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How to Know if Your Healthcare Company is Ready for RCM AI Agents

AI is transforming the RCM game, but the real question is: Is your company ready to leverage it? From tackling high denial rates to automating time-consuming processes, our latest guide breaks down the key signs your RCM is primed for AI and how to ensure success.

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Upcoming Medicare Advantage Changes: What RCM Leaders Need to Know

This series explores the upcoming 2025 Medicare Advantage regulatory changes and provides strategies for RCM teams to adapt, optimize revenue cycles, and improve operational efficiency while maintaining compliance.

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Leveraging Product Marketing to Drive Effective Onboarding in High-Growth Startups

At Thoughtful AI, we’ve cracked the code on onboarding by using our product marketing strategies to turn the chaos of entering high-growth startup environments into a streamlined, effective process. Here’s how we do it.

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Open Minds Institute: Transformative Trends for Healthcare CEOs

Attending the Open Minds Institute for Operational Excellence in Long Beach this week, felt like stepping into the future of healthcare leadership. The event brought together industry leaders to explore the latest trends and best practices in healthcare.

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4 Steps to Supercharge Your RCM Team’s Productivity

The financial health of your practice depends on the skills, efficiency and productivity of your RCM team. By adopting a proactive approach with next-generation technologies, you can gain crucial strides into both your financial and operational outcomes.

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Leveraging AI for Enhanced Revenue Cycle Management

Revenue Cycle Management (RCM) is a critical aspect of healthcare administration, encompassing the financial processes associated with patient care, from appointment scheduling and billing to claim processing and payment collection.

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Streamlining Patient Intake with Advanced Automation Tools

Patient intake is a critical phase in the healthcare delivery process, involving the collection of patient information, verification of insurance details, and initial assessments.

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The Future of Claims Processing: Automation and Accuracy

Claims processing is a pivotal component of the healthcare revenue cycle, directly impacting the financial health of healthcare organizations. Claims processing is undergoing a significant transformation.

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Enhancing Provider Management Through AI Solutions

Effective provider management is a cornerstone of successful healthcare operations. It encompasses various tasks, including credentialing, scheduling, performance monitoring, and compliance management.

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The Role of AI in Modern Medical Coding and Notes Review

Medical coding and notes review are fundamental components of the healthcare revenue cycle, playing a crucial role in accurate billing and compliance. With the integration of Artificial Intelligence (AI), these processes are becoming more efficient.

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Whitepapers

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Behavioral Health

3 AI Essentials: Thriving in Behavioral Healthcare

In a world where technology is transforming virtually every industry, it's easy to overlook the seismic shifts in healthcare. From cumbersome, time-consuming paper charts in the early 1990s to sophisticated Electronic Health Records (EHRs) and practice management today, the digitization of medical data has revolutionized the way we deliver care.

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Revenue Reporting and Reconciliation

Revenue Reporting and Reconciliation is one such suite of automation products already proving invaluable to healthcare organizations nationwide. With this in mind, let’s dive into three ways Revenue Reporting and Reconciliation is helping organizations save millions.

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Collections and Payment Posting

In a landscape where claim denial handling is a frontline battle for healthcare organizations, Collections and Payment Posting is an indispensable armor, swiftly identifying, updating, and resubmitting claims while reducing associated workloads. Here are the top three reasons Collections and Payment Posting promises to reduce claims denials and supercharge your RCM.

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Provider Management

4 Ways Provider Networks Scale and Manage New Practices and Clinics With Ease.

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Coding and Note Review

Recently, medical coding has seen a dramatic shift from manual to automated methods, and with good reason. Ultimately, automation helps improve accuracy and save time and money. But what are the tangible benefits of automatic coding versus manual, and how exactly do they play out in a healthcare setting?

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Claims Processing

Amid the bustling activity in healthcare administration, one of the most critical tasks is managing Revenue Cycle Management (RCM). From claim submissions to managing denials, the complexities inherent in this process make it a prime candidate for innovation.

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Patient Intake and Prior Authorization

Prior authorizations are a crucial driver in maintaining clean claims in the revenue cycle. They are, however, traditionally very labor intensive. According to a survey by the American Medical Association, an eye-watering 93% of physicians reported care delays due to the PA process. Automation, specifically robotic process automation (RPA), is the answer to helping providers ensure patients are authorized for care, driving down costs and improving patient and employee experience.

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Eligibility Verification

Eligibility discrepancies are a common headache in healthcare revenue cycle management (RCM), leading to frustrating claim denials and increasing lost revenue. But with Verified, patient providers can finally catch these discrepancies before they cause problems.

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Transforming Primary Claims for the Insurance and Healthcare Industry

Healthcare and insurance leaders have been on a mission to revolutionize the claims management process by harnessing the power of automation. Over the last few years, they’ve invested in modernizing claims platforms, incorporating chatbots, document ingestion tools, and AI-powered data extraction.

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Eligibility Verification Automation for Healthcare

Eligibility verification is a healthcare providers’ most expensive administrative transaction, but cost-saving smart bots offer a better way forward.

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Webinars

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Solving Reimbursement Challenges + Scaling RCM Without Hiring

Explore the potential of AI in overcoming reimbursement challenges in our latest Becker's Webinar. Learn how AI can streamline revenue cycle management (RCM), enhance efficiency, and reduce the need for additional staff. Thoughtful's, Dan Parsons, will discuss real-world applications, current challenges, and the future of AI in healthcare finance.

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Staffing and Reimbursement with RCM Automation

Discover how Thoughtful's innovative approach to automation leads to significant enhancements in operational efficiency, including a notable reduction in claim denials, a decrease in Days Sales Outstanding (DSO), and an improvement in team productivity and patient care. Through real-world case studies, we illustrate the tangible benefits our customers have experienced, highlighting the potential for AI to revolutionize healthcare administration.

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Case Studies

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Behavioral Health

Easterseals Central Illinois

Easterseals Central Illinois used AI Agents to automate and streamline their Primary Claims

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Behavioral Health

Behavioral Health Works

Behavioral Health Works Reduced Overhead, Making Collections Faster and Cleaner

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Trumpet Behavioral Health

5 AI Agents Cut Trumpet Behavioral Health's Run Time by 70%

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Finance/Accounting

People's Care

People's Care Easily Saves 19 Hours Per Week With Their AI Agents

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MB2 Dental

MB2 Dental Innovates with AI Agents and Saves 80 Hours Per Month

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Keplr Vision

Keplr Vision Experiences an Impressive 95% Reduction in Processing Time

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Ally Pediatric

Ally Pediatric Accomplished a 90% Reduction in Their Invoice Processing Time

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Harris, Sheaffer LLP

Harris, Sheaffer LLP Improved Its Efficiency by 20% by Automating Tasks

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Butterfly Effects

Butterfly Effects Experienced an Astounding 235% Return On Investment

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Finance/Accounting

Gembah

Gembah Quickly Cut Costs By 30% Using AI Agents

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