AI-First, no-code platform for intelligent RCM data extraction, and accurate, fast claims processing
Botminds AI Revenue Cycle Management (RCM) Automation is a powerful no-code AI platform to Improve efficiency of health care providers’ revenue cycle process and uplift patient care. It eliminates repetitive, low-value, manual and tedious tasks.
The platform enables AI-powered extraction of 100s of granular data points across multiple patient record documents & claims forms; automated normalization and insightful analysis – thus, speeding up the processing.
Key highlights -
Streamline Revenue Cycle Process - End to end automation, AI-powered highly accurate extraction and validation of patient & claims data – greatly reducing administrative effort & manual intervention
Manage Case Spikes & Variations - Handles multiple formats of medical records, insurance claim forms (handwritten & printed, scanned) from hundreds of providers; and spurts of incoming documents
Minimize Revenue Loss or Delays - End-to-end automation with pre-trained models avoiding manual errors, reduces chances of delayed or reduced reimbursement
Enhance Patient Satisfaction - Reduces claim denials due to highly accurate extraction and processing, track claims status better, overall enable better quality of care for patients
The platform has 4 key modules that are vertically integrated and available as one platform, under a single license -
1. Capture - For automated abstraction: Automated classification of medical records (patient health records, insurance claim, cover page, discharge summary etc.) of different formats from hundreds of healthcare providers; and template-free extraction from handwritten or printed text, checkboxes etc. based on pre-trained models and easily trainable models; with semantic understanding of data points extracted; automated validation thereby greatly reducing administrative burden and needs for SME/ human intervention.
2. Search - For high-precision contextual results: Powerful cognitive vertical search engine that queries across documents based on relevant search filters – such as diagnose code, payor or provider etc. – to enable RCM service providers and healthcare providers discover relevant information and documents quickly; in addition, semantic search that provides relevant results for Q&A -type queries.
3. Analyze - To make Informed decisions: Customizable, interactive dashboards produce reports in form of interactive graphs and charts on claims processed vs. denied, average time taken - provide productivity insights and enable decision-making
4. Automate - To maximize efficiency: Workflow automation and integration (via APIs, webhooks) to downstream/upstream healthcare systems – thereby greatly reducing document or data duplication effort, back-and-forth coordination between entities or roles