With margins under pressure, healthcare leaders must target one of the biggest drains on resources: administrative waste, which makes up nearly 30% of spending. In this session, Cindy Groux and Matt Seefeld show how analyzing human-generated data—like the number of staff “touches” per claim—can reveal inefficiencies, cut wasted effort, and improve reimbursement. Attendees will learn how Health Care Practice Management, a Delaware based RCM services consultant, used this approach to drive operational efficiency and better financial performance.
On any given day, 80-90% of open claims do not require any work yet legacy workflow solutions are incapable of identifying and carving out those claims. One way to improve staff efficiency and effectiveness is to prioritize the claims that need attention and measure the effectiveness of staff once they take action on a claim. Our Effective Intelligence® solution guides billing staff towards work that has the most ROI, ensuring the most productive use of time and effort. As a result, RCM managers can reduce the number of “touches” it takes to get a claim paid, improve labor capacity, effectiveness and overall workflow efficiency, and leverage data for process improvements.
Effective Intelligence combines Patient Financial Clearance Automation, Medical Billing Workflow Automation, and Real-Time RCM Analytics in a cloud-based platform designed to integration with your current EMR/PM technology to measure the effectiveness of your RCM staff.
Review and assess your practice’s financial status in 5 min or less and know exact where you are losing money and why. Measure the work effort of every revenue cycle employee, incentivize and retain your top performers, and help employees that need improvement.
You can prevent most common denials, rejections and write-offs during the scheduling and pre-registration process in advance of the appointment. Configure checkpoints and use central task management to quickly clear patients and keep your front office staffing needs at a minimum.
As team members log in to the web-based application and record each “touch” of a claim, outcome, and next task, key data points are recorded like who completed the task and when, outcome, task notes, internal / external messages sent, collection success and other data points that feed into our real-time analytics.
Reduce RCM labor dependence with financial clearance, insurance A/R, & patient A/R automation modules with real-time analytics.
Increase productivity and simplify front & back office processes while keeping your staff focused with our flagship PM system.
In this episode of Disruption/Interruption, Matt shares how generative AI and a focus on human accountability can help providers achieve “zero touch” claims, reduce waste, and improve access to care,
November 11, 2025 — MedEvolve, Inc., a pioneer in AI-powered revenue cycle automation and analytics, today announced its acquisition by Emergence, an enterprise backed by The Pritzker Organization.
How Rural Hospital Administrators Can Leverage Technology & Advocacy to Secure OBBBA / RHTP Funding Lobby for the families who depend on your local care The One Big Beautiful Bill
