AI-Powered Revenue Cycle Automation | Thoughtful
AI-Powered Revenue Cycle Automation | Thoughtful
Thoughtful

Thoughtful revolutionizes healthcare RCM with AI agents that automate and enhance efficiency, ensuring compliance and maximizing reimbursements.

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AI-Powered Revenue Cycle Automation with Thoughtful

In the rapidly evolving landscape of healthcare, efficient revenue cycle management (RCM) is crucial for providers to maintain financial health and focus on patient care. Enter Thoughtful, the world's first AI operating system designed specifically for healthcare RCM teams. This innovative platform introduces fully human-capable AI Agents that streamline and automate critical processes, ensuring precision, speed, and compliance.

Key Features of Thoughtful

  • EVA (Eligibility Verification): Handles all eligibility checks with full coverage details, significantly reducing claim denials.
  • PAULA (Prior Authorization): Ensures every authorization request is accurate and submitted on time, minimizing delays.
  • CODY (Coding and Notes Review): Simplifies complex coding tasks with precision and accuracy, enhancing overall coding efficiency.
  • CAM (Claims Management): Fully automates claims processing at perfect precision, maximizing reimbursements.
  • DAN (Denials Management): Resolves claim corrections swiftly, turning what used to take hours into minutes.
  • PHIL (Payment Posting): Ensures timely and precise financial record-keeping by quickly posting payments.

Benefits of Thoughtful

Thoughtful's AI Agents are not just tools; they are integral members of your RCM team. Here’s how they add value:

  • 24/7 Operational Efficiency: AI Agents work around the clock, mirroring the perfect employee trained to your specifications.
  • Compliance and Security: Thoughtful is SOC 2 and HIPAA compliant out of the box, ensuring your data is secure and operations are compliant.
  • Cost Reduction and Revenue Enhancement: Thoughtful is projected to generate $217M in value for healthcare providers in the next year, with reports showing reductions in cost to collect by over 78%, days sales outstanding by more than 75%, and improvements in clean claim rates to 99%.

Why Choose Thoughtful?

  • World-Class Team: Thoughtful offers a white-glove service team dedicated to your success.
  • Custom Built Platform: Optimizes your current system stack, saving millions from costly system migrations.
  • Seamless Integration: Works with all healthcare applications, whether in the cloud or on-premises.
  • Performance-Based Contracting: Guarantees ROI with refund and value guarantees.

Real-World Impact

Leading healthcare providers have realized unprecedented outcomes with Thoughtful, including:

  • 95% reduction in operating expenses
  • 75% reduction in days sales outstanding
  • 75% reduction in claims denials

Thoughtful is more than just an AI platform; it's a strategic partner that transforms the way healthcare providers manage their revenue cycles, ensuring better financial health and patient outcomes.

Conclusion

Thoughtful's AI-powered revenue cycle automation is a game-changer for healthcare providers. By integrating seamlessly with existing systems and offering unparalleled efficiency, accuracy, and compliance, Thoughtful enables providers to focus on what matters most—their patients.

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