Transforming RCM with AI: Smarter Workflows, Stronger Financials
Between increased patient volumes, regulatory pressures, payer complexity, and staffing shortages, there’s a lot keeping CFOs up at night. As a historically challenging, inefficient, and burdensome area of healthcare, revenue cycle management is poised for a transformation. Organizations are increasingly looking to new platforms that break down silos, improve accuracy and compliance, and maximize revenue, but finding validated solutions with proven outcomes will be critical.
Transforming Revenue Cycle Management
At IKS Health, we believe healthcare should flow seamlessly. That’s why we’ve reimagined the revenue cycle, launching a fully connected, AI-driven workflow that empowers both frontline care teams and the operational engines behind them—enhancing efficiency and driving stronger financial performance.
With generative AI, autonomous coding, and human expertise working together, our platform ensures every clinical encounter results in an accurate, compliant, and audit-ready chart before the claim is even submitted.
Our solutions have been shown to achieve 98% coding accuracy, a 95–98% net collection rate, and a 42% reduction in revenue cycle costs.
A Recognized Leader in Healthcare Revenue Cycle Management
In Black Book Research’s recent report, we landed the top spot in the first-ever AI-driven Revenue Cycle Management (RCM) category, outpacing 19 other vendors. We received the highest number one criteria ratings, ranking #1 in 11 of the 18 key performance indicators, including:
- Denial Prevention & Claim Optimization Performance
- Accuracy & Effectiveness of AI-Driven Claim Adjustments
- Reliability of AI in Predicting Claim Denials & Payment Issues
- Usability & Learning Curve for RCM Teams
- Quality of Customer Support, Training & Change Management
- Proactiveness in Addressing Client Issues & Industry Challenges
- Ethical Business Practices & Transparency in Marketing & Sales
- Compliance with Cybersecurity & Data Protection Standards
- Commitment to Regulatory Compliance & Audit Readiness
- Overall Value of AI & Automation as a Strategic Asset
- Confidence in Vendor’s Ability to Drive Financial Success
The findings of the Black Book research report underscore our unique ability to preactively prevent denials, optimize claims processing, and help support our clients’ financial and operational performance.
AI-Driven Denial Prevention & Claims Optimization
Our predictive analytics and automated pre-bill audits enable denials prevention before submission instead of managing post-denial appeals. Survey respondents called out our ability to identify and correct claim errors before submission, apply payer rule updates in real-time, and integrate AI-driven denial prediction into claim workflows. Our approach results in fewer delays and write-offs and improved reimbursement accuracy.
System Integration & Operational Efficiency
Compliance & Audit Readiness
Vendor Trust, Cybersecurity & Ethical Business Practices
The results demonstrate our strong commitment to business transparency, cybersecurity, and ethical practices. Respondents noted our adherence to security standards, transparency in AI-driven claims processing, and business practices such as clear communication, pricing structures, and AI decision-making processes.
Scalability Across Healthcare Organizations
We received high ratings for supporting a wide range of healthcare organizations. The survey findings highlight our capabilities in denial prevention and claims management for high-volume hospitals, tailored solutions for providers with payer-specific claim optimization needs, and support for value-based care models that require enhanced claims tracking and reimbursement monitoring.
We are redesigning revenue cycle management and allowing specialists and clinicians to move away from time-consuming tasks to focus on what matters most: patients. Through our validated, proven solutions, we are delivering smarter healthcare and better outcomes. Ready to transform your organization’s revenue cycle and deliver patient-centered care?
Reach out to learn more about our AI-driven RCM solutions suite today.
