2025 State of AI in RCM
2025 Financial Outlook: Solving the Underlying Challenges in RCM
The intent behind our research is to bring to light the trends and challenges that are most notably dictating financial success for healthcare providers in 2025. Thanks to the responses of 80+ revenue cycle, finance, and operations leaders, we are in a position to bridge the gap between the challenges faced in 2024, and achieving financial success in 2025.
The headline findings highlighted in this report represent the responses from healthcare leaders across America.
Rank the Most Impactful Revenue Cycle Challenges
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AI Usage in 2024 and Expected Use in 2025
21%
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The Cost of Denials
The majority of respondents reported that they're losing 10% or more of their annual revenue due to an inability to process denials and A/R within timely filing limits.
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Top 3 Challenge Predictions for 2025
Headline Findings
RESEARCH
Download the full report to learn:
The top challenges and priorities for leading RCM teams in 2025
Exactly how much revenue providers are losing to denials each year
How these findings vary by revenue size and specialty type
The correlation between 2024's challenges and AI plans for 2025
Where to best incorporate AI across your revenue cycle
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Who took the survey?
Over 80 healthcare leaders across the nation shared their insight in the survey. Check out the breakdown of our respondents below, and click on a statistic to learn more about the responses to that question.
80%
42%
37%
30%
Physician Groups
Primary Medicine
Revenue Cycle
C-Level
What type of organization do you work at?
Which specialty does your organization fall into?
Which department do you work in?
What level best explains
your role?
In early 2025, Adonis and athenahealth teamed up to survey healthcare leaders across the nation. This research uncovered challenges and trends that defined 2024, and the technology solutions teams are looking towards to combat these challenges in 2025. Access the headline findings below, or jump to the bottom of the page to download the full report.
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80+
Healthcare leaders who use athenahealth as their EHR completed the survey in February, 2025.
What type of organization do you work at?
Physician Group
Hospital / Healthcare System
MSO
Practice Management Services
Digital Health Provider
Other
80%
5.9%
2.4%
2.4%
1.2%
8.2%
Which specialty does your organization fall into?
12.9%
Orthopedics
7.1%
Women's Health
5.9%
Behavioral Health
4.7%
Pain Management
41.2%
Primary Medicine
1.2%
Cardiology
3.5%
Emergency Medicine
1.2%
Gastroenterology
1.2%
Nephrology
21.2%
Other
Which department do you work in?
Revenue Cycle
Owners
Chief Executive
Operations
Finance
Other
36.5%
18.8%
14.1%
11.8%
8.2%
10.6%
What level best explains your role?
C-Level
Director
Manager
VP
Mid-Level
Entry-Level
30.6%
24.7%
24.7%
9.4%
4.7%
1.2%
Other
4.7%
What is your organization's annual revenue?
Where are you located?
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3
2
4
5
6
7
8
9
Denial mitigation and remediation
Frequent changes to payer adjudication rules or payer contract relationships
Challenges keeping up with AR backlog
Nonclinical workflow inefficiencies
Lack of system or data integration
Generic reporting or un-actionable insights
Lack of revenue cycle trend analysis
Talent attraction & retention
Underpayments detection
2024 reflections
Reported that they used AI-driven and/or automation tools to improve RCM operations in 2024
44%
Plan to use AI-driven and/or automation tools to improve RCM operations in 2025
10%
The majority of respondents reported that their RCM teams are spending 10 hours or more per week on denial management.
10+
6%
Only 6% of RCM teams felt that they were able to glean actionable insights from their RCM data.
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3
2
Denial mitigation and/or remediation
Frequent changes to payer adjudication rules
Challenges keeping up with AR backlog
1
3
2
Claims scrubbing and submission
Coding verification
Charge entry
Top 3 AI Plans for 2025
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