Question: How can I automate claims and revenue cycle processes to reduce costs and improve workflows in the healthcare industry?

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Availity

To automate claims and revenue cycle processes in the healthcare industry, Availity offers a robust integrated provider engagement platform that streamlines administrative and clinical work with AI. This includes revenue cycle management, prior authorization solutions, claim submission and status management, and denial prevention tools, all designed to reduce waste, improve patient care and drive operational excellence.

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Smart Data Solutions

Another great option is Smart Data Solutions, which offers a broad range of healthcare workflow automation tools that leverage AI and data to automate claims processing, medical records and provider data. They also offer interoperability solutions and prior authorization management, all designed to improve quality, reduce cost and increase efficiency.

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Exela

For those looking to undergo digital transformation, Exela offers a variety of business process automation solutions. Their suite for healthcare includes tools to automate claims and revenue cycle processes, improve payment processing and enable data-driven decision-making. These solutions can help reduce costs and increase productivity, making them a great option for healthcare providers and payers.

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Athelas

And Athelas offers a suite of AI-powered solutions to automate healthcare operations. Athelas RCM automates revenue cycle management with real-time insights, while Athelas Scribe offers AI-powered transcription services. These solutions can help automate administrative tasks, increase productivity and improve patient care by letting healthcare providers spend more time on direct patient care.

Additional AI Projects

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Health Information Systems

Streamline healthcare workflows from documentation to code, improving revenue cycle and care quality.

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Inovalon

Consolidates patient data and leverages advanced analytics and machine learning to drive early interventions and improve healthcare quality and outcomes.

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Qventus

Optimizes patient flow, automates processes, and predicts bottlenecks in electronic health record systems, freeing up capacity and increasing revenue.

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Medchat·ai

Automate healthcare workflows with a flexible, no-code Automation Studio, deploying AI agents to manage tasks, improve productivity, and enhance patient experience.

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CareCloud

Streamlines healthcare operations with AI-powered solutions, automating billing, records, and practice management to improve profitability and patient care.

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CharmHealth

Streamline healthcare operations with a comprehensive suite of cloud-based solutions, including EHR, practice management, revenue cycle management, and telehealth.

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eClinicalWorks

Streamlines clinical documentation, patient engagement, and revenue cycle management with AI-powered tools, including image recognition and AI assistant for efficient workflow.

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Medicodio

Combines AI-powered code suggestions with expert medical coder verification to increase coding efficiency by 45% and accuracy by 85%.

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Automation Anywhere

Combines AI, automation, and RPA to create custom agentic automations, speeding up the automation lifecycle and optimizing processes across multiple systems.

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Veradigm

Aggregates and analyzes vast healthcare data, providing actionable insights to inform decisions and improve patient outcomes across the healthcare ecosystem.

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UiPath

Automate and optimize knowledge work processes with AI-powered tools, including process mining, task mining, and document understanding, to drive efficiency and innovation.

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Cotiviti

Analyzes large-scale clinical and financial data sets to optimize healthcare performance, delivering high-quality care while reducing costs through advanced analytics and AI expertise.

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Cohere Health

Automates prior authorization processes, reducing administrative burdens and improving patient outcomes with AI-driven decisioning, review, and optimization tools.

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Nanonets

Automate data extraction from unstructured sources, leveraging AI-driven workflows to extract, enrich, and validate information, freeing employees from repetitive tasks.

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ABBYY

Automates document-based processes with 90%+ recognition accuracy, extracting insights from any document to inform real-time business decisions.

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NextGen Healthcare

Streamline ambulatory care with AI-powered tools, improving clinical and financial outcomes for providers.

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Appian

Automate and optimize complex business processes with integrated RPA, AI, and API integrations, and deploy faster with low-code development.

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Net Health

Advanced mobile wound imaging analytics and predictive analytics empower healthcare providers to make data-driven decisions, improve patient outcomes, and optimize operations.

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Tungsten Automation

Automates tedious processes, delivering insights and improving operational efficiency, performance, and profitability.

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Qualifacts

Automatically generates properly formatted clinical notes from session transcripts using advanced large language models, streamlining clinical documentation.