent challenges in healthcare finance. Claims denial management. Taya opens with a reframe that sets the tone for the entire conversation. Denial management is not a project with a start and end date. It is a continuous optimization discipline. Every quarter, identify the top three denial drivers. Prevent them. Then find the next three. The conversation goes deep on two real-world denial case studies: a credentialing breakdown that went undetected for months, and a code bundle error that landed a practice on prepay review with a major payer. Both were entirely preventable. Both were caught only because someone finally looked at the data. Taya's advice on agentic AI is characteristically evidence-based. Use it like a cautious thought partner with strong guardrails. Trust and verify before acting on any output. Additional topics covered in this episode include: ✅ Why 1 to 3% final denial rates are achievable and what separates best performers from the rest✅ The override culture problem: why teams send claims out the door rather than solving the root cause✅ Symptom versus root cause: the clinical parallel that explains why most denial programs stall✅ Revenue cycle literacy: why the front desk's job is 97% of whether you get paid✅ Denials adjacent: claims sitting in pending or no-response status that most teams are not tracking✅ The Growth Edge podcast and Lori Bedke's work on building teams that want to work alongside you Learn more about ArceeHQ and our comprehensive AI solutions platform for reducing denials, increasing adoption of patient financing and utilization of financial assistance: 👉 ⁠https://arceehq.com⁠ Download the free white paper on the play book for reducing claim denials:👉⁠https://arceehq.com/claims-denial-management/the-executive-guide-to-reducing-claim-denials-with-agentic-ai⁠ Download the free white paper on the play book for increasing collections from patient financing: 👉⁠https://arceehq.com/patient-financing/the-financial-engagement-playbook-with-agentic-ai⁠ Download the free white paper on the play book for increasing collections using financial assistance: 👉⁠https://arceehq.com/financial-assistance/the-executive-guide-to-financial-assistance-with-agentic-ai⁠ Evaluate your ROI of reducing claim denials using the ROI calculator:👉⁠https://arceehq.com/claims-denial-management/roi-calculator⁠ Evaluate your ROI of increasing collections from patient financing using the ROI calculator: 👉⁠https://arceehq.com/patient-financing/roi-calculator⁠ Evaluate your ROI of increasing collections from financial assistance using the ROI calculator: 👉⁠https://arceehq.com/financial-assistance/roi-calculator⁠ Access all the podcast episodes and short videos from the RC Executive Lounge: 👉⁠https://arceehq.com/the-rc-executive-lounge-podcast-series⁠ 👉⁠https://arceehq.com/podcast-shorts ⁠Subscribe to the RC Executive Lounge Podcast on your favorite platform: 🎧 Apple:⁠https://podcasts.apple.com/us/podcast/the-rc-executive-lounge/id1834231179⁠ 🎧 Spotify:⁠https://open.spotify.com/show/6Pzfp41103XlD2ItpFfbdN⁠ 🎧 Amazon Music:⁠https://music.amazon.com/podcasts/2232884f-10ae-424c-ae65-e21a93b61693/the-rc-executive-lounge⁠ 🎧 Audible:⁠https://www.audible.com/podcast/The-RC-Executive-Lounge/B0FMZNHLQK?source_code=ASSGB149080119000H&share_location=pdp #RevenueCycle #RCM #RevenueCycleManagement #DenialPrevention #DenialsManagement #AgenticAI #AIinHealthcare #HealthcareAI #DataDrivenLeadership #HealthcareLeadership #HealthcareFinance #HealthSystemLeadership #RCMLeadership #MedicalCoding #RevenueIntegrity #ChangeManagement #HealthcareOperations #ContinuousImprovement #HealthcarePodcast

  4. Aug 20

    Mission-Driven Revenue Cycle: Denials Prevention, Agentic AI, and Proactive Loss Mitigation | Thomasina Wilkins

