Intelligent Workflow and Machine Learning with RPA Technology

Artificial Intelligence (AI) in healthcare revenue cycle management

Today’s Artificial Intelligence (AI) can be delivered in a variety of diverse ways. AI continues to evolve and shape how Business Process Management (BPM) and other data-improvement methodologies can be aided by these industry changing technologies.

Using Intelligent Workflow and Machine Learning with Robotics Process Automation (RPA), our ReSolve® A/R Management Platform is being used to enhance and streamline many of today’s Revenue Cycle Management (RCM) challenges — including the automated detection of claim defects that result in denials.

For claims and billing applications, these subsets of Artificial Intelligence (AI) can deliver greater processing speeds and consistency to deliver permanent revenue cycle improvements throughout the healthcare enterprise. High volume, redundant tasks being performed with legacy applications are now being automated and modernized. Combined with our Systems Integration capabilities connecting disparate information silos, RCMS can deliver a practical implementation plan that brings measurable, proven AI solutions to your Central Business Office or Shared Service Centers.

RCMS can help to identify the root cause of claim denials/defects and the loss of revenue. Our technology solutions deliver permanent improvements to error-prone and inefficient areas of the business office.

Using RCMS Technology for Permanent Revenue Cycle Improvements

  • Replace manual, error-prone tasks with automated processes
  • Detect coding issues and missed information
  • Predict claims that will be denied before being submitted
  • Lower administration costs in handling documentation requests
  • Identification of root causes to create process changes
  • Automated alerts for corrections and missing information
  • Automatically update patient benefit and deductible information
  • Allow staff to focus on higher-value tasks and assignments

Contact RCMS to learn how technology can improve your business processes, reduce claim denials and improve your financial performance.