Our solutions in Healthcare support both the Payer and Provider areas of business. We have experience in System Integration across EHR platforms, Document Understanding, Revenue Cycle Management and more. Get started and contact us today!
Our solutions in Healthcare support both the Payer and Provider areas of business. We have experience in System Integration across EHR platforms, Document Understanding, Revenue Cycle Management and more. Get started and contact us today!
Automation provides the ability to create workflows that can imitate human tasks. Intelligent Automation (IA) combines the brainpower of AI with the muscle of Automation to transform business workflows to adapt and learn. With Intelligent Automation, healthcare organizations streamline their internal processes by using robots for mundane and error-prone activities. Organizations save time, resources and realize ROI -while accelerating almost every aspect of business operations.
Automation provides the ability to create workflows that can imitate human tasks. Intelligent Automation (IA) combines the brainpower of AI with the muscle of Automation to transform business workflows to adapt and learn. With Intelligent Automation, healthcare organizations streamline their internal processes by using robots for mundane and error-prone activities. Organizations save time, resources and realize ROI -while accelerating almost every aspect of business operations.
Logs into multiple payer portals or APIs to fetch claim statuses, denial messages, and pending updates. Pushes status notes into the EMR and routes exceptions to AR teams, improving cash flow and reducing follow-up time.
Validates patient eligibility by querying Medicaid systems daily, updating coverage details in the EMR, and flagging mismatches or inactive policies. Improves clean-claim rates and reduces eligibility-related denials.
Downloads ERA/EOB files from clearinghouses, applies payments and adjustments into the billing system, and reconciles totals. Eliminates manual data entry and posting errors for understaffed rural billing teams.
Submits authorization requests through payer portals, attaches clinical documents, and monitors status updates. Reduces delays in care delivery and ensures authorizations are secured before service.
Automates parts of the coding workflow by extracting diagnosis and procedure information from clinical notes, matching them to ICD-10/CPT/HCPCS codes, and pre-populating coding fields for coder review. This reduces manual effort, speeds up claim submission, and helps maintain accuracy even when coder staffing is limited.
Reads denial codes (CO, PR, OA, etc.), categorizes them by type, and automatically routes them to the correct AR follow-up queue.
Automatically reviews claims before submission to identify missing data, coding inconsistencies, coverage issues, modifier errors, and payer-specific rules. Flags and corrects errors in real time, ensuring clean claims go out the first time. This significantly reduces denials, improves reimbursement speed, and lightens the load on small rural billing teams.
Automates provider enrollment across Medicare, Medicaid, and commercial payors by completing online applications, uploading documents, updating CAQH, and checking approval status. Reduces onboarding delays and accelerates revenue generation for rural hospitals.
Automates the entry of professional and facility charges by reading encounter forms, superbills, EMR documentation, or charge spreadsheets and posting them into the billing system with correct CPT/HCPCS, ICD-10, modifiers, units, and provider details. Reduces manual data entry errors and accelerates claim submission for rural hospitals with limited coding/billing staff.
Efficiency is key, now more than ever, for organizations in any industry. With the lack of skilled laborers in the workforce, automation needs to be considered to keep up with your business demands and goals. For example utilizing tools such as Intelligent Automation, the automation of repetitive and complex tasks frees up time for high-level work. This allows for faster project delivery, increased accuracy, and a reduction in errors and costs. In particular, Intelligent Automation not only streamlines processes, but it also helps organizations stay current with industry standards and regulations.
Maximize organizational efficiency with our custom application solutions. Streamline workflows, integrate data silos, and automate tasks to drive your success.
