RCM ReFramed
Welcome to RCM ReFramed, the podcast dedicated to reshaping traditional views and approaches to Revenue Cycle Management (RCM) through innovative frameworks and strategic insights.
- Indexed episodes, last 90 days
- 7
- Latest publication
- Sep 15, 2026
- Audience
- Checking…
- Earliest in this view
- Jul 6, 2026
Latest episodes
The Self-Pay Inversion: Why Insured Patients Are Now Your Hardest Collections | Ep 15 | RCM Reframed (opens the original)
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Self-pay used to mean uninsured. Now it means insured patients with $3,000 deductibles who behave financially like self-pay accounts, and the workflows most health systems built a decade ago are quietly destroying yield.In this episode of the RCM Reframed Podcast, Shawn Gretz sits down with Chris Spady, Senior Vice President of Revenue Cycle at Erlanger Health, to break down how patient collections have fundamentally inverted and what his team did about it. Chris shares the exact operating model
Why Patient Financial Services Is Your Best Early-Warning System | Amanda Hines, Essentia Health (opens the original)
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Patient financial services sees what the rest of revenue cycle misses. In this episode of RCM Reframed, Amanda Hines of Essentia Health explains how upstream issues in registration, statements, and denials show up downstream in patient conversations first, and why that makes PFS one of the clearest signals of where the cycle is breaking. Host Shawn Gretz talks with Amanda about her path from making outbound collector calls to leading patient financial services at Essentia, her work revamping tra
Episode 6 Medicaid Policy Shifts and What They Mean (opens the original)
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Explore Medicaid enrollment challenges, policy impacts, and innovative solutions with Jennifer Wagner, Director of Medicaid Eligibility and Enrollment at the Center on Budget and Policy Priorities.
Design for the Loops, Not the Line: Rebuilding Revenue Cycle after a Leadership Vacuum (opens the original)
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Sharlene Seidman left a 28-year career at Yale to lead revenue cycle at Johns Hopkins Medicine. Here's how she's rebuilding it.In this episode of RCM Reframed, host Shawn Gretz sits down with Sharlene Seidman, Vice President of Revenue Cycle at Johns Hopkins Medicine, to talk about what actually separates good rev cycle organizations from world-class ones. The conversation moves past AR days and cash collections into the operational decisions that determine performance: leader-employee pairing,
The Denial Root Cause No Dashboard Will Show You | Sergio Quiej, Adventist Health (opens the original)
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A denial dashboard can tell you what happened. It usually cannot tell you why. In this episode, Sergio Quiej, Patient Financial Services Support Manager at Adventist Health and VP of the HFMA Lone Star Chapter, explains how a week spent observing surgery workflow uncovered the real cause behind an authorization denial pattern, helped cut the issue in half within three months, and supported a 1.5 FTE operational improvement within six months.Sergio also shares the $250,000 stop-loss claim that re
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