Overview
RCM services powered by intelligently automated workflows.
The AGS Health Intelligent RCM Engine is a proprietary suite of workflow orchestration tools that power our award-winning patient financial services. It seamlessly integrates artificial intelligence, machine learning, analytics, and digital workers to allocate work, automate tasks, and enhance decision-making. With the Intelligent RCM Engine, our staff can achieve peak productivity, efficiency, and accuracy—the net result is higher quality and greater cost-efficiency for our valued customers.
Data-Driven Workflow Logic
Our advanced logic system leverages claims data and custom rule sets for each customer to ensure that tasks are distributed to the right resources at the right time for optimal performance and financial outcomes.
Enhanced Productivity and Collaboration
AGS Health’s smart workflows connect disparate systems and streamline processes through intelligent automation to boost productivity, encourage collaboration, and support faster claim processing times.
Faster Returns, Lower Costs
By automating mundane tasks and offering suggestions for the next best actions, AGS Health can dramatically reduce the time and cost of collecting revenue for our valued customers.
Features
Intelligent RCM Engine Features and Capabilities
Dynamic Centralized Workflows
Rapid ingestion of claims data
Whether through integration or upload, our system tracks the inflow of claims for immediate allocation and processing.
Centralized allocation of workloads
Our proprietary central allocation technology automatically separates, prioritizes, and assigns claims to our service teams and/or digital workers based on a set of custom rules to support each customer’s unique requirements. This ensures the correct claims are delivered to the most appropriate resource at the right time for optimal throughput and cash flow.
Tech-Enabled Work Processing
Automated web transactions
For claims that require additional patient data or other information, Intelligent RCM Engine leverages pre-built Robotic Process Automation (RPA) and more than 240 pre-built Application Programming Interfaces (APIs) to pull information from payers’ Electronic Data Interchange (EDI) transactions whenever possible.
Voice-based digital workers
Voice-based technologies like Interactive Voice Response (IVR) automation and Speech Text (STT) transcriptions help eliminate lost productivity caused by extended hold times and empower our proficient staff to focus their attention on more valuable and complex tasks.
Technology augmented appeals
After obtaining and confirming all essential claim data, we utilize intelligent automation to enhance the denial reconciliation process. This assists in creating and submitting appeals packets, reducing the time to revenue for our clients.
Digital RCM consultant
An AI-powered conversational interface equipped with over 400 custom workflow scenarios provides our staff with step-by-step guidance and recommended actions tailored to each customer’s specific workflow requirements, enhancing efficiency and cost savings for our customers.
Enhanced Audits and Business Intelligence
Streamlined audit insights
An embedded auditing system featuring advanced analytics and AI oversight upholds strict regulatory standards while providing critical for strategic decision-making. Integrated with our centralized workflows and tech-enabled processing, it efficiently highlights discrepancies and opportunities for improvement, enhancing operational efficiency and driving continuous improvement.
Data-driven process improvements
Comprehensive business intelligence analytics and reports allow customers to monitor key performance indicators to assess progress and identify opportunities for process improvement.
BENEFITS
Experience the impact of the Intelligent RCM Engine.
With the Intelligent RCM Engine, our customers can expect industry-leading claims processing performance at a highly competitive value.
Integrations
Connects with any system
More Technology
Intelligent Authorization
Automate your financial clearance processes through to improve efficiency, lower costs, avoid authorization-related denials, and enhance the patient financial experience by expediting access to necessary services.
Autonomous Coding
Achieve true coding autonomy through advanced artificial intelligence and award-winning services in one seamless, effortless solution.
Computer-Assisted Coding
Transform your manual coding workflow into an AI-coder collaboration that positively impacts your coding quality, CMI and DNFC.
Computer-Assisted Professional Coding
Streamline your professional coding process with improved charge capture while reducing denials and improving quality and compliance.
Computer-Assisted CDI
Automate the review of clinical documentation and queries without using a single spreadsheet.
Revenue Cycle Automation Analytics
Manage and forecast your automated revenue cycle management workflows for peak performance.
Analytics & Reporting
See your data like never before without the constraints of your EHR reporting capabilities.
Clinical NLP APIs
Natural Language Processing APIs that enable you to extract meaningful clinical entities from bundles of unstructured data, seamlessly.
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Discover the difference of AGS Health RCM services today.
When you create a high-performance revenue cycle, you’re finally free to invest your full resources into what matters most: the care of your patients.