    In this episode of The RC Executive Lounge Podcast, Thomasina Wilkins, Chief Revenue Officer at Sinai Chicago, shares how a mission-driven approach to revenue protection reshapes denials prevention at a major safety net system in Illinois. She opens with a principle that reframes how most organizations fight denials. Revenue cycle is all of us. It does not start at the back end, it starts at partnership and mission. Her signature approach, proactive loss mitigation, turns every step of the cycle, from scheduling to authorizations to documentation, into a warm handoff that protects cash before a claim is ever at risk. She also covers prioritizing denial work by volume, dollars, and root cause, why medical necessity always tops the list, and how she unites clinical, IT, and financial partners to fix problems at the source. Her philosophy captures the episode: when I think about what brings cash in the door, it is proactive loss mitigation. Additional topics covered in this episode include:✅ Medical necessity as the denial that never leaves the top of the list, and how to advocate when payer and clinician disagree✅ Initial versus final denial rates: why 4% is a conservative final-denial target, benchmarked against like facilities✅ Recalibrate every 60 to 90 days as payer and governmental changes reshape a multi-year program✅ Where agentic AI earns its place: the appeals process, and front-end authorizations and referrals✅ Customization over off-the-shelf: why safety net, rural, and academic missions need tools built for their patients Learn more about ArceeHQ and our comprehensive AI solutions platform for reducing denials, increasing adoption of patient financing and utilization of financial assistance:👉 https://arceehq.comDownload the free white paper on the play book for reducing claim denials:👉https://arceehq.com/claims-denial-management/the-executive-guide-to-reducing-claim-denials-with-agentic-aiDownload the free white paper on the play book for increasing collections from patient financing:👉https://arceehq.com/patient-financing/the-financial-engagement-playbook-with-agentic-aiDownload the free white paper on the play book for increasing collections using financial assistance:👉https://arceehq.com/financial-assistance/the-executive-guide-to-financial-assistance-with-agentic-aiEvaluate your ROI of reducing claim denials using the ROI calculator:👉https://arceehq.com/claims-denial-management/roi-calculatorEvaluate your ROI of increasing collections from patient financing using the ROI calculator:👉https://arceehq.com/patient-financing/roi-calculatorEvaluate your ROI of increasing collections from financial assistance using the ROI calculator:👉https://arceehq.com/financial-assistance/roi-calculatorAccess all the podcast episodes and short videos from the RC Executive Lounge: 👉https://arceehq.com/the-rc-executive-lounge-podcast-series👉https://arceehq.com/podcast-shortsSubscribe to the RC Executive Lounge Podcast on your favorite platform:🎧 Apple:https://podcasts.apple.com/us/podcast/the-rc-executive-lounge/id1834231179🎧 Spotify:https://open.spotify.com/show/6Pzfp41103XlD2ItpFfbdN🎧 Amazon Music:https://music.amazon.com/podcasts/2232884f-10ae-424c-ae65-e21a93b61693/the-rc-executive-lounge🎧 Audible:https://www.audible.com/podcast/The-RC-Executive-Lounge/B0FMZNHLQK?source_code=ASSGB149080119000H&share_location=pdp #RevenueCycle #RCM #RevenueCycleManagement #DenialPrevention #DenialsManagement #AgenticAI #HealthcareAI #ProactiveLossMitigation #SafetyNetHospitals #HealthcareLeadership #HealthcareFinance #ChangeManagement #RevenueIntegrity #HealthcareInnovation #HealthcarePodcast

  5. Aug 6

    Rethinking Denials Management: AI, Predictive Strategy, and the Future of Revenue Cycle Leadership | Christina Slemp

