Here are the top AI-powered RCM platforms by category, according to the researcher’s survey of over 1,300 healthcare finance, IT and RCM leaders released Feb. 10:
AI-Powered Front-End RCM: Eligibility, Registration & Financial Clearance
Accuracy of Insurance Eligibility Verification & Pre-Authorization Approval Rates: Change Healthcare
Reduction in Patient Registration Errors & Administrative Workload: R1 RCM
Increase in Successful Patient Financial Clearance Before Service Delivery: Optum360
Improvement in Upfront Patient Payment Collection Rates: Waystar
AI-Powered Mid- & Back-End RCM: Coding, Billing & Claims Optimization
Reduction in Coding Errors & Compliance-Related Claim Denials: 3M 360 Encompass
Increase in Coder Productivity & Accuracy with AI Automation: Iodine Software
Reduction in Time Spent on Clinical Documentation Revisions & Audits: Abridge
Improvement in Physician Satisfaction Regarding Documentation Efficiency: Nuance Communications
AI-Powered Claims Processing & Denials Management
Reduction in Claim Rejection & Denial Rates: Waystar
Increase in Clean Claim Submission Rates: Waystar
Time Savings in Claim Resubmission & Appeals Resolution: Waystar
Improvement in Overall Claims Reimbursement Turnaround Time: Waystar
AI-Powered Financial & Payment Solutions
Increase in Successful Patient Collections & Reduced Bad Debt Write-Offs: Cedar
Accuracy of Automated Payment Reconciliation Processes: HighRadius
Reduction in Days in Accounts Receivable & Improved Cash Flow Predictability: Thoughtful AI
Improvement in Financial Forecasting Accuracy Using AI-Driven Analytics: Waystar
Enhanced Efficiency in Automated Patient Payment Processing & Engagement: Waystar
Reduction in Administrative Burden for Back-End Financial Teams: Waystar