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E-Newsletter • August 2025 |
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Editor's E-Note
As the revenue cycle becomes more complex, health care organizations are working hard to stay on top of its multiple facets, and intelligent platforms are popping up to help organize these efforts. This month’s E-News Exclusive offers some insight into how to manage this core business function.
In addition to reading our e-newsletter, be sure to visit For The Record’s website at www.fortherecordmag.com. We welcome your feedback at edit@gvpub.com. Follow For The Record on Facebook and X, formerly known as Twitter, too.
— Dave Yeager, editor |
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| In This E-Newsletter
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$105.35 Billion by 2030: Why Revenue Cycle Management Is Powering the Future of Health Care Finance
The global revenue cycle management (RCM) market, valued at US$61.11 billion in 2025, is projected to reach US$105.35 billion by 2030, growing at a compound annual growth rate of 11.5%. This rapid growth is driven by the widespread adoption of AI-powered, cloud-based RCM platforms that optimize financial workflows, improve compliance, and reduce administrative burdens. As health care systems transition from fee-for-service models to value-based care, RCM has become a vital pillar in achieving financial sustainability and operational efficiency.
Why is RCM becoming a financial game-changer in health care?
From eligibility verification to denial management, modern RCM solutions are transforming how hospitals and clinics manage revenue. Intelligent platforms now offer real-time analytics, integrated patient engagement tools, and seamless interoperability with EHRs. For example, Optum's AI-driven RCM suite enables predictive analytics and automation to reduce denials and enhance patient collections. Similarly, Oracle's Health Cloud unifies financial, administrative, and clinical data for end-to-end revenue visibility.
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CMS Touts SMART Health Cards and QR Codes for Medical Records
CMS is working toward enabling patients to share their medical history by scanning a QR code at the doctor's office, reports Mobi Health News.
AI Chatbots Can Run With Medical Misinformation, Study Finds
Researchers at the Icahn School of Medicine at Mount Sinai found that widely used AI chatbots are easily misled by false medical details, not only repeating but also elaborating on false information and generating explanations about conditions or treatments that do not exist. |
| Have a coding or documentation question? Get an expert answer by sending an email to edit@gvpub.com. |
athenahealth Expands Value-Based Care Capabilities
athenahealth announces new capabilities to help practices succeed in value-based care. Practices across athenahealth’s network can now use the athenahealth Marketplace to easily connect with risk-bearing organizations, including accountable care organizations. Learn more »
Collectly Launches AI Voice Agent to Transform Patient Billing and RCM
Collectly announces the launch of Billie, an AI agent for patient billing and revenue cycle management (RCM) that can answer patients’ questions 24/7 across chat, email, text, and voice. Billie is available as part of Collectly's AI RCM platform and is powered by real-time data from EHRs and insurance systems. Learn more » |
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COVER STORY
A HIPAA Security Overhaul
Proposed security rule changes for HIPAA are intended to bring guidelines up to current standards.
FEATURE
Guiding CDI
Experts share best practices for improving CDI.
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