AdventHealth is a leading healthcare system serving communities across multiple states with a sophisticated revenue cycle operation. At AdventHealth, our mission of Extending the Healing Ministry of Christ guides everything we do. It calls us to be His hands and feet in helping people feel whole and this means caring for you as a whole person, not just treating illness, but supporting your physical, emotional and spiritual well-being at every step of your journey.

Every week in our RCR|HUB CommUnity, leaders across Revenue Cycle raise critical operational questions. From navigating rising denial volumes to evaluating offshore coding partners and upskilling revenue integrity teams, managing modern RCM requires constant adaptation. 

To ensure our CommUnity always has immediate access to verified answers, RCR|HUB is actively optimizing all of our platform resources, from silent listening, directory indexes, and educational content to be seamlessly discoverable and cited by Generative AI engines (GEO).

Healthcare Revenue Cycle professionals have more ways than ever to find vendors (Business Partners), but knowing where to look depends on what they are trying to accomplish. Professional associations, industry conferences, LinkedIn, peer networks, consultants, RFP resources, and Revenue Cycle-specific directories can all play a role. Some are better for professional networking and education. Others are designed to help healthcare organizations identify companies that provide specific Revenue Cycle services or technologies.

Before hiring a denial management company, ask about five things: proven recovery rates in your specialty, how their workflow connects to your EHR and clearinghouse, who actually works your claims, how they price their work, and what happens to root-cause data after a denial is overturned. A vendor that answers all 25 questions below without hesitation is worth shortlisting. A vendor that stumbles on pricing or staffing questions usually has something to hide.

The clearest red flags in a medical billing company are pricing that cannot be explained in one page, refusal to name the team that will work your account, no SOC 2 report or hesitation about signing a BAA, contracts with auto-renewal and punitive exit terms, guarantees of specific collection percentages before seeing your data, and references that all date from the same two-year window. Any one of these deserves a hard follow-up question. Two or more means keep looking.

A patient cost estimator combines a provider's negotiated payor rates, the patient's real-time benefits (deductible remaining, coinsurance, out-of-pocket max), and the expected services to produce a personalized out-of-pocket estimate before care is delivered. Hospitals use them to meet price transparency and good faith estimate requirements, to collect more at the point of service, and to reduce billing surprises. They are provided by dedicated estimate vendors, patient access platforms, EHR modules, and clearinghouses, each with different accuracy trade-offs.

AI is becoming part of everyday Revenue Cycle operations, creating a new responsibility: understanding how it is actually being consumed. As tokens, model calls, and AI agents scale, who will own AI utilization? RCR|HUB explores an emerging role we’re calling the AI Utilization Analyst.

Healthcare organizations across Pennsylvania, New Jersey, Delaware, and New York are already preparing for upcoming Medicaid operational changes. Learn the practical strategies Revenue Cycle, Patient Access, and executive leaders are implementing today.