Episodes

This episode of The Wilshire IT RevCast explores how healthcare providers can evolve from transactional “business partner” relationships to strategic, integrated partnerships across the revenue cycle. Evan Martin is joined by guest Suzanne Hatch, CRO & EVP of Client Experience at Getix Health, to unpack different sourcing models (in‑house, co‑sourced, outsourced, champion–challenger), emphasizing trust, transparency, governance, and cultural alignment—especially around AI, technology roadmaps, a...

This episode of the Wilshire IT RevCast explores why healthcare revenue cycle management has become a uniquely complex profession and how emerging AI technologies can finally address that complexity at scale. Evan Martin and Guest Monte Sandler contrast legacy rules-based automation with AI-native platforms, explain the “shift left” strategy to reduce claim exceptions, and discuss how AI agents and human-in-the-loop models can improve financial performance while elevating revenue cycle staff rol...

This episode explores how HFMA’s Western Region Symposium is reimagining provider–business partner collaboration through innovative education formats like the regional Think Tank and the Innovation Gauntlet. Evan Martin and guest Ramona Hernandez discuss the importance of use-case-driven technology (especially AI), mission-centered vendor partnerships, and inclusive leadership initiatives—highlighting how these efforts support financial sustainability, professional growth, and stronger networks ...

In this episode of the Wilshire IT Webcast, Evan Martin, VP Revenue Cycle Management at ZoomCare, sits down with Kevin Henrikson, co-founder of Pretty Good AI, to unpack how real-world AI is reshaping patient access, front-end revenue cycle, and denial prevention. You’ll hear how practices are moving beyond basic IVR and portals to deploy voice-based AI agents that actually resolve issues—not just route calls.

In this episode of The Wilshire IT RevCast dives deep into the fast‑evolving world of healthcare price transparency and the operational reality of Good Faith Estimates (GFEs) under the No Surprises Act. Our host Evan Martin, VP Revenue Cycle at ZoomCare, and returning guest Travis Gentry, CEO of Hyve Health, unpack how regulations aimed at protecting patients are colliding with fragmented systems, siloed providers, and legacy revenue cycle workflows. They explore why current price transparency d...

n this episode of The Wilshire IT RevCast, we explore why meaningful career growth rarely happens by accident and argue that individuals—not employers—must act as the “CEO” of their own development. Drawing on Marcie Carleton’s HR and talent experience, the conversation highlights how top performers set intentional goals, continuously build learning agility, communication, and tech/AI adaptability, and integrate personal well-being with professional growth rather than waiting for permission, bud...

In this episode of the Wilshire IT Revcast, Evan Martin sits down with Shari Boyer, Director of Enterprise Denial Management, WVU Medicine, and Scott Earich, Partner and Owner of The Wellington Group, LLC, to unpack how payers are industrializing denials and how providers can respond with AI-driven strategies.

This episode explores the 2025 CMS final rule changes with a deep dive into how new payment and coding policies—especially around skin substitutes—will impact Chargemaster design, revenue integrity, and reimbursement across hospitals, ASCs, and physician practices. The guests highlight the need for multidisciplinary collaboration, stronger standards, and more innovative use of automation and EHR tools (e.g., order sets, creative forms, charge edits) to ensure compliant billing, protect revenue, ...

In this engaging episode of the Wilshire RevCast, host Evan Martin is joined by Kelly Samuel, the Executive Director at Annuity Health, to discuss the intricate patterns within revenue cycle management. With a summer full of changes and a transition into fall, they explore how identifying and understanding patterns can unlock significant improvements in revenue cycle processes and operations. This episode is packed with insights into empowering teams, leveraging data, and driving operational suc...

In this insightful episode, host Evan Martin, alongside guest co-host Patti Consolver, delves into the intricacies of patient loyalty and the pivotal role of patient experience in healthcare sustainability. Featuring Matt Lauer, a certified patient experience professional, the discussion highlights the intersection of revenue cycle management and patient satisfaction, emphasizing the need for healthcare systems to adapt and improve service interactions using data-driven insights and a holistic u...

In this engaging episode, host Evan Martin In this engaging episode of the Wilshire IT broadcast, host Evan Martin converses with Rahul Agrawal, a visionary entrepreneur in healthcare technology. The discussion delves into the transformative capabilities of AI in streamlining medical documentation and revenue cycle management, highlighting how these innovations are poised to reduce administrative burdens and enhance efficiency in healthcare operations significantly. Rahul shares insights into hi...

In this episode of the Wilshire IT Revcast, host Evan Martin and guest Marcia Leighton dive into the pervasive role of AI in various sectors, with a focus on healthcare and revenue cycle management. They discuss the integration and impact of AI tools like ChatGPT and Google Gemini on productivity, decision-making, and organizational efficiency. The conversation highlights the importance of adopting AI proactively to enhance workplace processes and underscores the necessity for balancing innovati...

