Effective Intelligence®

Revenue cycle automation with real-time, AI-powered insights to reduce cost to collect, measure employee performance, and increase labor capacity

Effective Intelligence® Technology

MedEvolve empowers healthcare organizations with award-winning Effective Intelligence (Ei) solutions. MedEvolve’s Ei solutions include workforce automation and intelligent analytics designed to optimize the entire revenue cycle process from financial clearance to medical billing. With our generative AI engine, these solutions can pin-point exactly where changes are happening in the revenue cycle, good or bad, and tell you why. We do this by tracking and measuring the human generated data – every touch your staff is making in the revenue cycle in the attempt to adjudicate claims.

AI-Powered Real-Time Analytics

Financial Clearance Automation

Insurance AR
Automation

Patient AR
Automation

Award-Winning RCM Automation & Optimization Solution

Ranked #1 Three Years in a Row by Black Book Research

Generate real-time AI-powered analytics & feedback using human-generated data

Boost your zero-touch resolution rate & reduce the back office burden

A clean claim is one that leaves the office “clean” (without errors) and is paid timely. But how much work did the claim require before it left the office? When coordination of benefits and coding are done right the first time, back-office work effort is “zero”. Front office patient financial clearance is responsible for over 50% of denials. Zero Touch Resolution Rate indicates that the back office medical billing department spent no time processing the claim.

Successfully remove financial clearance roadblocks that result in denials

Reduce wasted claims touches & RCM administrative costs

+ 0 %

of touches are wasted in the revenue cycle

+ 0 %

of open claims do not need to be touched today

Administrative waste accounts for 26% of wasted healthcare spend! Billions of dollars are at stake. You cannot afford wasted touches in the revenue cycle – non-actionable activities that your team performs that do not resolve a claim. Effective Intelligence workflow automation generates worklists and prioritizes claims to keep your RCM team on track. Calculate what your potential labor cost savings could be if you reduce your claim touches.

Helping clients achieve, on average:

0 %

zero touch rate

0 %

decrease in labor dependence

0 %

reduction of wasted touches

0 %

decrease in denials

No other company has access to the human-generated data that MedEvolve does through our Ei Suite. Unlike common data that anyone can get from standard HIT systems, human touch data tells you how much work is being wasted and helps you to eliminate the waste. Tracking and measuring the human element of the revenue cycle is the only way for healthcare organizations to reduce wasted touches and improve margin.

Client Success Stories

Increase in Labor Capacity

Reduction in Denials

We are thrilled with the outcomes achieved with MedEvolve. Our leaders have tremendous confidence in the partnership. We look forward to expanding our work with the MedEvolve team to derive even greater value from data insights, which is key to our success as a growing business.

Heather Richards, Chief Financial Officer, Atlas Healthcare Partners

Reduction in Labor Dependence

Reduction in Denials

“MedEvolve solutions have transformed our revenue cycle team’s operations significantly. My team is able to organize their days more easily through the tasking functions than when we were relying on emailing different locations back and forth.”

Sandra Holdorf, Revenue Cycle Manager, Compass Healthcare Central Billing

Testimonials

“The MedEvolve Ei Suite allowed us to go completely remote and close our physical offices which saved us a significant amount of money. We now have staff all over the country with complete visibility into their work. We use the data to incentive our staff and create friendly competition which has been a huge motivator.”

“The power of the revenue cycle focused data intelligence gave us the ability to quickly identify issues and then utilize workflow to find specific examples and quickly resolve cases. A new team member identified two major issues within her first four days of using the system."

“After years of managing staff worklists in spreadsheets, we are excited to leverage MedEvolve workflow software to automatically prioritize workloads based on the criteria we set. We now have visibility into staff productivity and the results of the work they’re doing every day.”