Business office challenges

WorkforceWoes

Workforce woes

In a recent AKASA survey, healthcare leaders said the competitive market for talent is the biggest challenge impacting operations right now.

TediousDenials

Tedious denials

Preventable denials still occur. Re-working claims, including phone calls, investigative work, and appeals, can be time-consuming for revenue cycle teams.

PoorVisibility

Poor visibility

Leaders often don't have detailed insights about operations at the task level. This makes it difficult to staff appropriately around the most value-generating areas of operations.

ChangingRules

Changing rules

Payer requirements, portals, and reimbursement methods are updated often. This makes it difficult to streamline the business office, as many existing tools are prone to breaking when changes occur.

icon-business-office

Upgrade your back office

We can improve your claims and denials workflows with our platform built for efficiency, accuracy, and resiliency. It solves for complex, nuanced processes in the revenue cycle business office. Our unique machine learning and expert-in-the-loop processes help you maximize reimbursement and minimize denials — so your team can pivot to more important tasks, and you can get back to running your operations.

Dynamic solutions for the business office

Your staff can tackle more challenging appeals and denials, while AI completes time-consuming tasks. Our automation fits in most workflows, leaving no concern about payer or portal updates. If an edge case occurs, our experts step in to ensure tasks get completed.

The result: No exception queues.

BETTER CLAIM PROCESSING

claim-processing

FEWER DENIALS

FewerDenials

MORE REVENUE, FASTER

grow

Business office products

file-manage
Complete denials resolution

Resolve denials and determine whether to send a corrected claim, submit an appeal, or provide additional documentation.

notes
Claim edits

Improve processing times and boost clean claim rates by correcting claim edits prior to clearinghouse and payer submission.

status
Comprehensive claim status

Obtain up-to-date claim status information by automatically completing status checks.

card-swipe
Credit balance examiner

Automate credit balance evaluations and the processes required to issue a refund, update contractual rates, or take a write-off.

evaluation
Late charge evaluation and resolution

Automate the evaluation process and actions for whether to send out a new corrected claim or write off the late charge.

Unified Automation®

Efficient. Consistent. Resilient.

Unified Automation is a platform purpose-built for healthcare. Using artificial intelligence, machine learning, and our team of RCM experts, it creates a seamlessly integrated, tailored solution that helps you see value faster, with virtually no maintenance or exception queues.

automation

Trust and security

Keeping your data safe

We understand your concern and caution about sharing sensitive data. As a HIPAA-compliant and HITRUST- and SOC 2-certified company, we protect your data at all costs, using infrastructure built on HITRUST and beyond.

trust-security

AKASA has been an innovative partner, bringing deep expertise of clinical and operational workflows to our automation efforts. The alignment in focus for both teams and the efficiency of deployment has made this a highly effective collaboration.

Scott Abram   Vice President of Revenue Cycle, Sutter Health

13%

decreased days in A/R for Montage Health

Find out how AKASA can improve your metrics.

Driving claim status efficiency with AI-based automation

Case study

Montage Health knew automation would be necessary to drive revenue cycle efficiency. They worked with AKASA to automate claim status follow-up workflow, saving the organization time, delivering insights faster, and reducing the likelihood of claims hitting timely filing deadlines.

Explore other solutions

Learn more
patient-access

Patient access

Our front office automation solutions help providers improve financial clearance, elevate patient experience, and prevent downstream denials.

Want to reduce your denials? AKASA can help.