White Papers

Building the Modern RCM Department: A Strategic Guide for Digital Transformation

This executive guide delivers a proven framework for building a modern RCM department that leverages AI technology to reduce operational costs, improve financial performance, and create a scalable foundation for future growth.

A CTO's Guide to Healthcare RCM in 2025

AI-powered Revenue Cycle Management has become a critical necessity for healthcare organizations facing staffing shortages and rising financial pressures. This guide equips CTOs with strategic insights to implement AI Agents across the revenue cycle, driving operational efficiency while enhancing financial performance and patient experience.

Unlocking Value in Healthcare RCM: A Guide for Private Equity-Backed Medical Groups

Effective Revenue Cycle Management is a critical growth driver for private equity-backed healthcare organizations. This guide provides a strategic framework for optimizing RCM through AI Agents, enabling sustainable growth, and enhanced financial performance.

A Strategic Blueprint for IT Leaders: AI Trust, Risk and Security Management

This comprehensive guide equips healthcare IT leaders with a practical framework for implementing AI Trust, Risk and Security Management (TRiSM) in revenue cycle operations. Based on Gartner's latest research, it provides actionable strategies for deploying secure, compliant AI solutions that address critical RCM challenges while maintaining robust governance standards.

A Guide to Solving Fragmented RCM Systems

The guide emphasizes solving the inefficiencies of fragmented Revenue Cycle Management (RCM) systems in healthcare, which hinder financial performance, patient satisfaction, and staff productivity. It identifies common issues like high claim denial rates, outdated technology, and manual workloads. Key strategies include adopting unified RCM platforms, leveraging AI-driven automation for tasks like claims processing and denials management, and redesigning workflows to enhance collaboration. The guide advocates for staff training and retention, automation, and a phased implementation to streamline operations, reduce costs, and improve both patient and provider experiences, creating a scalable and efficient healthcare ecosystem.

An Executive's Guide to Choosing the Right RCM AI Solution

Effective revenue cycle management (RCM) is critical for healthcare organizations to streamline operations, reduce costs, and achieve financial success. AI-driven RCM solutions offer strategic benefits such as enhanced automation, improved accuracy, real-time analytics, and scalability to meet growing demands. Key evaluation criteria include ROI, cost savings, compliance, error reduction, ease of integration, and user-friendliness. While adopting new RCM systems presents challenges like resistance to change and ensuring ROI, careful planning and leveraging robust solutions can transform RCM processes into a competitive advantage.

A CFO’s Guide to Choosing the Right RCM Solution

Effective Revenue Cycle Management is the key to financial success for growing healthcare organizations. This guide provides a comprehensive framework to evaluate and select the right RCM solution to drive operational excellence, maximize revenue, and position your organizations for long-term success.

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.

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.

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.

Provider Management

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

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?

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.

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.

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.

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.

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.

5 Ways Dental Offices Are Using Automation to Grow Faster

Robotic process automation (RPA) has become critical to helping dental teams keep up with their workloads, process more claims, and eliminate the error rate for time- consuming, critically important work.

How Mid-Market CFOs Are Using Automation to Offset the Labor Shortage

In this whitepaper, we’ll recount the numerous shifts that led to an accelerated adoption of automation, and how the compounding effects on the market have forced companies to take a new approach to hiring, scaling, and thriving in the face of the unpredictable.

How Finance Leaders Are Using Automation to Solve the Staffing Problem

The global labor shortage is predicted to last at least another ten years. To hedge their bets against rising talent costs and inflation, finance leaders are turning to automation to fill in the gaps. In this whitepaper, we provide a 360 degree of the staffing shortage issue, and present how digital process automation is being used to improve the employee experience while cutting costs.

6 Ways to Use Automation In Healthcare to Your Advantage

Automation in healthcare has the potential to free up exhausted and overwhelmed healthcare workers with additional resources. But what do healthcare automation solutions look like? This report breaks it all down, starting with a simple introduction to RPA, and the top automation use cases in healthcare.

6 Ways HR Leaders Are Using RPA to Increase Team Output

Learn how to automate your HR workflows to meet your team's goals, without exhausting your staff. Download the whitepaper to get six powerful RPA use cases in HR automation.