    In this episode of The RC Executive Lounge Podcast, Christina Slemp, System Vice President of Revenue Cycle Financial Services at UNC Health, shares how a multi-dimensional approach to denial prevention is reshaping what claims denial management looks like at scale. Christina opens with a framework that challenges how most organizations think about denials. Prevention and prediction come first, not remediation. She describes running simultaneous phases of microtargeted denial work, each with a 90-day lookback, a root cause sprint, and a solution presented to a cross-functional executive committee in six weeks. The conversation covers how Christina brought clinical teams into the underpayment resolution process, fixed root causes at the source, and used data storytelling to build cross-functional trust. Her closing line captures the episode perfectly: change does not stick because we tell people to. It sticks because people trust us. Additional topics covered in this episode include: ✅ AI plus RPA together: why combining both delivers maximum benefit and why solving for AI alone misses the mark✅ Bad process in, bad AI out: why process foundation must come before vendor selection✅ Governance is not a bad word: why standardization and compliance guardrails protect patients, claims, and the organization✅ From 10 touches to 2: why reducing claim touches is a win even when the final write-off number does not change✅ Do not implement technology for the sake of the new shiny toy: the checklist Christina applies before any automation decision✅ Likeable Badass: the book that shaped how Christina thinks about trust, influence, and leading through change Learn more about ArceeHQ and our comprehensive AI solutions platform for reducing denials, increasing adoption of patient financing and utilization of financial assistance: 👉 https://arceehq.com Download the free white paper on the play book for reducing claim denials: 👉https://arceehq.com/claims-denial-management/the-executive-guide-to-reducing-claim-denials-with-agentic-ai Download the free white paper on the play book for increasing collections from patient financing: 👉https://arceehq.com/patient-financing/the-financial-engagement-playbook-with-agentic-ai Download the free white paper on the play book for increasing collections using financial assistance: 👉https://arceehq.com/financial-assistance/the-executive-guide-to-financial-assistance-with-agentic-ai Evaluate your ROI of reducing claim denials using the ROI calculator: 👉https://arceehq.com/claims-denial-management/roi-calculator Evaluate your ROI of increasing collections from patient financing using the ROI calculator: 👉https://arceehq.com/patient-financing/roi-calculator Evaluate your ROI of increasing collections from financial assistance using the ROI calculator: 👉https://arceehq.com/financial-assistance/roi-calculator Access all the podcast episodes and short videos from the RC Executive Lounge:👉https://arceehq.com/the-rc-executive-lounge-podcast-series 👉https://arceehq.com/podcast-shorts Subscribe to the RCM Executive Lounge Podcast on your favorite platform: 🎧 Apple:https://podcasts.apple.com/us/podcast/the-rc-executive-lounge/id1834231179 🎧 Spotify:https://open.spotify.com/show/6Pzfp41103XlD2ItpFfbdN 🎧 Amazon Music:https://music.amazon.com/podcasts/2232884f-10ae-424c-ae65-e21a93b61693/the-rc-executive-lounge 🎧 Audible:https://www.audible.com/podcast/The-RC-Executive-Lounge/B0FMZNHLQK?source_code=ASSGB149080119000H&share_location=pdp #RevenueCycle #RCM #RevenueCycleManagement #DenialPrevention #DenialsManagement #AgenticAI #AIinHealthcare #HealthcareAI #PredictiveAnalytics #HealthcareLeadership #HealthcareFinance #HealthSystemLeadership #RCMLeadership #ChangeManagement #ClinicalEngagement #RevenueIntegrity #HealthcareOperations #HealthcareInnovation #UnderpaymentRecovery #HealthcarePodcast

  6. Jul 28

    Winning the Claims Denial War: Clinical Denials, Agentic AI, and the Ownership Mindset That Drives Results | Chris Spady

