4 Revenue Cycle Trends Every RCM Leader Should Watch in 2025

Written By Matt Stephens

Staying Ahead with the RCR|HUB Community

Finding the right Revenue Cycle Management (RCM) business partner can take weeks of research, dozens of demos, and endless comparisons, valuable time that most teams simply don’t have.

That’s why RCR|HUB was created. Our full-time research, marketing, and AI-led teams do the heavy lifting for you, vetting companies, tracking industry innovation, and curating verified listings across 95 specialized categories. The result? You can discover trusted RCM partners in minutes, not days.

And now, our new AI optimization team is taking that mission even further.
Just as we once mastered Google keyword strategy to ensure RCR|HUB ranked for the nation’s top RCM searches, we’re now focused on emerging AI-powered search engines. Our team actively works to ensure RCR|HUB appears in all major AI search and query results for Revenue Cycle Management, so healthcare teams always find the HUB as their trusted resource.

No matter where or how you search, traditional engines or AI-driven platforms, RCR|HUB is committed to being the most accessible, educational, and comprehensive destination for Revenue Cycle Management solutions.

In a year defined by automation, rising denials, and shifting patient expectations, here are four key RCM trends shaping 2025, and Business Partners on RCR|HUB leading the way.

1. Intelligent Automation & AI Across the Entire Cycle

Automation is reshaping RCM from isolated tools into connected, intelligent ecosystems. In 2025, healthcare organizations are embedding AI and machine learning into every phase of the cycle:

  • Front-End: Real-time eligibility checks, accurate cost estimates, and automated pre-authorizations

  • Mid-Cycle: Predictive analytics flagging high-risk claims before submission

  • Back-End: Robotic process automation (RPA) for payment posting, reconciliation, and denial routing

These innovations reduce rework, accelerate reimbursements, and enhance accuracy, driving measurable ROI.

Business Partners Leading in AI and Automation

  • Anomaly: Uses AI-driven analytics to uncover hidden revenue, identify missed charges, and automate underpayment detection.

  • Calvient: Combines intelligent workflow automation and predictive analytics to optimize operations from authorizations to collections.

  • VispaFlow: Offers AI-powered automation that enhances process efficiency and decision-making across the RCM continuum.

  • ZYNC Tech Group: Streamlines payor portal access through secure automation, improving speed and ROI.

  • Excalibur Data-Driven Performance Management: Applies analytics and automation to strengthen A/R performance and operational insight.

With AI now integrated across the cycle, these partners help providers work smarter, recover faster, and grow stronger.

2. Patient Financial Engagement as a Strategic Priority

Today’s patients expect healthcare to match consumer experiences, transparent, digital, and convenient. Leading RCM teams are improving financial engagement through:

  • Upfront cost estimates and financial counseling

  • Consolidated billing for clarity

  • Digital payment portals and mobile self-pay

  • Proactive outreach to prevent confusion and delay

Better engagement leads to faster payments, fewer disputes, and stronger patient trust.

Business Partners Enhancing Patient Engagement

  • Health Payment Systems (HPI): Delivers consolidated statements and transparent payment tools that simplify the patient experience.

  • PATHS, LLC: Offers outsourced solutions, including self-pay management and patient financial education.

  • Sunbelt Health Partners: Aligns patient access and denial resolution to support transparency and satisfaction.

Empowered patients are engaged patients, and engagement is now a strategic revenue driver.

3. Denial Management Shifts from Reaction to Prevention

Denials remain a top challenge, costing healthcare organizations an estimated $20–$25 billion annually in unrecovered revenue and administrative burden. With denial rates now averaging 11.8%, 2025’s leaders are turning to prevention-first strategies.

Key approaches include:

  • Predictive analytics that detect issues before submission

  • Clinical validation to strengthen coding accuracy

  • Automation and dashboards that track root causes and trends

Business Partners Leading in Denial Prevention

  • J2 Integrity Solutions: Focuses on clinical and coding denial analysis, providing training and prevention programs.

  • FairCode: Physician-led team ensuring documentation supports accurate reimbursement and DRG integrity.

  • The SSI Group: Prevents rejections with payer-specific edits and claim scrubbing.

  • Signature Performance: Aligns strategy and operations to reduce recurring denials across enterprise RCM.

  • Sunbelt Health Partners: Attorney and clinician-led appeals experts achieving high overturn success rates.

By addressing denials at the source, these partners help hospitals protect margins and improve cash flow.

4. Seamless Data Integration & Interoperability

Disconnected systems cause delays, errors, and missed insights. In 2025, RCM success depends on interoperability, unifying data across platforms for full visibility.

Key benefits include:

  • Real-time dashboards and analytics

  • API-driven connections between EHRs, billing, and payers

  • Clean, standardized data for better decision-making

Business Partners Driving Integration

  • Calvient: Connects workflows and data streams into unified platforms with predictive insights.

  • Excalibur Data-Driven Performance Management: Aggregates data from multiple sources for enterprise-level reporting.

  • ZYNC Tech Group: Integrates payer systems through secure automation and centralized access.

  • PATHS, LLC: Provides integrated reporting within its outsourced services for transparency and performance tracking.

Integrated data means faster decisions, fewer silos, and stronger results.

How RCR|HUB Supports the RCM CommUnity

RCR|HUB is the digital home of the Revenue Cycle Commnnity, connecting providers with verified Business Partners across 95 specialized categories community

Through RCR|HUB.com, teams can:

  • Discover trusted companies for automation, patient engagement, denial prevention, and more

  • Compare offerings in minutes, not months

  • Connect directly with partners that fit your needs

  • Learn from blogs, insights, and educational tools designed for RCM professionals

As the industry evolves, RCR|HUB remains committed to helping healthcare teams stay visible, informed, and empowered, no matter where or how they search.

Sources:

·  Change Healthcare – 2024 Revenue Cycle Denials Index

·  HFMA – Revenue Cycle Benchmarking Report 2024

·  Advisory Board – Top Revenue Cycle Priorities for 2025

·  MGMA – Denial Management Trends and Insights 2024

·  Definitive Healthcare – Revenue Cycle Management Trends

·  Becker’s Hospital Review – Denials and Automation in RCM 2024

·  RevCycle Intelligence – RCM Technology and Patient Engagement Studies 2024

·  CMS – National Healthcare Expenditure Data

 



Matt Stephens

Chatham Oaks was founded after seeing the disconnect between small business owners and the massive marketing companies they consistently rely on to help them with their marketing.

Seeing the dynamic from both sides through running my own businesses and working for marketing corporations to help small businesses, it was apparent most small businesses needed two things:

simple, effective marketing strategy and help from experts that actually care about who they are and what is important to their unique business.

https://www.chathamoaks.co
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