A.I. Revenue Cycle Management
NexxGen AIRCM transforms healthcare revenue collection by utilizing Advanced Artificial Intelligence Infrastructure and provides an advanced, fully integrated, end-to-end healthcare operating system.
Our Revenue Cycle Management, handling billions in annual claims, optimizes insurance reimbursement rates and simplifies operational processes. It is the only API-compatible, bidirectional EHR-integrated RCM platform with LLM (Large Language Model) powered automations.
This is a stand-alone web-based system that does not require on-site software.
Platform Offerings
Rules Engine:Customized business rules built for each company.
Clean: Incoming denials/rejections get queried within the NexxGen AI RCM database to see similar denials and how they were resubmitted and approved. Claim payload is applied to the incoming denials and bulk resubmitted by the operator.
Remit: Auto-posts all remittances (both ERAs and paper EOBs) & Bank Account Transaction Auto-Verification.
Denials Co-Pilot: Denials are solved in seconds by actively ingesting ever-changing payer policies, medical records, charts, trends in payments, and provider contracts.
Insights: Real-Time Transparency through Integrated Business Insights into the site’s core revenue metrics in one place.
Scribe/Coding: Advanced speech recognition tool that provides accurate transcriptions and clinical documentation ensuring undercoding never happens again.
Exclusive Laboratory Orering & RCM Platform
NexxGen AIRCM Exclusive Laboratory RCM Platform combines the latest AI Machine Learning with a comprehensive 3rd Party Medical Database for test ordering.
The Database Test Management and Utilization platform serves as a laboratory decision system. It utilizes a Medical Database’s proprietary ranking algorithm and assists healthcare providers in determining the most relevant tests to select based on disease, symptoms and ICD10 Codes.
The Database includes an enterprise analytics platform that profiles and benchmarks lab orders and remittance by physicians, practices and labs. The system is designed to check every claim and ensure the medical necessity is met to increase revenue by improving reimbursement.
The Database also includes a user-friendly analytical tool that employs a sophisticated algorithm to interpret syndromic panels and antibiotic resistance, generating real-time, guideline-oriented pharmacotherapeutic recommendations according to detected microbial load and antimicrobial resistance genes. to increase revenue by improving reimbursement.
Insurance Credentialling Services
The Most Inclusive Lab Billing Model Currently Available
Contact Us
NexxGen AI RCM is preparing for our upcoming meeting. To prepare our analysis, we have identified several questions to assist us in providing you with a comparison of our technology and how we can improve your collection results.