Optimize Your Revenue Cycle with Intelligent Automation
Agentic AI RCM Platform automates coding, billing, and collections — increasing revenue capture while reducing denials and administrative costs. Meet DASH, GUARDIAN, and DOMO: your tireless revenue cycle team working 24/7.
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Real-time revenue cycle analytics powered by AI
Revenue Cycle Challenges? We've Got You Covered.
Manual billing processes are error-prone and slow. Every denied claim costs an average of $25–$40 to rework and ties up your staff's time. Our AI-driven RCM solution turns these challenges into opportunities.
High Denial Rates
Industry average denial rates of 10-15% result in significant revenue loss and rework burden on your team.
Slow Collections
Manual processes delay claims submission, extending days in AR and impacting cash flow.
Coding Errors
Upcoding, downcoding, and missed charges lead to compliance risks and lost revenue.
Staff Burnout
Repetitive manual tasks drain your billing team, leading to burnout and high turnover.
✗Without Health1st AI
- • 10-15% claim denial rate
- • $25-40 per denied claim rework
- • 5-7 days to submit claims
- • 50+ hours/month on manual coding
- • Limited revenue visibility
- • High staff turnover
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✓With Health1st AI
- 2-3% denial rate (60-85% reduction)
- Auto-fix errors before submission
- Claims submitted within hours
- 90% coding automation
- Real-time financial dashboards
- Team focused on high-value tasks
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Comprehensive RCM Automation with AI Agents
From coding to collections, our specialized AI agents work together to optimize every step of your revenue cycle. It's like having an expert team working 24/7.
Automated Medical Coding
DASH reads clinical notes and suggests the correct ICD-10 and CPT codes instantly. Prevent upcoding/downcoding errors and bill accurately for maximum reimbursement. Cut coding time by 70% while improving accuracy.
- AI-powered code suggestions based on clinical documentation
- Real-time validation against current coding guidelines
- Specialty-specific coding across 70+ medical specialties
- Compliance assurance with automatic updates for code changes
Result: Practices see 70% reduction in coding time and 95%+ coding accuracy, eliminating revenue leakage from incorrect codes.
DASH Coding Interface
AI suggesting ICD-10/CPT codes
Claims Workflow
Automated scrubbing & submission
Claims Scrubbing & Auto-Submission
Before a claim goes out, our AI scans for errors — missing modifiers, invalid codes, incomplete data — and fixes them automatically. IRIS then auto-submits clean claims through your clearinghouse, so you get paid faster.
- Pre-submission validation checks 200+ claim error patterns
- Auto-fix common errors without manual intervention
- Submit within hours of visit completion, not days
- Clearinghouse integration with all major payers
Result: Clean claim rates increase to 98%+, reducing denials and accelerating cash flow by 30%.
Denial Prediction & Management
GUARDIAN monitors every claim response. It flags high-risk claims before submission and predicts denials. If a denial does occur, it immediately identifies the reason and drafts an appeal letter with all necessary documentation attached.
- Predictive denial analytics using machine learning
- Auto-generated appeal letters with supporting documentation
- Real-time denial tracking and root cause analysis
- Payer-specific insights to prevent future denials
Result: Denial rates drop by 40-60%, recovering $500K+ annually for mid-sized practices. Appeal success rate: 85%.
GUARDIAN Dashboard
Denial analytics & predictions
Patient Portal
Automated payment collection
Patient Billing & Collections
An AI agent reaches out to patients with friendly payment reminders, sets up payment plans based on risk scoring, and answers billing questions via chatbot. Meanwhile, payments are posted automatically to your system.
- Automated payment reminders via SMS, email, and portal
- AI-powered payment plans based on patient affordability
- Chatbot billing support answering common questions 24/7
- Auto-posting payments from online portals and credit cards
Result: Patient collections increase by 20-30%, with 60% of patients paying online within 7 days.
Real-Time Financial Analytics
Get dashboards and forecasts powered by AI — see cash flow predictions, identify anomalies in AR, and benchmark your performance against targets. Turn your RCM data into actionable insights at a glance.
Revenue Forecasting
Predict cash flow 30-90 days out
Performance Benchmarks
Compare against industry standards
Anomaly Detection
AI flags unusual AR patterns
AR Aging Reports
Real-time aging bucket analysis
Result: CFOs gain visibility into revenue cycle performance, enabling proactive decision-making and reducing surprises.
Financial Dashboard
Real-time KPIs and forecasts
Built-In Compliance & Security
All actions by our AI agents are logged. The system stays up-to-date with coding guidelines and HIPAA regulations, giving you peace of mind that automation won't mean compliance risks. GUARDIAN monitors security 24/7.
- Automatic updates for ICD-10/CPT code changes
- HIPAA-compliant audit logs for every transaction
- Compliance reporting ready for audits
- Real-time security monitoring and breach detection
Compliance Monitor
24/7 security & compliance
Measurable Financial Impact
Real results from healthcare organizations using Health1st AI RCM. Your path to operational excellence and revenue optimization starts here.
ROI Example: 50-Provider Organization
How Lakeside Health Recovered $500K with AI RCM
Multi-specialty clinic reduced denial rate from 15% to 3% and improved collections by 18% in just 6 months using Health1st AI's RCM platform.
Client Success Story
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Frequently Asked Questions
Common questions about our AI-powered RCM solution
Ready to Optimize Your Revenue Cycle?
See how DASH, GUARDIAN, and DOMO can transform your billing operations. Schedule a personalized demo to explore your specific revenue cycle challenges and opportunities.