2025 MGMA Summit Session: Revving up RCM with AI and Automation for a Lean Workforce
Discovery Behavioral Health increased cash flow by 5.2%, team capacity by 30% & zero-touch insurance payment rates by 13%. How did they do it?
You can prevent most common denials, rejections and write-offs during the scheduling and pre-registration process in advance of the appointment.
Taking a few minutes at the time of scheduling to verify the patient’s information saves hours of headaches on the backend once the claim is in billing and collections. Unfortunately, many practices do not have a foolproof and consistent method for financial clearance.
Add Medical Billing Workflow Automation to the back office to manage denials and efficiently collect your Insurance & Patient A/R.
With front office Patient Financial Clearance Automation & back office Medical Billing Workflow Automation added to your current PM/EHR systems, you can get real-time analytics on staff effectiveness and a deep understanding of your entire revenue cycle.
You will have less work and cost in the back office of the revenue cycle to collect from both insurance and patients.
By eliminating errors on the front end, you mitigate the risk of common, avoidable denials (COB, Eligibility, Pre-cert etc.).
Estimate patient responsibility and have an open conversation about cost before the appointment.
of denials that we see in our RCM services business are actually preventable prior to service.
"Since we implemented the financial clearance platform, we’ve completely changed the way that we receive patients. We do everything two to three days prior to the patient coming in, so when a patient arrives at the office, all pre-registration activity is complete. Not only does this improve our financial outlook as a practice, but it allows us to focus on patients’ care when they are in the office."
"MedEvolve Workflow Automation enabled my front office staff to be more successful and it enabled me to choose the right person for the right job. The staff is happy and I'm happy. It's really simplified our lives."
Discovery Behavioral Health increased cash flow by 5.2%, team capacity by 30% & zero-touch insurance payment rates by 13%. How did they do it?
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.
Discovery Behavioral Health increased cash flow by 5.2%, team capacity by 30% & zero-touch insurance payment rates by 13%. How did they do it?
Matt Seefeld, President of MedEvolve, exposes the hidden inefficiencies and financial chaos plaguing the U.S. healthcare system. From denied claims to overwhelmed billing departments, he explains how outdated processes are hurting both doctors and patients.
Reimbursements are shrinking, labor costs are rising, and consumers are paying more. The pressure is on, but most revenue cycle teams still can’t answer a critical question: What’s really driving profit loss?
Before investing in the latest AI-powered platform, ask yourself: Do I know what’s really broken in my revenue cycle? The bottom line is you can’t fight bots with more bots. Not until you know exactly where your process break downs are occurring. Not until you understand what work is being done manually, why, and by whom. Otherwise, you’re just layering automation over chaos.
The creator of the Effective Intelligence® suite for revenue cycle optimization will lead the next phase of innovation & growth at MedEvolve.
As healthcare leaders look for the low-hanging fruit for AI and automation investments in the revenue cycle, there are three things that should be considered to achieve maximum impact on labor effectiveness.
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.
Discovery Behavioral Health increased cash flow by 5.2%, team capacity by 30% & zero-touch insurance payment rates by 13%. How did they do it?
Matt Seefeld, President of MedEvolve, exposes the hidden inefficiencies and financial chaos plaguing the U.S. healthcare system. From denied claims to overwhelmed billing departments, he explains how outdated processes are
Reimbursements are shrinking, labor costs are rising, and consumers are paying more. The pressure is on, but most revenue cycle teams still can’t answer a critical question: What’s really driving
Before investing in the latest AI-powered platform, ask yourself: Do I know what’s really broken in my revenue cycle? The bottom line is you can’t fight bots with more bots.
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