How to Prevent Surprise Medical Bills | Revenue Cycle Management Explained [INOvators Podcast]

Patients don’t understand their insurance benefits and that’s where revenue cycle management (RCM) makes the biggest impact. In this episode of Inovalon INOvators, William Borrego, VP of Revenue Cycle at PAM Health, shares how healthcare organizations can prevent surprise medical bills by improving benefits verification, patient education, and workflow efficiency across the revenue cycle. From eligibility checks to clinical appeals, RCM touches every stage of care. When done right, it protects both patients and providers. William discusses: --Why surprise medical bills happen and how to prevent them --How better benefits verification improves patient experience --Where analytics and automation reduce denials and inefficiencies --The role of AI in understanding coverage and streamlining workflows --Why human expertise (especially nurses) still matters in appeals If you’re in healthcare finance, revenue cycle, patient access, or operations, this conversation breaks down what modern RCM should look like. For more insights from industry leaders, check out Inovalon INOvators: https://ow.ly/JJCw50TJNKm --- Connect with us on social media Linkedin:   / inovalon   Facebook:   / inovalon   X:   / inovaloninc   Instagram:   / inovaloninc   Bsky: https://bsky.app/profile/inovalon.bsk... --- Inovalon Healthcare Empowered™ https://www.inovalon.com #Inovalon #revenuecyclemanagement #rcm #rcmbusiness #datadrivenhealthcare