Rivet Health Blog

Improving Your Practice With Revenue Cycle Automation

Written by Alexa Reimschussel | Jul 29, 2025 6:27:59 PM

Managing the revenue cycle efficiently is crucial for organizational continuity and long-term financial health. However, the modern healthcare revenue cycle is far too complex to manage manually. Enter healthcare revenue cycle automation: the key to greater efficiency, better cash flow, and reduced risk.

Revenue cycle automation enables your practice to improve its overall financial performance. At Rivet Health, we help healthcare providers modernize their RCM processes and unlock revenue potential through advanced automation tools. Here’s what you need to know.

What Is Revenue Cycle Automation?

Healthcare revenue cycle automation refers to the use of software and digital tools to perform manual, repetitive tasks. These tasks include patient registration, eligibility verification, and claim submission. Instead of relying on staff to manage every step manually, automation can handle:

  • Eligibility checks and prior authorizations
  • Claim edits and scrubbing
  • Payer contract compliance checks
  • Pricing estimates for patients
  • Remittance advice tracking and denial routing
  • Financial analysis and reporting

By automating these tasks, your healthcare practice can:

  • Process claims faster and accelerate reimbursement
  • Reduce denial claims by decreasing human error
  • Reduce the burden on your team
  • Decrease the risk of staff burnout
  • Gain greater visibility into financial performance
  • Improve patient payment collection rates

The specific benefits that your practice experiences will vary based on the scope of your automation initiative. The more you automate, the greater your efficiency gains will be.

Key Areas of Revenue Cycle Automation

Some key revenue cycle management automation examples include the following:

Payer Performance

Payer contract management is essential for ensuring your practice is reimbursed accurately. However, most practices struggle to keep up with contract terms across multiple payers. With automation, you can:

  • Monitor actual payments vs. contracted rates
  • Alert you when payments are below expected amounts
  • Provide dashboards to track payer behavior over time

Healthcare revenue cycle automation technologies that improve payer performance help minimize write-offs and increase total cash flow. You can also use these insights to negotiate more favorable contract terms and protect your organization’s bottom line.

Patient Pricing

Front-end issues cause nearly half of claim denials. One example of a front-end issue is inaccurate patient estimates. Patients are now responsible for a larger portion of their healthcare costs, but most don’t know what they owe until they receive a bill. This frustration can lead to delayed payments and billing disputes.

Revenue cycle automation enables you to:

  • Provide patient responsibility estimates in real-time
  • Generate a good-faith estimate 
  • Improve patient trust and engagement

Automating patient pricing workflows makes it easier for your practice to collect payments up front and improve overall revenue capture.

Revenue Diagnostics

Manual reporting can delay your decision-making processes and leave you at a competitive disadvantage. Automation delivers timely, accurate insights that help you understand your practice’s performance. With revenue diagnostics solutions from Rivet Health, you can:

  • Automatically analyze trends by provider, service line, or payer
  • Access a custom KPI dashboard
  • Set up automated alerts for underpayments or underperformance issues

Rivet Health provides end-to-end visibility into your revenue cycle. You can pinpoint gaps that are hurting your bottom line and prioritize practice improvements that help you stay agile. The result is improved stability and better long-term growth.

Benefits of Revenue Cycle Automation

Healthcare revenue cycle automation provides numerous benefits for your practice and its patients. With fewer manual processes to manage, your staff can focus on high-value tasks, such as patient care and appeals. This leads to less burnout and more sustainable operations. 

Automated claim edits and payer tracking contribute to improved cash flow. You can reduce write-offs and improve reimbursement rates. 

Revenue cycle automation also promotes compliance with the No Surprises Act. You can provide patients with accurate estimates before services are provided and promote trust. Check out our detailed breakdown of the No Surprises Act for more insights about how you can build a strong compliance posture with Rivet Health.

How Rivet Health’s Automation Solutions Can Help

Having the right technology is key to implementing healthcare revenue cycle automation at scale. At Rivet Health, we specialize in streamlining revenue cycle processes through intuitive, automation-ready tools built with providers in mind. With RIvet Health, you can:

  • Automate Claim Resolution: Automatically identify and organize claims by CARC and RARC 
  • Monitor Payer Performance: Receive notifications when payers fall short of your contracted rates 
  • Provide Patient Pricing: Generate accurate, good-faith estimates at the point of scheduling 
  • Conduct Revenue Diagnostics: Access KPIs in real-time to make smarter financial decisions

Rivet Health solutions are scalable, making them a good fit for small specialty clinics, new private practices, and multi-site healthcare systems. Our platform evolves with your needs while fueling long-term growth.

Unlock the Power of Revenue Cycle Management Automation with Rivet Health

Revenue cycle automation is a necessity. By automating claims management and other RCM processes, you can:

  • Improve reimbursement speed
  • Reduce denials
  • Streamline compliance
  • Empower your staff
  • Boost revenue

Rivet Health is proud to lead the way in revenue cycle automation. Our user-friendly, powerful tools seamlessly integrate into your existing workflows to help you achieve more. Schedule a demo with Rivet Health!