Revenue Cycle Automation

Overview

Automate, Optimize, and Forecast Revenue Cycle Workflows for Peak Performance.

With the Revenue Cycle Automation module, tedious and repetitive tasks can be managed autonomously, enabling your staff to focus on more meaningful, value-added activities. Our cognitive digital workers can perform tasks and operationalize the next best actions based on data, heuristics, and machine learning. Its built-in data fabric, intelligence engine, and actionable worklists allow this module to learn and adapt to your environment.

Revenue Cycle Automation

A/R Insights

Preview outcomes of your facilities’ current accounts receivables and cash flow based on predicted payments and denials.

Collection Optimization

Optimize your organization’s internal collections department and staff with algorithmic work queuing and NLP-based worklist prioritization.

Billing Optimization

Avoid preventable denials with verified demographics, eligibility, authorization, and billing guidelines.

Process Automation

Complete automation of labor-intensive insurance authorization, medical billing, claim denials, and payment posting functions.

FEATURES AND CAPABILITIES

Revenue Cycle Automation Features and Capabilities

Avoid Errors and Prevent Denials

Reduce downstream denials during admissions

Protect your revenue from the point of patient admission by leveraging accurate and repeatable automation for demographic verification, insurance verification, and prior authorization.

Scan and correct claims prior to submission

Our intelligent AI integrates with claim scrubbing solutions to determine code combination, medical necessity, or identify required modifiers before submitting the claim.

Resolve and analyze denial trends

Natural Language Understanding (NLU) and Machine Learning (ML) powered workflows identify denial codes to automate denial resolution with minimal coder and auditor involvement.

Revenue Cycle Automation Screenshot
Revenue Cycle Automation Screenshot

Increased Collection Rates

Submit claims with confidence

Automate charge entry to create efficiencies for coders and billers, resulting in improved efficiencies and reduced errors.

Focus on the claims that need attention

Pre-configured AI posts Electronic Remittance Advice (ERA) into the respective patient accounts, allowing your payment poster to focus on complex claims.

Identify payment gaps automatically

Our platform mimics your finance analyst and identifies payment variance and outliers so that your analyst can work on remediation for complex payment methodologies.

Improved Operations and Reporting

Measure performance in real-time

Gain an at-a-glance view of relevant information for each user with customizable dashboards. Build executive reports and review the status of your revenue, RPA solutions, and global staffing instantaneously.

Oversee operations and workflows

Manage your global operations in one centralized location, while eliminating excess emails and other tedious tools. Monitor team performance to assess productivity, identify bottlenecks, and more.

Stay on top of tasks

Task management features help avoid missed deadlines and prioritize your team’s work queues for improved efficiency with intelligent worklists.

Revenue Cycle Automation Screenshot
Case studies
AGS Health Wins Back ApolloMD with Near-Perfect Quality, Exceptional Productivity for A/R and Coding
Case Study
AGS Health Wins Back ApolloMD with Near-Perfect Quality, Exceptional Productivity for A/R and Coding
Us Radiology
Case Study
US Radiology Specialists Doubles Authorization Productivity with AGS Health’s Intelligent Authorization

Resources

Dig deeper into Revenue Cycle Automation

Integrations

Seamlessly integrate your legacy systems with ease.

More Technology

AGS Background

Intelligent Authorization

Automate your financial clearance processes through to improve efficiency, lower costs, avoid authorization-related denials, and enhance the patient financial experience by expediting access to necessary services.

Autonomous Coding

Achieve true coding autonomy through advanced artificial intelligence and award-winning services in one seamless, effortless solution.

Computer-Assisted Coding

Increase the productivity of your facility and professional fee coding while cutting denials, missed charges, and low risk scores by making critical decisions faster.

Computer-Assisted CDI

Automate the review of clinical documentation and queries without using a single spreadsheet.

Code Auditing

Streamline your audit process before or after submitting the claim to ensure the right diagnosis and charge codes are being used.

Analytics & Reporting

See your data like never before without the constraints of your EHR reporting capabilities.

Clinical NLP APIs

Natural Language Processing APIs that enable you to extract meaningful clinical entities from bundles of unstructured data, seamlessly.

connect with us

Let’s transform your revenue cycle today

When you create a high-performance revenue cycle, you’re finally free to invest your full resources into what matters most: the care of your patients.

Name(Required)
Job Title
Company
Message