White Paper

Transforming Revenue Cycle Management in Healthcare with Generative AI

Transforming Revenue Cycle Management in Healthcare with Generative AI

Pages 14 Pages

This whitepaper explains how generative AI can modernize healthcare revenue cycle management by automating manual, error-prone workflows across pre-visit, visit, and post-visit stages, reducing denials, speeding reimbursement, and improving the patient financial experience. It defines RCM and describes how AI can automate billing and claims, use predictive analytics to flag likely denials or payment delays, improve patient communications through chatbots, detect fraud, and optimize resource allocation. It then maps GenAI use cases to each stage, from smarter scheduling, registration, and eligibility checks to better documentation, coding, charge capture, claim submission and management, and clearer patient billing and payment plans. It also outlines an implementation approach and risk miti

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