AI RCM

The Ambience Healthcare AI Operating System is a suite of applications, including an AI medical scribe and a CDI assistant for coding and billing.

Candid Health is an end-to-end revenue cycle management platform. It enables claims submission, detects and resolves billing issues, integrates with existing healthcare infrastructure via API, and provides real-time analytics for tracking and improving financial performance.

Enter Health is a revenue cycle management platform offering automated claims processing, payment posting, denial management, patient collection, and real-time reporting.

Adonis is a revenue cycle management platform that offers end-to-end billing solutions, revenue cycle automation, and integrates with EHR and practice management systems to provide medical billing and revenue-related insights.

Apero is a healthcare management platform offering integrated solutions for note-taking, scheduling, billing, and prescriptions, with automated workflows, payer enrollment, and robust security features.

AKASA Authorization Advisor is an AI-enabled prior authorization tool for streamlining the submission, tracking, and follow-up of medical authorization requests for procedures. It is integrated with Epic and Cerner, and focuses on health system-specific use cases.

Fathom Health is an AI medical coding platform that uses both deep learning and LLMs to provide accurate coding services across areas including radiology, emergency departments, and other high-volume specialties.

Nym is an AI medical coding product that deciphers clinical language in patient charts and assigns ICD-10 and CPT codes to them using advanced machine learning and semantic technologies. They offer services for outpatient coding for both professional and facility charges, as well as inpatient coding for professional charges.

RapidClaims offers an AI-driven platform for medical coding, integrating autonomous coding, coder assistance, and code auditing to enhance accuracy and reduce costs.

SmarterDx is a chart review platform that uses AI to analyze patient data for clinical documentation integrity and coding opportunities to improve quality and revenue capture.

Synthpop provides AI-enabled tooling for automating referral intake, analyzing patient records to evaluate treatment eligibility, and transcribing patient conversations to optimize around payer guidelines for claims submission.

Aideo is a medical coding vendor offering technologies and services to improve coding efficiency.

Alaffia Health leverages AI to identify errors in healthcare bills, focusing on reducing fraud, waste, and abuse in healthcare claims by pinpointing errors and overcharges in the bills from healthcare providers.

Anomaly is AI RCM software that detects payer performance changes to predict and prevent denial and improve revenue capture.

Arintra is an AI powered autonomous medical coding vendor.

Athelas RCM provides a platform for healthcare revenue cycle management focusing on financial reporting and end-to-end billing cycles.

Banjo Health streamlines the prior authorization process for health plans and pharmacy benefit managers.

Basys.ai uses AI to streamline prior authorization for health plans and systems.

Brellium offers automated chart review software using AI to flag clinical anomalies, coding errors, and billing issues.

Cair Health is AI software to automate medical insurance workflows for providers.

Cedar is a patient payments platform for billing and payment workflows, with features including personalized patient engagement and real-time insights to increase payment rates.

Co:Helm is a generative AI platform for payer organizations, providing a co-pilot dashboard to improve UM nurse efficiency.

CodaMetrix is an AI medical coding platform for multiple specialties, particularly in radiology and pathology, within large healthcare systems. The platform uses NLP and machine learning to translate clinical notes into accurate billing and diagnostic codes.

Cohere Health streamlines prior authorization processes using automation and machine learning.

CorroHealth is a provider of revenue cycle management solutions and analytics.

Develop Health uses AI to streamline medication prior auth for providers.

EIQ by Ensemble Health Partners is a cloud-based, analytics-driven workflow tool for end-to-end RCM.

element5 is an RCM automation platform for post-acute workflows focused on streamlining authorizations and eligibility and on automating billing and denials workflows.

Ethermed is an AI solution that fills and submits prior authorization requests for providers.

Fairway Health is an AI assistant for health insurers that uses LLMs to analyze medical records and make prior authorization determinations.

Gabeo is an AI revenue recovery platform that autonomously resubmits and appeals payer denials.

Gentem is revenue cycle management software that helps automate medical billing and payment processes for providers.

Iodine Aware CDI improves clinical documentation accuracy and efficiency, aiming to reduce revenue leakage in healthcare systems.

Iodine Aware UM facilitates more effective utilization management in healthcare systems by optimizing resource allocation and prioritizing cases.

Latent uses AI to streamline specialty pharmacy and infusion prior authorization for hospitals and clinics.

Maverick is an AI-powered autonomous medical coding platform.

medbill AI is an AI assistant to help patients understand, manage, and negotiate medical bills.

Codio is a tool by Medicodio that automates medical coding. It connects to electronic health records systems and uses optical character recognition, APIs, and robotic process automation to help with medical coding.

Myndshft offers medical and pharmacy prior authorizations, leveraging AI and machine learning to automate and expedite the process.

Phare Health is a developer of AI technology addressing revenue cycle management functions such as medical coding.

Regard is an AI clinician assistant platform that is embedded in the EMR and summarizes patient data, generates clinical notes, and suggests diagnoses.

Rialtic is an AI payment accuracy platform or payers and providers that provide analytics to identify savings opportunities and tools to evaluate payment policies.

Semantic Health is an AI CDI platform that reviews all coded data before billing, assessing and validating the accuracy and completeness of medical codes from clinical documentation.

Silna uses AI to streamline prior authorizations, benefits and eligibility checks for therapists.

Synaptec Health is an AI-enabled medical coding product for automatically processing patient encounters.

Tandem is a prescription concierge service that uses AI to get patients their medications as quickly and cheaply as possible. It checks prescriptions against insurance and cash prices, along with coupons and financial assistance programs, to find the best price for the patient. If prior authorization is required, Tandem will work with the patient's doctor to handle it.

Thoughtful is an AI platform or revenue cycle automation that offers modules across the end-to-end RCM cycle aimed at reducing denial and improving reimbursement.