With a $21 billion savings opportunity on the table, revenue cycle leaders must prioritize workflow standardization and vendor partnership ahead of federal deadlines outlined in the CMS Interoperability and Prior Authorization Final Rule.
Despite the recent proliferation of technology in healthcare, the revenue cycle still heavily relies on manual processes and fragmented workflows.However, fully transitioning to automated electronic workflows represents a $21 billion savings opportunity for the industry, according to the 2025 CAQH Index Report. To capture these savings and effectively deploy new technology ahead of upcoming federal deadlines, health systems must build a strong foundation of standardized digital workflows.
"The biggest returns on AI tend to come when AI is layered on top of standardized digital workflows, and not when it's used to patch broken manual processes," says Erin Weber, Chief Policy & Research Officer for CAQH.
See more in the infographic below.
Luke Gale is the revenue cycle editor for HealthLeaders.