Why AI Struggles in RCM and How Front-End Data Can Fix It

Why AI Struggles in RCM and How Front-End Data Can Fix It

Author: John Lynn February 16, 2026 Duration: 18:23

When a claim fails because of a missing field or outdated insurance detail, it is easy to blame the billing process, but it is incomplete or inconsistent information captured at registration that is often the root cause. This seemingly innocuous oversight may be the reason why AI adoption in revenue cycle management (RCM) has been slow.

In this conversation, Clarissa Riggins, Chief Product Officer at Experian Health, and Amy Trogdon, Vice President of Patient Access at Integris Health, break down why AI adoption in RCM depends on accurate front-end data and workflow fit.

They share what they learned rolling out Experian’s Patient Access Curator inside Epic and how real-time coverage validation is reshaping staff trust and efficiency. You will hear candid insights about workforce strain, error-prone processes, and why many AI projects stall before they start.

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Learn more about Experian Health at https://www.experian.com/health

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For anyone navigating the complex and ever-evolving world of healthcare technology, Healthcare IT Today Interviews offers a direct line to the people shaping its future. Host John Lynn sits down with leading experts, moving beyond theory to explore the real-world applications and challenges they face every day. This isn't about surface-level news; it’s a series of deep, conversational explorations. You’ll hear firsthand accounts about implementing and optimizing electronic health records, the critical balance between data security and patient privacy, and how analytics are transforming patient care. The discussions naturally cover the practicalities of telehealth, the nuances of healthcare communication systems, and the many other technologies redefining clinical and administrative workflows. Each episode of this podcast pulls back the curtain on the front lines, providing clarity and insight that’s both substantive and accessible. Tune in for honest perspectives on where healthcare IT has been, the problems being solved right now, and what’s coming next.
Author: Language: English Episodes: 100

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