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RapidClaims’ LLM-Powered RCM Solution Seeks Truth in Billing & Fewer Denials

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Manage episode 524314916 series 3255313
Content provided by John Lynn. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by John Lynn or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

Although providers and payers feel like they're engaged in an epic, ongoing battle over claims, Abhinay Vyas, Co-Founder and Chief Data Officer at RapidClaims, believes that approvals can increase when both realize that they are fundamentally interested in truth. RapidClaims' AI-driven revenue cycle tools help to uncover the complexities in care and provide the evidence to back up a claim.

Vyas says that AI has to be both accurate and explainable to be adopted. RapidClaims' algorithms are self-hosted and self-trained. They are flexible enough to support every specialty and adapt to the needs of different institutions. To this end, they have more than 118 AI models, which they set against each other to eliminate errors and hallucinations.

Lisa Rosenkoetter, Vice President of Sales at RapidClaims, says they address cost, revenue, and compliance. As the complexity and severity of health conditions increase, providers "need to recoup every dollar for the care you've provided."

Learn more about RapidClaims: https://www.rapidclaims.ai/

Healthcare IT Community: https://www.healthcareittoday.com/

  continue reading

760 episodes

Artwork
iconShare
 
Manage episode 524314916 series 3255313
Content provided by John Lynn. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by John Lynn or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

Although providers and payers feel like they're engaged in an epic, ongoing battle over claims, Abhinay Vyas, Co-Founder and Chief Data Officer at RapidClaims, believes that approvals can increase when both realize that they are fundamentally interested in truth. RapidClaims' AI-driven revenue cycle tools help to uncover the complexities in care and provide the evidence to back up a claim.

Vyas says that AI has to be both accurate and explainable to be adopted. RapidClaims' algorithms are self-hosted and self-trained. They are flexible enough to support every specialty and adapt to the needs of different institutions. To this end, they have more than 118 AI models, which they set against each other to eliminate errors and hallucinations.

Lisa Rosenkoetter, Vice President of Sales at RapidClaims, says they address cost, revenue, and compliance. As the complexity and severity of health conditions increase, providers "need to recoup every dollar for the care you've provided."

Learn more about RapidClaims: https://www.rapidclaims.ai/

Healthcare IT Community: https://www.healthcareittoday.com/

  continue reading

760 episodes

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