    In this episode of The RCM Executive Lounge Podcast, Chris Spady, Senior Vice President of Revenue Cycle at Erlanger Health System, shares how process discipline and an ownership mindset are reshaping denial management at one of Tennessee's most important community health systems. Chris opens with the single biggest structural shift in denial management over the last decade: the move from 85% technical denials to above 50% clinical denials. That shift requires cross-functional clinical teams, longer resolution runways, and a different organizational capability. Layer on payers refusing peer-to-peer reviews and the picture gets harder still. The conversation covers Chris' initiative to deploy workflow software for his follow-up team, built around one unusually human success definition: a follow-up rep who shuts down her computer knowing she did exactly what was expected of her. The KPIs will follow. On agentic AI, Chris is candid. It is not a silver bullet. Payers are ahead of providers and the denial problem is too entrenched for technology alone to solve. But the cost-to-collect opportunity is real, and coding automation is where he sees the most credible step-change potential. Additional topics covered include: ✅ Clinical denials require cross-functional teams and a longer runway than technical denials✅ Small teams move fast: balancing inclusion with execution speed✅ Three revenue cycle priorities: on time, front and center, and knowing the score✅ Why low dollar claims drive yield more than high dollar denials✅ The $47 vs $63 cost-per-denial gap between traditional Medicare and Medicare Advantage✅ Complexity masquerading as thoroughness: the Navy SEAL decision-making framework✅ Future owners outperform future leaders: the ownership mindset that drives results Learn more about ArceeHQ and our comprehensive AI solutions platform for reducing denials, increasing adoption of patient financing and utilization of financial assistance: 👉 https://arceehq.com Download the free white paper on the play book for reducing claim denials: 👉https://arceehq.com/claims-denial-management/the-executive-guide-to-reducing-claim-denials-with-agentic-ai Download the free white paper on the play book for increasing collections from patient financing: 👉https://arceehq.com/patient-financing/the-financial-engagement-playbook-with-agentic-ai Download the free white paper on the play book for increasing collections using financial assistance: 👉https://arceehq.com/financial-assistance/the-executive-guide-to-financial-assistance-with-agentic-ai Evaluate your ROI of reducing claim denials using the ROI calculator: 👉https://arceehq.com/claims-denial-management/roi-calculator Evaluate your ROI of increasing collections from patient financing using the ROI calculator: 👉https://arceehq.com/patient-financing/roi-calculator Evaluate your ROI of increasing collections from financial assistance using the ROI calculator: 👉https://arceehq.com/financial-assistance/roi-calculator Access all the podcast episodes and short videos from the RC Executive Lounge:👉https://arceehq.com/the-rc-executive-lounge-podcast-series 👉https://arceehq.com/podcast-shorts Subscribe to the RCM Executive Lounge Podcast on your favorite platform: 🎧 Apple:https://podcasts.apple.com/us/podcast/the-rc-executive-lounge/id1834231179 🎧 Spotify:https://open.spotify.com/show/6Pzfp41103XlD2ItpFfbdN 🎧 Amazon Music:https://music.amazon.com/podcasts/2232884f-10ae-424c-ae65-e21a93b61693/the-rc-executive-lounge 🎧 Audible:https://www.audible.com/podcast/The-RC-Executive-Lounge/B0FMZNHLQK?source_code=ASSGB149080119000H&share_location=pdp #RevenueCycle #RCM #RevenueCycleManagement #ClinicalDenials #DenialsManagement #DenialPrevention #AgenticAI #AIinHealthcare #HealthcareAI #CodingAutomation #MedicalCoding #HealthcareLeadership #HealthcareFinance #HealthSystemLeadership #RCMLeadership #HealthcareOperations #ChangeManagement #LeadershipDevelopment #HealthcareInnovation #HealthcarePodcast

  7. Jul 13

    The AI-Augmented Mid-Revenue Cycle: Autonomous Coding, Human-in-the-Loop Governance, and Upstream Prevention | Tami McMasters Gomez

