Eligibility verification is a foundational step in the RCM process, yet it remains fraught with complexities. Manual verification methods are time-consuming and prone to errors, leading to claim denials, delays in reimbursement, and increased administrative costs. Healthcare providers often face challenges such as:
These issues can result in claim denials and reduced cash flow, underscoring the need for a more efficient and reliable approach.
The process of managing denials is resource-intensive and requires meticulous attention to detail. Manual denial management often leads to extended reimbursement cycles and increased operational costs.
Automating the eligibility verification process offers numerous benefits, including:
iCAN™ is a Network of AI agents configured to run simple or complex workflows in the Healthcare Revenue Cycle. Built by CognitiveHealth, pioneers of healthcare process automation, AI powers iCAN™ and is purpose-built for the Healthcare Revenue Cycle.
Capture and document every step of your business processes.
Real-time process recording ensures accurate data capture and analysis.
Purpose-built for healthcare, iCAN™ integrates with many EMRs and other business applications.
iCAN™ is a network of AI Agents. They come with an ever-expanding pre-built library of workflows.
Efficiently processes both structured and unstructured data.
Using AI Agents, iCAN™ automates the downstream workflow using the data and business process indicators.
Using machine learning and NLP, iCAN™ standardizes, classifies documents and other assets extracts data from them.
Using historical data and the vast amount of available data, iCAN Predict™ uses Gen AI, machine learning, and LLM.
Leverage GenAI and the data to predict and mitigate potential issues in the revenue cycle.
Using agent technology combined with data, iCAN Predict™ efficiently automates even complex business processes.
Automates the scheduling of critical tasks to ensure timely execution.
Real-time monitoring with automatic alerts for exceptions.
Generate detailed reports to support decision-making and continuous improvement.
Up to 80% reduction in manual effort.
Ensures prompt handling of denials, medical record requests, and patient letters.
Hyper-converged infrastructure to handle large volumes of correspondence.
Significant reduction in manual effort and data entry errors.
Supports remote work without disrupting workflows.
Provides a digital and cost-effective audit trail for each posting.
CognitiveHealth’s team comprises GenAI architects, healthcare security and privacy experts, and revenue cycle SMEs with extensive experience managing RCM processes for healthcare providers of all sizes. Our team has successfully implemented AI-driven solutions in partnership with recognized health systems, nursing homes, and specialty care providers.
CognitiveHealth’s team comprises GenAI architects, healthcare security and privacy experts, and revenue cycle SMEs with extensive experience managing RCM processes for healthcare providers of all sizes. Our team has successfully implemented AI-driven solutions in partnership with recognized health systems, nursing homes, and specialty care providers.
Our AI-powered solutions deliver significant ROI by focusing on labor-intensive processes and minimizing human involvement to exceptional handling and oversight. By accelerating automation and eliminating redundancies, CognitiveHealth ensures rapid implementation and quick time-to-value.
In the dynamic world of healthcare, automating critical processes such as eligibility verification and denial management is essential for maintaining financial health and operational efficiency. CognitiveHealth’s iCAN™ platform provides a comprehensive solution that addresses these challenges head-on, empowering healthcare providers to focus on delivering exceptional patient care. By embracing automation, healthcare organizations can significantly reduce administrative burdens, enhance cash flow, and improve overall performance.
Discover how CognitiveHealth can revolutionize your revenue cycle management. Schedule a free demo today to see our innovative solutions in action and learn how they can benefit your specialty practice.
CognitiveHealth’s team has extensive experience managing Healthcare RCM processes for small, medium, and large healthcare providers and systems. The team includes AI & GenAI Architects & developers, Healthcare Security and Privacy experts, and Healthcare Revenue Cycle SME’s.
This experienced team of CognitiveHealth has partnered with recognized health systems to build iCAN™ – Network of AI Agents.
iCAN™ platform is purpose-built for healthcare.
We understand your concerns about privacy and security. At CognitiveHealth, our infrastructure meets the highest standards, and we actively follow the latest AI trust and risk guidelines to ensure your safety.
