Healthcare Revenue Cycle Management
Transforming Revenue Cycle Management in Healthcare with AI Automation
Turning Data into Dollars:
When AI and Computer Vision Transform Revenue Cycle Challenges
High-cost implants are the lifeblood of surgical procedures—and the Achilles’ heel of revenue cycle management. IDENTI’s cutting-edge technology automates the tracking and reporting of every implant, eliminating inefficiencies and inaccuracies. Say goodbye to guesswork and manual errors—our AI-powered platform ensures 100% accountability for every item, unlocking unmatched financial recovery while driving operational excellence in healthcare.
Key Benefits of IDENTI’s Healthcare Revenue Cycle Management Solutions
No More Incomplete Charge Capture
Every implant and chargeable item is automatically tracked, with full UDI data—including Lot/Batch Number, Serial Number, Expiration Date, and GTIN—captured and recorded in real-time.
No More lost Implants
With advanced AI, the system ensures every high-cost implant is tracked and accounted for while detecting any missing items from the case and proactively notifying staff, guaranteeing comprehensive and accurate billing and full reimbursement.
No More Trailer Claims
Eliminate delays and complications with precise, real-time data capture that ensures claims are accurately submitted at the point of care the first time. Unrecognized items are validated and seamlessly identified by advanced AI and machine learning algorithms, ensuring complete and error-free documentation.
No More Denied Claims
Submit clean, compliant claims with AI-driven accuracy to reduce rejections and improve approval rates. Each charge is supported by an attached image as proof of use, providing undeniable evidence and ensuring the integrity of your claims for faster, more reliable reimbursements.
No More Charge Master Discrepancies
All high-cost implants are accurately linked to the correct CPT and revenue codes, with validation and corrections applied as needed to eliminate mismatched data. The system seamlessly integrates with all major billing, ERP, and EHR systems, ensuring a unified workflow and consistent, error-free data across platforms.
No More Manual Errors:
Automated processes replace human variability, significantly reducing administrative burden and error rates. Designed for ease of use, the system has been highly rated by nurses for its intuitive interface and seamless integration into workflows.
No More Compliance Risks
Maintain full alignment with Joint Commission standards through audit-ready documentation and accurate billing processes, minimizing penalties and audit complications.
No More Hidden Costs
Gain full transparency into the true cost of procedures, enabling better financial decisions and smarter vendor negotiations.
Read about US Level 1 Trauma Center Cost Savings Analysis Report
This case study highlights the cost savings and revenue growth achieved through effective point-of-use (POU) data capture. Compiled with insights from the Director of Perioperative Surgery at a Level 1 Trauma Center with 10 ORs, it examines the financial and operational impact of inaccurate POU data and the benefits of adopting advanced image recognition technology.
Traditional methods like barcode scanning and manual ERP/EHR entries often result in incomplete or inaccurate records, leading to inefficiencies, revenue loss, and increased organizational workload. This report explores how replacing outdated processes with innovative technology can enhance data integrity to 99% and deliver significant, seven-figure cost savings while improving cross-organizational efficiency.
How IDENTI Drives Revenue Cycle Excellence in Healthcare
RCM for Hospitals and Physicians
IDENTI’s revenue cycle management solutions are designed to address the unique needs of healthcare providers, from large multi-facility hospitals to small physician-owned practices. By leveraging cutting-edge AI-powered healthcare technology, IDENTI ensures accurate charge capture, reduces errors, and eliminates inefficiencies in the revenue cycle process. For large hospitals, IDENTI integrates seamlessly with complex EHR and ERP systems to enable real-time data tracking, optimized billing workflows, and enhanced compliance. Smaller practices benefit from scalable, intuitive tools that simplify medical billing and coding, minimize administrative burdens, and maximize reimbursements. With IDENTI, healthcare providers can improve cash flow, reduce revenue leakage, and focus more on delivering exceptional patient care.
Missed Charges Recovery
Recovering reimbursements for high-cost implants and denied claims is effortless with IDENTI’s advanced AI Camera and computer vision technology. The combination of a perpetually updated cloud data lake and AI-driven automation ensures precise tracking and documentation. By integrating data from manufacturers and industry databases, IDENTI streamlines the denial management process, resolves claims efficiently, and secures full payment. This approach enhances cash flow and reduces the administrative burden on healthcare staff, helping prevent revenue cycle inefficiencies.
DRG and CPT Validation
Accurate validation of Diagnostic-Related Groups (DRGs) and Current Procedural Terminology (CPT) codes is critical for achieving proper reimbursement and compliance in the healthcare industry. IDENTI’s advanced AI and machine learning solutions automate the review process, analyzing complex datasets to detect discrepancies and validate coding accuracy. By leveraging its cloud data lake, IDENTI ensures inpatient cases and procedures are properly categorized, reducing errors, optimizing revenue recovery, and maintaining compliance in the medical coding and billing process.
Underpayment Recovery
Recovering underpaid claims is essential for maximizing revenue and maintaining financial health. IDENTI’s AI-driven technology and machine learning algorithms identify hidden underpayments in real-time, ensuring all claims are reviewed and reimbursements are recovered. The system provides actionable insights through comprehensive reporting and root-cause analysis to prevent future occurrences of underpayments. This proactive approach reduces revenue cycle inefficiencies, enhances cash flow, and optimizes overall financial performance for healthcare providers.
Medical Coding Management
Accurate medical coding is the cornerstone of proper billing and reimbursement in healthcare. IDENTI’s advanced AI technology automates coding processes to ensure speed, accuracy, and compliance. By cross-referencing codes with the latest standards in its cloud data lake, IDENTI reduces errors, validates CPT and HCPCS codes in real-time, and aligns with healthcare regulations. This intelligent approach supports increased reimbursements, minimizes costly mistakes, and allows providers to focus on patient care while maintaining a robust revenue cycle management system.
Revolutionizing Surgical Revenue Recovery with IDENTI
Take the next step toward revenue cycle management excellence with IDENTI. Maximize your financial recovery, streamline workflows, and achieve full compliance through our innovative revenue cycle solutions.
Contact us today to discover how IDENTI can revolutionize your healthcare revenue cycle management and elevate your healthcare operations.