    In this episode of The RCM Executive Lounge Podcast, Tami McMasters Gomez, Director of Revenue Integrity at UC Davis Health, shares how mid-revenue cycle can act as a strategic control point that protects revenue before it becomes at risk from an AR perspective. Tami opens with her framework for mid-revenue cycle priorities: authorization accuracy, real-time CDI, and denial root cause analysis tied to payer policy intelligence. When faced with a choice between expanding retrospective CDI review and investing in real-time automation, she chose technology over headcount. The conversation covers UC Davis Health's live autonomous coding deployment with two vendors: one for high-volume radiology coding, another for outpatient E&M. Her governance model centers on 90 to 95 percent accuracy thresholds, human-in-the-loop routing, and a formal AI audit policy. On agentic AI, Tami sees the biggest shift as embedding intelligence into clinical workflows rather than layering it on afterward. Real-time documentation guidance, predictive authorization risk, and automated order validation are the capabilities she believes will define next-generation mid-revenue cycle performance. Additional topics covered include: ✅ Write-Off the Void Denials Avoidance Task Force: cross-functional upstream denial prevention✅ People, process, technology: the right sequencing for any mid-revenue cycle initiative✅ Leading indicators over lagging ones: baseline before technology to measure true ROI✅ Celebrating prevention not recovery: every dollar prevented is worth more than one recovered✅ The Speed of Trust and Just Let Them: the books that shape how Tami leads Learn more about ArceeHQ and our comprehensive AI solutions platform for reducing denials, increasing adoption of patient financing and utilization of financial assistance: 👉 https://arceehq.com Download the free white paper on the play book for reducing claim denials: 👉https://arceehq.com/claims-denial-management/the-executive-guide-to-reducing-claim-denials-with-agentic-ai Download the free white paper on the play book for increasing collections from patient financing: 👉https://arceehq.com/patient-financing/the-financial-engagement-playbook-with-agentic-ai Download the free white paper on the play book for increasing collections using financial assistance: 👉https://arceehq.com/financial-assistance/the-executive-guide-to-financial-assistance-with-agentic-ai Evaluate your ROI of reducing claim denials using the ROI calculator: 👉https://arceehq.com/claims-denial-management/roi-calculator Evaluate your ROI of increasing collections from patient financing using the ROI calculator: 👉https://arceehq.com/patient-financing/roi-calculator Evaluate your ROI of increasing collections from financial assistance using the ROI calculator: 👉https://arceehq.com/financial-assistance/roi-calculator Access all the podcast episodes and short videos from the RC Executive Lounge:👉https://arceehq.com/the-rc-executive-lounge-podcast-series 👉https://arceehq.com/podcast-shorts Subscribe to the RCM Executive Lounge Podcast on your favorite platform: 🎧 Apple:https://podcasts.apple.com/us/podcast/the-rc-executive-lounge/id1834231179 🎧 Spotify:https://open.spotify.com/show/6Pzfp41103XlD2ItpFfbdN 🎧 Amazon Music:https://music.amazon.com/podcasts/2232884f-10ae-424c-ae65-e21a93b61693/the-rc-executive-lounge 🎧 Audible:https://www.audible.com/podcast/The-RC-Executive-Lounge/B0FMZNHLQK?source_code=ASSGB149080119000H&share_location=pdp #RevenueCycle #RCM #RevenueCycleManagement #MidRevenueCycle #AutonomousCoding #AgenticAI #AIinHealthcare #HealthcareAI #HumanintheLoop #AIGovernance #DenialPrevention #DenialsManagement #RevenueIntegrity #CDI #ClinicalDocumentation #MedicalCoding #HealthcareLeadership #HealthcareFinance #HealthSystemLeadership #RCMLeadership #HealthcareOperations #HealthcareTechnology #HealthcareInnovation #ChangeManagement #HealthcarePodcast

  8. May 1

    From Reactive Denials to Proactive Revenue Protection: AI, Prioritization, and Leadership in Revenue Cycle | Kim Scaccia

