ViVE Replay: Building Better RCM Automation with Agentic AI

ViVE Replay: Building Better RCM Automation with Agentic AI In this special episode, listen to Vanessa Moldovan present live at ViVE 2026. The talk covers identifying RCM and clinical-adjacent workflows ready for automation, ensuring automation solves rather than shifts problems, building CFO-ready ROI, implementing without disrupting operations, and using a framework to decide what to fix first. You'll learn more about high-impact automation areas (eligibility/benefits, prior auth, coding/claim review, payment integrity/contracts), get a clean explanation of agentic AI vs point solutions, hear about the six vendor-evaluation questions you need to ask, and discover what you should be tracking for ROI. After, you'll hear a panel of experts sharing real implementations and selection experiences, including Beacon's rapid care-gap outreach and MCR Health's focus on prior auth-driven cash flow. 00:00 Welcome and Intro 01:25 Session Goals Overview 03:37 Audience Poll 04:48 Why Change Now 05:56 Denials by the Numbers 07:28 Pain Across Ecosystem 10:30 Root Causes Breakdown 13:10 Path Forward and Panel 14:08 RCM Workflows to Automate 14:35 Standards and EDI Q&A 18:42 Ten Core RCM Steps 20:33 Top Automation Targets 26:36 Upstream Clinical Wins 28:11 Payer Side Opportunities 29:40 Agentic AI Explained 32:36 Vendor Questions Checklist 34:51 ROI Framework That Sells 38:39 KPIs That Prove Value 40:39 Tailored KPI Messaging 41:34 Fixing Workflows First 43:23 Agentic AI Reliability 48:19 Prioritization Framework 50:30 Meet the Panel 54:21 Beacon Care Gap Win 56:17 Choosing First Use Case 57:18 Buy In and Cash Flow 01:00:06 Data Quality and Trust 01:04:45 Compliance and Governance 01:08:35 ROI Metrics That Matter 01:10:20 PHI Learning and Feedback 01:16:12 Vendor Selection and Wrap Up