In this episode of The Wilshire IT Revcast, host Evan Martin and guest Marcie Carleton explore the evolving landscape of recruitment, with a particular focus on trends in remote work and the application of AI in hiring processes. They explore the preference for remote work among candidates, the challenges in balancing in-office and flexible schedules, and the role of recruiters in personalizing candidate engagement. The conversation further emphasizes the importance of relationship-building and ...

In this engaging episode, host Evan Martin is joined by Justin Liu, the co-founder and CEO of Charta Health. Broadcasting from Alaska, Evan dives into the dynamic world of healthcare AI, exploring how language models are revolutionizing revenue cycle management. Justin shares fascinating insights into the backend intricacies of healthcare systems and the role AI plays in streamlining processes.

Welcome to the latest episode of the Wilshire IT Revcast, where we dive into the vibrant world of the NAHAM Conference. Join us for a live recording as we speak with leading professionals about key topics in healthcare access management and the technological advancements shaping this critical field.

In this episode, host Evan Martin and guest Stuart Newsome of Infinx Health delve into the impact and evolution of AI agents within the healthcare revenue cycle management industry. They explore the roles and benefits of AI in enhancing efficiency and accuracy in tasks such as cybersecurity, denial management, and document processing. Their discussion highlights how AI agents augment human roles rather than replace them, emphasizing the importance of ethical considerations and strategic partners...

In this insightful episode of the "The Wilshire IT RevCast", host Evan Martin welcomes the distinguished Nio Querio. A well-acclaimed author and expert in innovation within the healthcare sector, Nio shares her personal journey into healthcare, how it's shaped her professional life, and the importance of integrating patient experiences into revenue cycle management. Together, they explore the evolving landscape of healthcare, addressing challenges faced by safety net hospitals, the role of AI in...

The latest episode of the Wilshire IT Podcast, hosted by Evan Martin, delves into the complexities of provider billing and reimbursement in the medical field, particularly with the challenges presented by recent changes to the Medicare fee schedule. Featuring insights from experts at Ventra Health, including Dr. Jamie Shoemaker and Dr. Mark Laperouse, the episode explores the impact of declining reimbursement rates on physicians and the healthcare system at large, emphasizing the urgent need for...

Dive into the latest insights on revenue cycle management with Beth Allen from Getix Health and Evan Martin in this enlightening episode. Join them as they tackle pressing issues in RCM, from payer relationships to cybersecurity threats.

In this episode of the Wilshire IT RevCast Daniel and Evan wrap up this season. The guys have been thinking a lot about cybersecurity too—especially after the big Change Healthcare incident. Organizations are now faster at mitigating threats, showing resilience and adaptability. They also talk about what has been the most eye-opening takeaway for each of them in their professional journey this past year. Listen at https://blubrry.com/wilshireitrevcast/, our YouTube Channel https://www.youtube.co...

Welcome back to another insightful episode of The Wilshire IT RevCast! Today, join Evan Martin and Daniel Bianchini as they delve into the transformative role of Artificial Intelligence (AI) in healthcare. This episode explores how AI is reshaping the landscape from insurance claim denials to medical documentation and clinical decision-making. With the holiday season upon us, we'll also discuss how healthcare professionals are balancing work commitments with personal time while navigating regula...

Daniel and Evan explore how AI technologies, including predictive analytics and robotic process automation (RPA), revolutionize healthcare revenue cycle management. Their guest, Christine Fontaine at Waystart, highlights how these advanced tools can enhance staff productivity, forecast potential revenue challenges, and automate repetitive tasks. Discover how AI provides actionable insights for data-driven decision-making and contributes to a more efficient and financially stable healthcare syste...

Heather Dunn joins Evan Martin and Daniel Bianchini to explore the remarkable synergy between IT innovation and revenue cycle management (The Love Between IT and Revenue Cycle) in the complex healthcare sector. The indispensable fusion of technology and financial operations underpins the success of many healthcare institutions. With a wealth of experience in healthcare and IT, this dynamic trio discusses the critical importance of implementing systems such as Epic to streamline billing, enhance ...

The Wilshire IT RevCast", Daniel and Evan delve into the critical aspects of revenue integrity and charge master management within healthcare organizations. They are joined by Lynne Dossey and Rina Patel from Health Catalyst who provide a comprehensive guide on ensuring all services are billed correctly and compliantly, touching on critical components such as charge capture, coding, and regulatory adherence. Tune in to grasp the foundational elements that form the backbone of an effective revenu...