MC8 · Healthcare · Revenue Cycle Automation
AI Revenue Cycle Automation for Health Systems and Practices
Revenue cycle management is one of the most complex, error-prone processes in healthcare — and one of the highest-value targets for AI automation. We implement AI systems that improve clean claim rates, automate denial management, and accelerate prior authorisation workflows, directly improving cash flow without adding billing headcount.
The real problems we solve
Clean claim rate improved from industry average 75% to 92%+
Denial management response time reduced from weeks to hours
Prior authorisation processing time reduced by 70%
Days in AR reduced by an average of 12 days
Billing staff capacity freed for complex cases requiring human judgment
Frequently asked questions
Which payers do you support for automated prior authorisation?
We support all major commercial payers and Medicare/Medicaid. The specific automation capabilities depend on each payer's API and portal access — we map this during the discovery phase.
How does AI handle denial management?
The AI system categorises denials, identifies the root cause, drafts appeal letters with supporting documentation, and tracks appeal status. Denials requiring clinical review are escalated to the appropriate staff member with full context.
What's the ROI timeline for revenue cycle automation?
Most practices see positive ROI within 90 days through improved clean claim rates and faster denial resolution. We provide a detailed ROI projection before any engagement begins.
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