At AKASA, we believe that every dollar spent on healthcare matters, because healthcare matters to everyone. Complexity in medical reimbursement in the United States drives up hidden costs that we all pay; both in terms of dollars, and, in the erosion of trust people have that our healthcare system will serve them well.
Although unknown to the vast majority of Americans, the leader of the revenue cycle department at a hospital or clinic is responsible for managing the financial infrastructure of healthcare. Their role is central, their decisions and actions influence millions of providers and patients, and billions of dollars. Yet, they are some of the most underappreciated and underserved executives in healthcare.
Every revenue cycle leader we’ve ever spoken to is on a mission to be a better steward of the healthcare dollar. They recognize the ever-increasing demands on their team brought on by an increasingly complex reimbursement environment. When complexity can’t be addressed by simply adding more staff, leaders often explore new technologies to bring efficiencies at scale.
The vast majority of RCM departments have to painstakingly prioritize the most important tasks and focus their efforts so that it can be worked with their current staffing levels. This inevitably leads to increasingly aged A/R, delays in payments, and increased write offs. Implementing automation allows RCM leaders to assign staff/ team members to work that needs their skilled attention and allows them to work at the top of their license.
Amy Raymond – VP of Revenue Cycle Operations at AKASA
Unfortunately, the technology industry has not stepped up to help revenue cycle leaders meet their ambitious goals. Modern machine learning technology is often focused on clinical applications within healthcare, and little thought is given to applying those same approaches to the back office. Most current healthcare automation efforts are driven by repurposed technology like robotic process automation (RPA) that are actually decades-old. As a result, revenue cycle leaders are stuck stitching together multiple pieces of archaic technology. The end result is often more hassles than help from a patchwork of cumbersome technologies.
At AKASA, we’ve developed a new approach we call Unified Automation — a single solution to automate and simplify revenue cycle management. We evaluated modern automation approaches from some of the most complex domains in the world (such as self-driving cars), and we derived core principles — like the best ways to monitor existing workflows, learn from workflows at scale and quickly adapt to change. We then built proprietary technology from the ground up to apply these core principles to the unique challenges of healthcare revenue cycle management.
We were very thoughtful about designing each component of our solution to fit together perfectly. We don’t white label software from other vendors. As a result, our vertically integrated solution includes every single component required for revenue cycle leaders to roll out the most comprehensive and advanced automation solution available, eliminating the need for a cumbersome patchwork of solutions.
Our solution lives and operates within the existing electronic health record (EHR) and billing systems of our clients. We can deploy entirely remotely and there is no new training required for existing health system staff.
Here’s how Unified Automation works:
Unified Automation is a unique approach because it seamlessly blends human judgment and subject matter expertise with machine learning. Unified Automation is also antifragile. This means it extends beyond simple resilience or robustness. Resilient systems resist variance and disorder and stay the same; an antifragile system thrives and improves as a result of that same variance and disorder.