AI Solutions for a Healthier Bottom Line
Stop chasing denied claims. Stop losing revenue to billing errors. Our AI acts as your tireless billing assistant — ensuring you capture all revenue you deserve and minimize costly denials.
EXECUTIVE FINANCIAL DASHBOARD
Real-time revenue cycle visibility
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Financial Challenges Keeping You Up at Night?
Revenue cycle leaders face mounting pressure to improve financial performance while managing compliance risks and staff constraints. Our AI addresses these challenges head-on.
Lost Revenue from Denials
Every denied claim costs $25–$40 to rework. With industry denial rates of 10-15%, you're losing hundreds of thousands annually in preventable revenue leakage.
Example: $50M annual claims × 12% denial rate = $6M at risk. Rework costs: $25 × 6,000 denials = $150K overhead.
Slow Cash Flow
Manual processes delay claims submission from days to weeks, extending AR aging and creating unpredictable cash flow that impacts your ability to invest and grow.
Industry avg: 50 days in AR. With AI: 35 days. 15-day improvement = 30% faster collections.
Compliance & Audit Risk
Manual coding and billing create compliance risks. Upcoding penalties, downcoding losses, and audit findings threaten your financial stability and organizational reputation.
Risk: OIG audits cost $500K+ in penalties and legal fees. AI ensures 95%+ coding accuracy with audit trails.
Staff Overhead & Turnover
Billing staff spend 80% of time on repetitive tasks. High turnover (25%+ annually) means constant training costs, productivity losses, and institutional knowledge drain.
Solution: AI handles repetitive work, freeing staff for strategic tasks. Reduce FTE needs by 30-40%.
Current State
- • Reactive firefighting
- • Limited visibility
- • Revenue leakage
- • Staff burnout
AI Transformation
- • Automated workflows
- • Predictive analytics
- • Error prevention
- • Smart automation
Future State
- • Proactive optimization
- • Full transparency
- • Revenue maximization
- • Strategic focus
Turn Your Revenue Cycle into a Competitive Advantage
Our AI-powered RCM platform helps you capture all revenue, accelerate cash flow, and free your team to focus on strategic growth initiatives.
Maximize Revenue Capture
Ensure every service is coded accurately and billed completely. No more revenue left on the table.
Minimize Denials
Prevent denials before they happen. Recover denied claims faster with AI-powered appeals.
Accelerate Collections
Submit clean claims within hours. Get paid faster with automated follow-up and patient billing.
Gain Full Visibility
Real-time dashboards and predictive analytics give you complete financial visibility and control.
Key Outcomes You Can Achieve
Denial Rate: 2-3%
Down from industry average of 10-15%. Save $500K-$2M annually in prevented denials and reduced rework costs.
Claims Submitted in Hours
Not days. Reduce days in AR from 50+ to 35 days. Improve working capital by 30%.
15-20% Higher Collections
From better coding accuracy, faster follow-up, and automated patient collections.
30-40% FTE Reduction
In repetitive billing tasks. Redeploy staff to strategic initiatives like payer negotiations and revenue cycle optimization.
Real-Time Financial Forecasting
Predict cash flow 30-90 days out. Benchmark against targets. Identify anomalies before they become problems.
Full Compliance Confidence
Auto-updated coding guidelines. Complete audit trails. Reduce compliance risk and audit findings to near zero.
Meet Your AI Revenue Cycle Team
Four specialized agents work together 24/7 to optimize every aspect of your revenue cycle.
DASH
Coding Agent
Reads clinical notes and suggests accurate ICD-10/CPT codes. 95%+ accuracy across 70+ specialties.
GUARDIAN
Compliance & Denial Agent
Predicts denials, generates appeals, monitors compliance. Reduces denial rate by 40-60%.
DOMO
Denial Management Agent
Tracks all denials, identifies root causes, auto-drafts appeals with documentation. 85% appeal success.
FORGE
Patient Collections Agent
Automated reminders, payment plans, chatbot support. Increase patient collections by 20-30%.
RCM Agent Workflow Diagram
Visual showing how DASH → IRIS → GUARDIAN → FORGE work together
Calculate Your Potential Savings
See how much revenue you could recover and costs you could save with AI-powered RCM.
Estimated Annual Benefit
Schedule a demo for a customized ROI analysis based on your organization's data
Health1st AI's RCM platform transformed our financial operations. We reduced our denial rate from 14% to 2.5%, recovered over $800K in 6 months, and freed up our team to focus on strategic payer negotiations. The ROI exceeded our expectations within 4 months.
Dr. Jane Davidson
CFO, Metro Medical Group
150 providers • $75M annual revenue
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Explore More
Dive deeper into our RCM capabilities and success stories.
RCM Product Details
Explore all features of our AI-powered Revenue Cycle Management platform.
Success Stories
Read how other healthcare organizations achieved 40%+ denial reduction.
RCM Insights Blog
Learn best practices and industry trends in healthcare revenue cycle management.
Stop Leaving Revenue on the Table
Schedule a demo to see how AI can optimize your revenue cycle, reduce denials, and give you complete financial visibility. Get a custom ROI analysis for your organization.