Complete RCM Coverage With Smart Technology
We help healthcare providers preserve and capture more revenue with the latest technology. When our software is unable to intelligently automate the task or predict next steps, our team of certified specialists step in to work the claim.
HL7/FHIR/API Integration
AI/ML
Execution
Robotic Web
Automation
Payer/Clearinghouse Integration
Analytics
Engine
Millions Of Transactions Processed Annually
Our cutting-edge machine learning technology and certified specialists learn from millions of transactions processed for leading healthcare providers and 1000+ payers across the United States.
3.5M+
Prior Authorizations Processed
$2B+
Revenue Collected
5M+
Patients Served
INTELLIGENT PRIOR AUTHORIZATION (IPA)
Faster prior authorizations with AI and automation
Get quicker prior authorization approvals with our AI-driven Intelligent Prior Authorization software that streamlines the patient access workflow helping obtain prior authorizations, insurance verifications, and benefit checks.
We have extensive experience with various EHR systems.
TECH FEATURES
- HL7/FHIR Integration
- Robotic Process Automation
- API Integration
- Payer/Clearinghouse Integration
- ML/AI Execution
- Analytics Dashboard
CLINICAL DECISION SUPPORT MECHANISM (CDSM)
Ensure advanced imaging procedures are reimbursed by Medicare
Ensure your advanced imaging orders are approved for Medicare coverage by obtaining certificates of compliance proactively or reactively issued by our CMS-approved intelligent AUC/CDSM solution.
TECH FEATURES
- CMS-Approved Tool
- HL7/FHIR/API Integration
- ML/AI Execution
- Extension of IPA Software
INTELLIGENT RCM PLATFORM
Determine the next steps on unpaid claims and prioritize resolution
Capture more revenue from accounts receivable with our AI-driven Revenue Cycle Management platform. Get full reimbursement with accelerated billing-to-cash cycles and timely appeals with Revenue Insights, A/R Optimizer and Insurance Discovery modules.
TECH FEATURES
- AI/ML Execution
- HL7/FHIR/API Integration
- Denial Analytics
- Robotic Process Automation
MEDICAL CODING
Swift and accurate coding to optimize revenue
Streamline your coding operations and ensure error-free submissions using proper coding procedures, which will lead to higher success rates, decreased denials, and preserved revenue.
Our highly-trained team of coding professionals and specialized auditors will make sure your coding is precise, accurate and efficient with a combination of ICD-10 coding and audit solutions.
TECH FEATURES
- Coding Audits
- Auto-Coding Review
- Coding Denials
- Clinical Documentation Feedback
Extensive Experience With Most Systems
We are able to integrate with most electronic health/medical records (EHR/EMR) systems with APIs, HL7, FHIR, X12, or EMR Developer Programs.
Technology Adoption In Healthcare Is Challenging
While artificial intelligence, machine learning and robotic process automation in other industries have been widely implemented, the healthcare industry as a whole has been slow to adopt these innovative technologies to make revenue cycle management more efficient due to non-standard processes and legacy systems.
We’d Like To Help Change That
Our mission is to automate and make revenue cycle workflow more intelligent where possible so that our clients’ physicians and staff can focus on high-value work like keeping their patients healthy and happy.
How We Help Reduce The Revenue Cycle Bottleneck
By offering a complete and scalable solution of technology + experts, we are able to increase prior authorization approvals, reduce claim denials and clear aged A/R, thereby significantly impacting our client provider’s bottom line.
Healthcare Specialties We Serve
Given our years of experience, we have helped many specialty groups streamline their patient access and RCM workflow. If you don’t see your specialty here, please don’t hesitate to contact us.
We Love Helping Our Clients Optimize Their Reimbursement Workflow
Industry Recognition For What We Do
Find More Time For High-Value Patient Care
With our complete tech + specialists solution, our client providers have been able to focus more on patient care.
30% Reduction in 120+ days aged A/R inventory.
20% Improvement in utilization due to real time authorization determination.
20% Average reduction in
days in A/R.
98+% Coding accuracy leading to reduced denials and timely collections.
60% Reduction in cost to collect.
14% Increase in net
collection ratio (NCR).
Patient satisfaction, priceless