    In this episode of The RCM Executive Lounge Podcast, Kimberly Scaccia, Vice President of Revenue Cycle at TriHealth, shares how anchoring project prioritization to enterprise risk and value helps revenue cycle leaders make better decisions and drive meaningful transformation even when competing demands pull in different directions. The conversation covers three priorities every revenue cycle leader is wrestling with right now. Denials management, patient financing, and financial assistance. Kimberly discusses how she is shifting denials prevention upstream through closer managed care partnerships and an AI-assisted automation initiative in the physician coding space that delivered impressive ROI after a disciplined vendor selection process. Her perspective on agentic AI is particularly compelling. Kimberly believes agentic AI can deliver a ten times improvement in proactive revenue retention, moving organizations from reactive denial management to predictive denial prevention before claims ever leave the building. Additional topics covered in this episode include: Cash as the primary metric and the tier two measures that round out the picture including cost to collect and denials performanceChange management principles that work: unified leadership voice, transparency, celebrating wins, and empowering line managers as advocates for changeUsing your resources to identify blindspots before they become problemsThe book that shaped Kimberly's leadership philosophy: Randy Fox's Silver Platter ServiceLearn more about ArceeHQ and our comprehensive AI solutions platform for reducing denials, increasing adoption of patient financing and utilization of financial assistance: 👉 https://arceehq.com Download the free white paper on the play book for reducing claim denials: 👉https://arceehq.com/claims-denial-management/the-executive-guide-to-reducing-claim-denials-with-agentic-ai Download the free white paper on the play book for increasing collections from patient financing: 👉https://arceehq.com/patient-financing/the-financial-engagement-playbook-with-agentic-ai Download the free white paper on the play book for increasing collections using financial assistance: 👉https://arceehq.com/financial-assistance/the-executive-guide-to-financial-assistance-with-agentic-ai Evaluate your ROI of reducing claim denials using the ROI calculator: 👉https://arceehq.com/claims-denial-management/roi-calculator Evaluate your ROI of increasing collections from patient financing using the ROI calculator: 👉https://arceehq.com/patient-financing/roi-calculator Evaluate your ROI of increasing collections from financial assistance using the ROI calculator: 👉https://arceehq.com/financial-assistance/roi-calculator Access all the podcast episodes and short videos from the RC Executive Lounge:👉https://arceehq.com/the-rc-executive-lounge-podcast-series 👉https://arceehq.com/podcast-shorts Subscribe to the RCM Executive Lounge Podcast on your favorite platform: 🎧 Apple:https://podcasts.apple.com/us/podcast/the-rc-executive-lounge/id1834231179 🎧 Spotify:https://open.spotify.com/show/6Pzfp41103XlD2ItpFfbdN 🎧 Amazon Music:https://music.amazon.com/podcasts/2232884f-10ae-424c-ae65-e21a93b61693/the-rc-executive-lounge 🎧 Audible:https://www.audible.com/podcast/The-RC-Executive-Lounge/B0FMZNHLQK?source_code=ASSGB149080119000H&share_location=pdp #RevenueCycle #RCM #RevenueCycleManagement #DenialPrevention #DenialManagement #AgenticAI #HealthcareAI #AIinHealthcare #HealthcareLeadership #HealthcareFinance #HealthSystemLeadership #PatientFinancing #FinancialAssistance#MedicalCoding #PhysicianCoding #ManagedCare #PatientFinancialExperience #HealthcareInnovation #HealthcareOperations #ChangeManagement #HealthcarePodcast

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Ratings & Reviews

5
out of 5
2 Ratings

About

The RC Executive Lounge is where top healthcare finance leaders share bold strategies to grow revenue and accelerate cash flow. Discover how they apply cutting-edge tools like Agentic AI across the revenue cycle to reduce denials, streamline Medicare, and enhance patient financing and financial assistance to advance equitable access to care. Each episode delivers real-world wins, deep executive insights, and future-focused thinking on technology, payer dynamics, compliance, staffing, and patient experience.

Information

  • Creator
    ArceeHQ
  • Years Active
    2025 - 2026
  • Episodes
    17
  • Rating
    Clean
  • Copyright
    © ArceeHQ
  • Show Website
    The RC Executive Lounge