2025 MGMA Summit Session

Revving up RCM with AI and Automation for a Lean Workforce

Automation is increasingly important as healthcare organizations strive to reduce the cost to collect. While achieving a lean approach to collections begins with an understanding of how effective staff are in their work, most financial executives lack visibility into fundamental metrics such as the number of “touches” a claim receives before it gets paid. Without an understanding of where and when touches happen, the answer often is to throw more bodies or even bots at challenges.

Discovery Behavioral Health, a nationwide network of treatment centers, recognized that this approach is not sustainable. What revenue cycle leaders really need is to empower staff to work smarter and reduce the amount of manual work. This presentation will explore the organization’s journey implementing an infrastructure built on workforce automation and intelligent analytics that holistically addresses the full lifecycle of revenue cycle processes — from front-end registration to back-end billing and collections — across its hundreds of facilities.

Participants will learn how Discovery Behavioral Health’s approach — drawing on the power of lean manufacturing principles — has realized a 5.2% improvement in cash flow, created 30% more capacity in its revenue cycle team and benefitted from a 13% improvement in zero-touch rates, a key performance indicator that illustrates the percentage of claims that get paid without any human intervention.

About John Peloquin

John Peloquin is the President and CEO of Discovery Behavioral Health, where he launched Discovery365™, an innovative platform designed to help patients maintain recovery and prevent relapse. With over two decades of leadership in behavioral healthcare, he has consistently focused on expanding access, improving outcomes, and integrating performance-based systems.

Previously, he held key roles at CRC Health Group—leading it through major growth and a $1.3B sale to Acadia Healthcare—where he later oversaw a national outpatient division serving over 58,000 patients daily. Peloquin’s career reflects a deep commitment to advancing quality, data-driven care across the behavioral health field.

About Matt Seefeld

Matt Seefeld, Chief Executive Officer at MedEvolve, brings over 24 years of management consulting experience in the healthcare industry. He has extensive expertise in the assessment, design and implementation of process improvement programs and technology development across the entire revenue cycle. Matt began his career with Stockamp & Associates, Inc. and worked for both PricewaterhouseCoopers LLP and Deloitte Consulting LLP in their healthcare and life sciences practice lines. In 2007, he developed a business intelligence solution and founded Interpoint Partners, LLC, where he served as Chairman and Chief Executive Officer. In 2011, he sold his business to Streamline Health Solutions where he then served as Chief Strategist of Revenue Cycle followed by Senior Vice President of Solutions Strategy until 2014. Matt ran global sales for NantHealth and provided consulting services for healthcare technology and service businesses nationwide, prior to joining MedEvolve full-time.

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